Literature DB >> 19997727

Scatter radiation from chest radiographs: is there a risk to infants in a typical NICU?

Angela M Trinh1, Alan H Schoenfeld, Terry L Levin.   

Abstract

OBJECTIVE: To evaluate the dose of scatter radiation to infants in a NICU in order to determine the minimal safe distance between isolettes.
MATERIALS AND METHODS: Dose secondary to scattered radiation from an acrylic phantom exposed to vertical and horizontal beam exposures at 56 kVp was measured at 93 cm and 125 cm from the center of the phantom. This corresponds to 2 and 3 ft between standard isolettes, respectively. For horizontal exposures, the dosimeter was placed directly behind a CR plate and scatter dose at 90-degrees and 135-degrees from the incident beam was also measured. Exposures were obtained at 160 mAs and the results were extrapolated to correspond to 2.5 mAs. Four measurements were taken at each point and averaged.
RESULTS: At 125 cm and 93 cm there was minimal scatter compared to daily natural background radiation dose (8.493 microGy). Greatest scatter dose obtained from a horizontal beam exposure at 135 degrees from the incident beam was still far below background radiation.
CONCLUSION: Scatter radiation dose from a single exposure as well as cumulative scatter dose from numerous exposures is significantly below natural background radiation. Infants in neighboring isolettes are not at added risk from radiation scatter as long as the isolettes are separated by at least 2 ft.

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Mesh:

Year:  2009        PMID: 19997727     DOI: 10.1007/s00247-009-1474-4

Source DB:  PubMed          Journal:  Pediatr Radiol        ISSN: 0301-0449


  10 in total

1.  Radiation exposure of nurses on an intensive care unit.

Authors:  J M Cupitt; S Vinayagam; I McConachie
Journal:  Anaesthesia       Date:  2001-02       Impact factor: 6.955

2.  Scatter and transmission doses from several pediatric X-ray examinations in a nursery.

Authors:  John W Burrage; Peter L Rampant; Brendan P Beeson
Journal:  Pediatr Radiol       Date:  2003-07-12

3.  The Image Gently campaign: working together to change practice.

Authors:  Marilyn J Goske; Kimberly E Applegate; Jennifer Boylan; Priscilla F Butler; Michael J Callahan; Brian D Coley; Shawn Farley; Donald P Frush; Marta Hernanz-Schulman; Diego Jaramillo; Neil D Johnson; Sue C Kaste; Greg Morrison; Keith J Strauss; Nora Tuggle
Journal:  AJR Am J Roentgenol       Date:  2008-02       Impact factor: 3.959

4.  Radiation exposure to personnel in a neonatal nursery.

Authors:  A K Poznanski; C Kanellitsas; D W Roloff; R C Borer
Journal:  Pediatrics       Date:  1974-08       Impact factor: 7.124

5.  Radiation exposure due to scatter in neonatal radiographic procedures.

Authors:  M N Sabau; M A Radkowski; C J Vyborny
Journal:  AJR Am J Roentgenol       Date:  1985-04       Impact factor: 3.959

6.  Radiation exposure during chest X-ray examinations in a premature intensive care unit: phantom studies.

Authors:  T Duetting; B Foerste; T Knoch; K Darge; J Troeger
Journal:  Pediatr Radiol       Date:  1999-03

7.  Exposure to low-dose ionizing radiation from medical imaging procedures.

Authors:  Reza Fazel; Harlan M Krumholz; Yongfei Wang; Joseph S Ross; Jersey Chen; Henry H Ting; Nilay D Shah; Khurram Nasir; Andrew J Einstein; Brahmajee K Nallamothu
Journal:  N Engl J Med       Date:  2009-08-27       Impact factor: 91.245

8.  Cumulative effective doses delivered by radiographs to preterm infants in a neonatal intensive care unit.

Authors:  Jean Donadieu; Abdelkrim Zeghnoun; Candice Roudier; Carlo Maccia; Phillipe Pirard; Christine André; Catherine Adamsbaum; Gabriel Kalifa; Paul Legmann; Pierre-Henri Jarreau
Journal:  Pediatrics       Date:  2006-03       Impact factor: 7.124

9.  Radiation exposure to premature infants in a neonatal intensive care unit in Turkey.

Authors:  Turan Olgar; Esra Onal; Dogan Bor; Nurullah Okumus; Yildiz Atalay; Canan Turkyilmaz; Ebru Ergenekon; Esin Koc
Journal:  Korean J Radiol       Date:  2008 Sep-Oct       Impact factor: 3.500

10.  Unintentional exposure of neonates to conventional radiography in the Neonatal Intensive Care Units.

Authors:  D Bader; H Datz; G Bartal; A A Juster; K Marks; T Smolkin; S Zangen; A Kugelman; C Hoffmann; G Shani; A Ben-Shlomo; M Margaliot; S Sadetzki
Journal:  J Perinatol       Date:  2007-07-12       Impact factor: 2.521

  10 in total
  6 in total

Review 1.  [Radiology in pediatric intensive care units].

Authors:  M Beer; C Wirth; H Neubauer; J Wirbelauer
Journal:  Med Klin Intensivmed Notfmed       Date:  2011-10-29       Impact factor: 0.840

2.  Quantification of scatter radiation from radiographic procedures in a neonatal intensive care unit.

Authors:  Mariaconcetta Longo; Elisabetta Genovese; Salvatore Donatiello; Bartolomeo Cassano; Teresa Insero; Mauro Campoleoni; Antonella Del Vecchio; Andrea Magistrelli; Paolo Tomà; Vittorio Cannatà
Journal:  Pediatr Radiol       Date:  2018-02-13

3.  [Radiological diagnostics of pediatric lungs].

Authors:  M Beer; B Ammann
Journal:  Radiologe       Date:  2015-07       Impact factor: 0.635

4.  Radiation Exposure of Premature Infants Beyond the Perinatal Period.

Authors:  Alexander H Hogan; Eran Bellin; Lindsey Douglas; Terry L Levin; Nora Esteban-Cruciani
Journal:  Hosp Pediatr       Date:  2018-10-09

5.  Evaluation of Radiation Dose Received by Premature Neonates Admitted to Neonatal Intensive Care Unit.

Authors:  Mohmmadreza Aramesh; Kobra Aria Zanganeh; Masoud Dehdashtian; Arash Malekian; Jafar Fatahiasl
Journal:  J Clin Med Res       Date:  2016-12-31

6.  A phantom study of a protective trolley for neonatal radiographic imaging: new equipment to protect the operator from scatter radiation.

Authors:  Xinhong Wang; Mengxi Xu; Cong Chen; Zhongkun Bao; Hongzhu Wang; Jizhou Zhang; Zhen Wang; Haipeng Liu
Journal:  Pediatr Radiol       Date:  2022-08-26
  6 in total

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