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Paediatric x-ray examinations in Rio de Janeiro

A C P Azevedo1, O A Osibote1 and M C B Boechat2

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This work presents the results of a dose survey performed for paediatric patients and carried out in two large paediatric public hospitals in Rio de Janeiro city. The entrance surface dose (ESD) and the effective dose (ED) were evaluated for chest, skull, abdomen, lumbar spine, cervical spine and pelvis in antero-posterior (AP), postero-anterior (PA) and lateral (LAT) projections. For each examination, four age groups 0–1, 1–5, 5–10 and 10–15 years were studied. The DoseCal software was used to calculate these doses. Wide variations for the same type of examination and projection have been detected. These variations were evident, in Brazil, from previous work. In spite of the present results being still preliminary, they can give an idea of what paediatric ESDs are like in Brazil. Also, with respect to the entrance surface dose, some of the results are above the reference levels, which cause high ED, as well. On the other hand, the wide range of ESD reflects the disparity of radiographic techniques and demonstrates that the ALARA principle is not being applied in Brazilian hospitals and becomes a concern in terms of public health.


PACS

87.59.B- Radiography

87.56.Da Ancillary equipment

87.53.-j Effects of ionizing radiation on biological systems

87.80.-y Biophysical techniques (research methods)

Subjects

Instrumentation and measurement

Biological physics

Medical physics

Dates

Issue 15 (7 August 2006)

Received 14 February 2006, in final form 1 June 2006

Published 12 July 2006



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