Schmidt, Frederik
[VerfasserIn]
;
Langner, Sönke
[AkademischeR BetreuerIn];
Schmidt, Sebastian M.
[AkademischeR BetreuerIn]Universität Greifswald
Qualität der pädiatrischen ap-/pa-Röntgenaufnahmen des Thorax im Kontext der aktuellen Leitlinien der Europäischen Kommission
: Realisierbarkeit in der täglichen Routine einer universitären Kinderradiologie?
Sie können Bookmarks mittels Listen verwalten, loggen Sie sich dafür bitte in Ihr SLUB Benutzerkonto ein.
Medientyp:
E-Book;
Hochschulschrift
Titel:
Qualität der pädiatrischen ap-/pa-Röntgenaufnahmen des Thorax im Kontext der aktuellen Leitlinien der Europäischen Kommission
:
Realisierbarkeit in der täglichen Routine einer universitären Kinderradiologie?
In a paediatric population, as the most radiation-sensitive patients, accurate collimination to reduce unnecessary irradiation and improve image quality are of utmost importance. For AP/PA chest radiographs the European Commission (EC) guideline 16261 provides minimal field size with an age-dependent tolerance. Quality criteria of this guideline were evaluated qualitatively and quantitatively in an academic paediatric radiological division. During a one year period 1238 chest radiographs (58% male, 42% female, age: 0-17years) were evaluated using a semi-automatic tool. Quality criteria, minimal field size and overexposure were assessed based on EC guideline criteria. Overall only 4,4% of all images completely fulfilled the EC-guidelines. Most correct radiographs (14,1%) were made of infants (1-12 months). Generally, 46,3% were rated as under-, 43,9% as overexposed. Mean overexposure (52,2%±29,2%; range: 4,7% to 325,6%) and tissue overexposure (41,5%±27,5%; range: 0,0% to 272,7%) were differentiated. Diagnostic requirements were virtually confirmed, except deep inspiration and rotation/tilting. Age-dependently both criteria increased (successful deep inspiration: newborn: 21,2%; early adolescents: 81,6%). Furthermore, images were analysed to the commissioned radiological section. Overexposure was significantliy increased when images were acquired on newborn ICU (69,6%) compared to paediatric ICU (56,7%; p<0.05) and the radiological department (44,6%; p<0.05). The EC-guidelines ...