The objective of this study was to derive the effective dose to patients from examinations of the upper gastrointestinal (GI) tract at 11 X-ray units in 10 Dutch hospitals.
Entrance dose and entrance dose rate were measured at the surface of a homogeneous PMMA phantom and at the entrance surface of the image intensifier.
Dose-area products (DAPs) were assessed during examinations of patients.
The patients (334 females and 256 males) ages were 18-95 years (average 52 years).
Effective dose was assessed from DAP using Monte Carlo computer calculations for male and female mathematical anthropomorphic phantoms.
The DAPs measured during the survey showed substantial variations, i.e. an overall average value of 21 Gy cm2 and a range of average DAP per X-ray unit varying from 7 to 56 Gy cm2.
Variations in the number of images (8-28) and the fluoroscopy time (1.7 min-7.0 min) were also large.
A DAP to effective dose conversion factor of 0.32 mSv Gy cm-2 was derived for upper GI studies.
The dose survey yielded an overall average effective dose of 6.7 mSv.
At one location an examination involving as many as 28 projections was performed, whilst maintaining a DAP well below 15 Gy cm2 and an effective dose below 6 mSv.
This was achieved using modern equipment (i.e. high frequency generator, digital spot films) with 0.2 mm additional copper filtration and a relatively high tube voltage. (...)
Mots-clés Pascal : Radiographie, Radioscopie, Extrémité supérieure, Appareil digestif, Dose rayonnement, Dose absorbée, Temps exposition, Etude comparative, Homme, Radiodiagnostic
Mots-clés Pascal anglais : Radiography, Radioscopy, Upper extremity, Digestive system, Radiation dose, Absorbed dose, Exposure time, Comparative study, Human, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0353901
Code Inist : 002B24A10. Création : 27/11/1998.