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Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria

Received: 15 July 2021    Accepted: 16 August 2021    Published: 10 September 2021
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Abstract

Background: In diagnostic radiology, focus on patient’s dose measurement has been on the estimation of entrance skin surface dose and its equivalent risk assessor (effective and organ doses). So, this study identified DAP’s as capable of performing same function as ESD in patient dose monitoring. Thus, reported estimates on dose area product (DAP) and the equivalent risk to organ’s exposed in adult patients during pelvis examination in Lagos State, Nigeria. Patients and Methods: Gender percentage ratio of 39.4 and 60.4 for male and female respectively, from six selected centres, exposed for both pelvis AP and LAT of the procedures were monitored using mathematical approach and dose Cal version 2.31 software, designed to monitor organ’s dose and DAP. Results: The average DAP and it equivalent organ dose area product (ODAP) values recorded from a population of 278 adult patients studied were found to be within expected limits for a reference adult person. Though, DAP for pelvis AP was found almost twice that recorded for the pelvis LAT. High and low organ DAP recorded for both gender from urinary bladder and lungs respectively for pelvis AP whilst these were pelvis bone and lungs for male and ovaries and lungs for female from pelvis LAT respectively. High values were equally recorded for the reproductive organs (Testicles and Ovaries) during pelvis AP. Conclusion: This study therefore suggest that better understanding of organ anatomical position in relation to specific examination will better promote as low as reasonable practicable.

Published in Radiation Science and Technology (Volume 7, Issue 3)
DOI 10.11648/j.rst.20210703.15
Page(s) 72-82
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Dose-Area Product, Organ Dose-Area Product, Reference Person, Pelvic Radiography, Antero-posterior, Lateral

References
[1] Nickoloff EL, Lsu ZF, Dutta AK, So JC (2008). ‘Radiation dose descriptors’, BERT, COD, DAP and other strange creature Radiographics. Vol. 28 (5), pp 1439-50.
[2] Hart D. Jones DG, Wall BF (1994). Estimation of effective dose in diagnostic radiology from ESD and DAP measurements, NRPB report 262; London, HMSO.
[3] Lindskoug, B (1991). ‘Reference man in diagnostic radiology’ Br. J of Radiology https://doi.org/10.1259/007-1285- 65-773-431.
[4] Moores, B. M (1989). 'Physical aspects of establishing tolerances and limiting values in diagnostic radiology: In technical and physical parameters for quality assurance in medical diagnostic radiology, tolerances, limiting values and appropriate measuring methods' BIR report, 18 Edition. Ed: 81-84.
[5] Ogunseyinde AO, Adediran SAM, Obed RI, Akinlade BI, Oyindare FO (2002) ‘Comparison of ESDs of some X-ray examinations with CEC reference doses’ Radiat prot. dosimetry; Vol. 99 (2), pg 231-37.
[6] Ajayi IR and Akinwumiju A (2000). Measurement of entrance skin dose to patients in four common diagnostic examinations by thermo-luminescence dosimetry in Nigeria. Radiat prot; 87 (3); pp 217-20.
[7] Lagos State Burean of Statistics (LSBS) (2017). ‘Lagos State Population Counting’ (Lagos State Alausa Secretariat, Ikeja.
[8] Theocharopoulos N, Perisineris K, Darnolakis J, Varveris H, Gourtsoyiannis N (2002). Comparison of four methods for assessing patient effective dose from radiological examinations. Med Phys. Vol. 29 (9): pg. 2070-78.
[9] Tung CJ, Tsai HY (1999). Evaluation of gonad and fetal doses for diagnostic radiology: Proceedings of the national sciences council, Republic of China, Patr. B, life sciences. Vol. 23 (3), pg107-13.
[10] Stamm G, Saure HD. Entrance surface dose and its correlation with patient parameters. J. of Radiation protection and dosimetry, 1998; 80 (1-3); 235-238.
[11] International Commission on Radiation Protection (ICRP). Recommendations of the ICRP; publication 103, Ann. ICRP. 37, Pergamon press, Oxford, UK, ICRP; 2007.
[12] Akinlade BI, Farai IP, Akinade AA (2012). ‘Survey of dose area product received by patients undergoing common radiological examinations in four centres in Nigeria. J. of Applied clinical medical physics, Vol. 13 (4), pp 188- 96.
[13] Suliman II, Abass N, Habbani FI (2007). Entrance surface doses to patients undergoing selected diagnostic X-ray examinations in Sudan.’Radiat prot dosimetry, Vol. 126 (2), pp 209-14.
[14] Hart D, Hillier MC, Wall Bf (2009). ‘National reference doses for common radiographic, fluoroscopic and dental x-ray examinations in the UK. Br. J. of Radiology. Vol. 82 (973); Pp 1-12.
[15] Hart D and Wall BF (2003) ‘the UK National patient dose database: now and in the future, Br. J. of Radiol. Vol. 76 (906), pp 361-65.
[16] Carver B and Carver B (2012). Medical imaging techniques, reflection and evaluation (2nd Edition), Edinburgh: Churchill, Livingstone.
[17] Bandura A (1997). Self-efficacy: The exercise of control, NewYork; Worth publisher.
[18] Hussien Abid ABM (2015). Optimisation of radiation dose and image quality for AP pelvis radiographic examination. Thesis for Ph.D., College of Health and Social care, University of Salford, Salford. UK.
[19] Tapiovaara M (2006). Relationship between physical measurements and user evaluation of image quality in medical radiology – a review. STUK-A219, 1-62.
[20] Whitley AS, Sloane C, Hoadley G, Moore AD, Alsop CW (2005). Clark’s positioning in radiography (12th Edition), London: Hoodler Arnold.
[21] European commission (1996). European guidelines on quality criteria for diagnostic radiographic images. EUR. s16260 EN. Luxembourg: OPEC; 1996.
[22] Institute of physics and engineering in medicine (IPEM) (2005). Recommended standards for the routine performance testing of diagnostic x-ray imaging system. IPEM Report 91. York, UK: IPEM; 2005.
[23] Kim S, Toncheva G, Anderson-Evans C, Huh BK, Gray L, Yoshizumi C, (2009). ‘Kerma area products method for effective dose estimation during Lumbar epidural steroid injection procedures: Phantom study; A. JR Am J. Roentgenol; Vol. 192 (6); pp 1726-30.
[24] Hart D, Hillier MC, Wall Bf (2002). Doses to patients from medical x-ray examinations in UK-2000 reviews, NRPB-N14, Chilton, UK; NRPB; 2002.
[25] Ng KH, Rassiah P, Wang HB, Hambali AS, Muthureliu P, Lee HP (1998), Doses to patients in routine X-ray examinations in Malaysia. Br. J of Radiology, Vol. 71 (846): pp 654-60.
[26] International Atomic Energy Agency (IAEA) (2004). Optimization of the radiological protections of patients undergoing radiography, fluoroscopy and computed tomography. Report of a coordinated research project in Africa, Asia and Eastern Europe. IAEA-TECDOC-1423, Vienna, Austria: IAEA, 2004.
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    Fredrick Olukayode Adeyemi, Olabode Olatunbosun Olofinlade. (2021). Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria. Radiation Science and Technology, 7(3), 72-82. https://doi.org/10.11648/j.rst.20210703.15

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    ACS Style

    Fredrick Olukayode Adeyemi; Olabode Olatunbosun Olofinlade. Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria. Radiat. Sci. Technol. 2021, 7(3), 72-82. doi: 10.11648/j.rst.20210703.15

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    AMA Style

    Fredrick Olukayode Adeyemi, Olabode Olatunbosun Olofinlade. Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria. Radiat Sci Technol. 2021;7(3):72-82. doi: 10.11648/j.rst.20210703.15

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  • @article{10.11648/j.rst.20210703.15,
      author = {Fredrick Olukayode Adeyemi and Olabode Olatunbosun Olofinlade},
      title = {Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria},
      journal = {Radiation Science and Technology},
      volume = {7},
      number = {3},
      pages = {72-82},
      doi = {10.11648/j.rst.20210703.15},
      url = {https://doi.org/10.11648/j.rst.20210703.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rst.20210703.15},
      abstract = {Background: In diagnostic radiology, focus on patient’s dose measurement has been on the estimation of entrance skin surface dose and its equivalent risk assessor (effective and organ doses). So, this study identified DAP’s as capable of performing same function as ESD in patient dose monitoring. Thus, reported estimates on dose area product (DAP) and the equivalent risk to organ’s exposed in adult patients during pelvis examination in Lagos State, Nigeria. Patients and Methods: Gender percentage ratio of 39.4 and 60.4 for male and female respectively, from six selected centres, exposed for both pelvis AP and LAT of the procedures were monitored using mathematical approach and dose Cal version 2.31 software, designed to monitor organ’s dose and DAP. Results: The average DAP and it equivalent organ dose area product (ODAP) values recorded from a population of 278 adult patients studied were found to be within expected limits for a reference adult person. Though, DAP for pelvis AP was found almost twice that recorded for the pelvis LAT. High and low organ DAP recorded for both gender from urinary bladder and lungs respectively for pelvis AP whilst these were pelvis bone and lungs for male and ovaries and lungs for female from pelvis LAT respectively. High values were equally recorded for the reproductive organs (Testicles and Ovaries) during pelvis AP. Conclusion: This study therefore suggest that better understanding of organ anatomical position in relation to specific examination will better promote as low as reasonable practicable.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Reference Person Dose-Area Product and Organ Dose-Area Product Estimates During Pelvis Radiography in Some Selected Centres in Lagos Conurbation, Nigeria
    AU  - Fredrick Olukayode Adeyemi
    AU  - Olabode Olatunbosun Olofinlade
    Y1  - 2021/09/10
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    N1  - https://doi.org/10.11648/j.rst.20210703.15
    DO  - 10.11648/j.rst.20210703.15
    T2  - Radiation Science and Technology
    JF  - Radiation Science and Technology
    JO  - Radiation Science and Technology
    SP  - 72
    EP  - 82
    PB  - Science Publishing Group
    SN  - 2575-5943
    UR  - https://doi.org/10.11648/j.rst.20210703.15
    AB  - Background: In diagnostic radiology, focus on patient’s dose measurement has been on the estimation of entrance skin surface dose and its equivalent risk assessor (effective and organ doses). So, this study identified DAP’s as capable of performing same function as ESD in patient dose monitoring. Thus, reported estimates on dose area product (DAP) and the equivalent risk to organ’s exposed in adult patients during pelvis examination in Lagos State, Nigeria. Patients and Methods: Gender percentage ratio of 39.4 and 60.4 for male and female respectively, from six selected centres, exposed for both pelvis AP and LAT of the procedures were monitored using mathematical approach and dose Cal version 2.31 software, designed to monitor organ’s dose and DAP. Results: The average DAP and it equivalent organ dose area product (ODAP) values recorded from a population of 278 adult patients studied were found to be within expected limits for a reference adult person. Though, DAP for pelvis AP was found almost twice that recorded for the pelvis LAT. High and low organ DAP recorded for both gender from urinary bladder and lungs respectively for pelvis AP whilst these were pelvis bone and lungs for male and ovaries and lungs for female from pelvis LAT respectively. High values were equally recorded for the reproductive organs (Testicles and Ovaries) during pelvis AP. Conclusion: This study therefore suggest that better understanding of organ anatomical position in relation to specific examination will better promote as low as reasonable practicable.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Department of Physical Sciences, Olusegun Agagu University of Science and Technology, Ondo City, Nigeria

  • Department of Radiology, Lagos State University Teaching Hospital, Ikeja-Lagos, Nigeria

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