Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar

Vololoniaina Bernardine; Said Soudjay; Ramanandraibe Marie Jeanne; Rabesiranana Naivo; Ralaivelo Mbolatiana Anjarasoa Luc; Razakarimanana Tahiry; Raharimboangy Veroniaina

doi:doi:10.11648/j.rst.20210702.11

Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar

Vololoniaina Bernardine, Said Soudjay, Ramanandraibe Marie Jeanne, Rabesiranana Naivo, Ralaivelo Mbolatiana Anjarasoa Luc, Razakarimanana Tahiry, Raharimboangy Veroniaina

Published in Radiation Science and Technology (Volume 7, Issue 2)

Received: 6 April 2021 Accepted: 24 April 2021 Published: 30 April 2021

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Abstract

The medical use of ionizing radiation is the largest and a growing man-made source of radiation exposure. The aim of this study is to assess the doses received by patients during radiological examinations in order to standardize the examination procedures and optimize the patient dose. Four most frequented hospitals, located in the Vakinankaratra and Haute Matsiatra regions of Madagascar, were investigated. Patients dose undergoing chest posterior-anterior (PA) and lateral (LAT), skull (PA, LAT), lumbar spine (PA, LAT), spine cervical (PA, LAT), abdomen (AP, LAT) and members (AP, PA, LAT) X-ray examinations were involved in this study. Entrance Skin Dose (ESD) was calculated using the X-ray radiation output and the exposure parameters (high voltage, tube loading, focus-patient distance). Thermoluminescent dosimeters were used to measure the X-rays radiation output. Conversion coefficients were used to relate ESD to the effective dose (ED). A total of 302 radiographic examinations were collected from the four hospitals during two months of 2019. The highest ESD (mGy) was found for the lumbar spine lateral projection, with an average value of 2.66 mGy. The highest value of ED was observed for the abdomen lateral projection with an average of 0.174 mSv. The ESDs and EDs reported in this study are generally lower than reference dose values published by the IAEA. This trend is an indication that the patient radiation protection practices in these four hospitals are already acceptable. The results of this study showed that there is a need to improve the radiodiagnostic procedures for reducing patient radiation dose without affecting the quality of the radiography image. The data of this work will be useful in contributing to the formulation of regional guidance levels.

Published in	Radiation Science and Technology (Volume 7, Issue 2)
DOI	10.11648/j.rst.20210702.11
Page(s)	21-26
Creative Commons	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), 2021. Published by Science Publishing Group

Keywords

Patient Dose, Thermoluminescent Dosimeters, X-ray Radiography, Radiation Protection

References

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[2]	Nsikan U. Esen, Rachel. I. Obed, “Doses Received by Patients during Thorax X-Ray Examinations”, Iranian Journal of Medical Physics, (2013), volume 9, p. 245-251.
[3]	Razakarimanana Tahiry, Ralaivelo Mbolatiana Anjarasoa Luc, Randriamora Tiana Harimalala, Raoelina Andriambololona3, Ravelomanatsoa Dieudonné Solofonirina, Ralainirina Dina Randriantsizafy, “Doses Evaluation of Some Body Organs of Pediatric Patients Undergoing Chest X-ray Examination Using Thermoluminescent dosimeter”, Radiation Science and Technology, Science Publishing Groupe, volume 3, 2017, p. 24-28.
[4]	Said Soudjay. «Efficiency of Thermoluminescent Dosimeters for Patient Dose Assessment in Diagnostic Radiology.», Master of Nuclear Physics, Department of Physics, Faculty of Sciences, University of Antananarivo, 2007.
[5]	Marie Jeanne Ramanandraibe, Tiana Randriamora, Mbolatiana Ralaivelo, Raoelina Andriambololona, “patient Doses Assessment for Conventional Radiography in Madagascar”, The Pharmaceutical and Chemical Journal, (2015), volume 2, p. 1-5.
[6]	L. R. Owoade, Isa Sambo and S. A. Tijani, “Assessment of entrance surface air kerma in patients undergoing chest X-ray from conventional diagnostic radiology in Ogun State, Nigeria”, academic journal, (2015), volume 7 (6), p. 117–120.
[7]	M. T. Taha, F. H. Al-Ghorabie, R. A. Kutbi, W. K. Saib, “Assessment of entrance skin doses for patients undergoing diagnostic X-ray examinations in King Abdullah Medical City, Makkah, KSA”, Journal of Radiation Research and Applied Sciences, (2015), volume 8, p. 100–103.
[8]	Nadia O Alatta, Wadah. M. Ali 1, Hussein A Hassan, Ikhlas A Hasan, Sanaa A A Ibrahim, Elkhair M Ajbna, Mohaned Abdalla Omer, Albin Babu M Wilson, Altahir Abdalmalik, “Patient Radiation Dose Assessment in Routine Pelvic X-Ray Examination in Selected Hospitals in Khartoum State”, International Journal of Science and Research, (2016), volume 7, issue 5, p. 741-744.
[9]	Sadeka Sultana Rubai, Md Shakilur Rahman, Santunu Purohit, Md Kawchar Ahmed Patwary, AKM Moinul Haque Meaze and Mamun AA, “Measurements of Entrance Surface Dose and Effective Dose of Patients in Diagnostic Radiography”, Biomedical Journal of Scientific & Technical Research (2018), volume 12, issue 1.
[10]	Zahra Jomehzadeh, Ali Jomehzadeh, Mohammad Bagher Tavakoli, “Quality Control Assessment of Radiology Devices in Kerman Province, Iran», Iranian Journal of Medical Physics”, (2016), volume 13, p. 25–35.
[11]	Behrouz RASULI, Raheleh TABARI JUYBARI, Meysam FOROUZI, Mohammad GHORBANI, “Patient dose measurement in common medical X-ray examinations and propose the first local dose reference levels to diagnostic radiology in Iran”, Polish Journal of Medical Physics and Engineering (2017), volume 3, p. 67–71.
[12]	Guiswe Gnowe, Fouda H. P. Ekobena, Amvene J. Mbo, and Guena M. Neossi, “Exposure Levels of Adult Patients during Radiographic Examinations: Sinuses and Coastal Grill Cases at the Ngaoundere Regional Hospital, Cameroon”, Hindawi Radiology Research and Practice, volume 2019.
[13]	International Atomic Energy Agency, International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources, IAEA Safety Series n° 115, Vienna, Austria, 1996.
[14]	Said Soudjay, Vololoniaina Bernardine, Ramanandraibe Marie Jeanne, Ramanantsizehena Georgette Vololona, Raboanary Roland, Randriamora Tiana Harimalala, “Application of Radiation Protection of Patients in Medical Diagnostic Radiology (Case of Public Hospitals, Fianarantsoa District, Haute Matsiatra Region, Madagascar)”, Nuclear Science, Science Publishing Groupe, volume 6, 2021, p. 1-4.
[15]	Nnamdi N. Jibiri and Christopher J. Olowookere, “Evaluation of dose-area product of common radiographic examinations towards establishing a preliminary diagnostic reference levels (PDRLs) in Southwestern Nigeria”, (2017), Journal of applied clinical medical physics, volume 17, p. 392–304.
[16]	ICRP 103, The 2007 Recommendations of the International Commission on Radiological Protection.

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APA Style

Vololoniaina Bernardine, Said Soudjay, Ramanandraibe Marie Jeanne, Rabesiranana Naivo, Ralaivelo Mbolatiana Anjarasoa Luc, et al. (2021). Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiation Science and Technology, 7(2), 21-26. https://doi.org/10.11648/j.rst.20210702.11

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ACS Style

Vololoniaina Bernardine; Said Soudjay; Ramanandraibe Marie Jeanne; Rabesiranana Naivo; Ralaivelo Mbolatiana Anjarasoa Luc, et al. Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiat. Sci. Technol. 2021, 7(2), 21-26. doi: 10.11648/j.rst.20210702.11

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AMA Style

Vololoniaina Bernardine, Said Soudjay, Ramanandraibe Marie Jeanne, Rabesiranana Naivo, Ralaivelo Mbolatiana Anjarasoa Luc, et al. Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiat Sci Technol. 2021;7(2):21-26. doi: 10.11648/j.rst.20210702.11

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@article{10.11648/j.rst.20210702.11,
  author = {Vololoniaina Bernardine and Said Soudjay and Ramanandraibe Marie Jeanne and Rabesiranana Naivo and Ralaivelo Mbolatiana Anjarasoa Luc and Razakarimanana Tahiry and Raharimboangy Veroniaina},
  title = {Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar},
  journal = {Radiation Science and Technology},
  volume = {7},
  number = {2},
  pages = {21-26},
  doi = {10.11648/j.rst.20210702.11},
  url = {https://doi.org/10.11648/j.rst.20210702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rst.20210702.11},
  abstract = {The medical use of ionizing radiation is the largest and a growing man-made source of radiation exposure. The aim of this study is to assess the doses received by patients during radiological examinations in order to standardize the examination procedures and optimize the patient dose. Four most frequented hospitals, located in the Vakinankaratra and Haute Matsiatra regions of Madagascar, were investigated. Patients dose undergoing chest posterior-anterior (PA) and lateral (LAT), skull (PA, LAT), lumbar spine (PA, LAT), spine cervical (PA, LAT), abdomen (AP, LAT) and members (AP, PA, LAT) X-ray examinations were involved in this study. Entrance Skin Dose (ESD) was calculated using the X-ray radiation output and the exposure parameters (high voltage, tube loading, focus-patient distance). Thermoluminescent dosimeters were used to measure the X-rays radiation output. Conversion coefficients were used to relate ESD to the effective dose (ED). A total of 302 radiographic examinations were collected from the four hospitals during two months of 2019. The highest ESD (mGy) was found for the lumbar spine lateral projection, with an average value of 2.66 mGy. The highest value of ED was observed for the abdomen lateral projection with an average of 0.174 mSv. The ESDs and EDs reported in this study are generally lower than reference dose values published by the IAEA. This trend is an indication that the patient radiation protection practices in these four hospitals are already acceptable. The results of this study showed that there is a need to improve the radiodiagnostic procedures for reducing patient radiation dose without affecting the quality of the radiography image. The data of this work will be useful in contributing to the formulation of regional guidance levels.},
 year = {2021}
}

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TY - JOUR
T1 - Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar
AU - Vololoniaina Bernardine
AU - Said Soudjay
AU - Ramanandraibe Marie Jeanne
AU - Rabesiranana Naivo
AU - Ralaivelo Mbolatiana Anjarasoa Luc
AU - Razakarimanana Tahiry
AU - Raharimboangy Veroniaina
Y1 - 2021/04/30
PY - 2021
N1 - https://doi.org/10.11648/j.rst.20210702.11
DO - 10.11648/j.rst.20210702.11
T2 - Radiation Science and Technology
JF - Radiation Science and Technology
JO - Radiation Science and Technology
SP - 21
EP - 26
PB - Science Publishing Group
SN - 2575-5943
UR - https://doi.org/10.11648/j.rst.20210702.11
AB - The medical use of ionizing radiation is the largest and a growing man-made source of radiation exposure. The aim of this study is to assess the doses received by patients during radiological examinations in order to standardize the examination procedures and optimize the patient dose. Four most frequented hospitals, located in the Vakinankaratra and Haute Matsiatra regions of Madagascar, were investigated. Patients dose undergoing chest posterior-anterior (PA) and lateral (LAT), skull (PA, LAT), lumbar spine (PA, LAT), spine cervical (PA, LAT), abdomen (AP, LAT) and members (AP, PA, LAT) X-ray examinations were involved in this study. Entrance Skin Dose (ESD) was calculated using the X-ray radiation output and the exposure parameters (high voltage, tube loading, focus-patient distance). Thermoluminescent dosimeters were used to measure the X-rays radiation output. Conversion coefficients were used to relate ESD to the effective dose (ED). A total of 302 radiographic examinations were collected from the four hospitals during two months of 2019. The highest ESD (mGy) was found for the lumbar spine lateral projection, with an average value of 2.66 mGy. The highest value of ED was observed for the abdomen lateral projection with an average of 0.174 mSv. The ESDs and EDs reported in this study are generally lower than reference dose values published by the IAEA. This trend is an indication that the patient radiation protection practices in these four hospitals are already acceptable. The results of this study showed that there is a need to improve the radiodiagnostic procedures for reducing patient radiation dose without affecting the quality of the radiography image. The data of this work will be useful in contributing to the formulation of regional guidance levels.
VL - 7
IS - 2
ER -

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Author Information

Vololoniaina Bernardine

Dosimetry and radiation protection, National Institute of Sciences and Nuclear Techniques (INSTN-Madagascar), Antananarivo, Madagascar
Said Soudjay

Dosimetry and radiation protection, National Institute of Sciences and Nuclear Techniques (INSTN-Madagascar), Antananarivo, Madagascar
Ramanandraibe Marie Jeanne

Department of Physics, Faculty of Sciences, University of Fianarantsoa, Fianarantsoa, Madagascar
Rabesiranana Naivo

Department of Physics, Faculty of Sciences, University of Antananarivo, Antananarivo, Madagascar
Ralaivelo Mbolatiana Anjarasoa Luc

Dosimetry and radiation protection, National Institute of Sciences and Nuclear Techniques (INSTN-Madagascar), Antananarivo, Madagascar
Razakarimanana Tahiry

Dosimetry and radiation protection, National Institute of Sciences and Nuclear Techniques (INSTN-Madagascar), Antananarivo, Madagascar
Raharimboangy Veroniaina

Dosimetry and radiation protection, National Institute of Sciences and Nuclear Techniques (INSTN-Madagascar), Antananarivo, Madagascar

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APA Style

Vololoniaina Bernardine, Said Soudjay, Ramanandraibe Marie Jeanne, Rabesiranana Naivo, Ralaivelo Mbolatiana Anjarasoa Luc, et al. (2021). Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiation Science and Technology, 7(2), 21-26. https://doi.org/10.11648/j.rst.20210702.11

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ACS Style

Vololoniaina Bernardine; Said Soudjay; Ramanandraibe Marie Jeanne; Rabesiranana Naivo; Ralaivelo Mbolatiana Anjarasoa Luc, et al. Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiat. Sci. Technol. 2021, 7(2), 21-26. doi: 10.11648/j.rst.20210702.11

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AMA Style

Vololoniaina Bernardine, Said Soudjay, Ramanandraibe Marie Jeanne, Rabesiranana Naivo, Ralaivelo Mbolatiana Anjarasoa Luc, et al. Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar. Radiat Sci Technol. 2021;7(2):21-26. doi: 10.11648/j.rst.20210702.11

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@article{10.11648/j.rst.20210702.11,
  author = {Vololoniaina Bernardine and Said Soudjay and Ramanandraibe Marie Jeanne and Rabesiranana Naivo and Ralaivelo Mbolatiana Anjarasoa Luc and Razakarimanana Tahiry and Raharimboangy Veroniaina},
  title = {Patient Dose Assessment During Radiological Examination: Case of the Vakinankaratra and Haute Matsiatra Regions of Madagascar},
  journal = {Radiation Science and Technology},
  volume = {7},
  number = {2},
  pages = {21-26},
  doi = {10.11648/j.rst.20210702.11},
  url = {https://doi.org/10.11648/j.rst.20210702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rst.20210702.11},
  abstract = {The medical use of ionizing radiation is the largest and a growing man-made source of radiation exposure. The aim of this study is to assess the doses received by patients during radiological examinations in order to standardize the examination procedures and optimize the patient dose. Four most frequented hospitals, located in the Vakinankaratra and Haute Matsiatra regions of Madagascar, were investigated. Patients dose undergoing chest posterior-anterior (PA) and lateral (LAT), skull (PA, LAT), lumbar spine (PA, LAT), spine cervical (PA, LAT), abdomen (AP, LAT) and members (AP, PA, LAT) X-ray examinations were involved in this study. Entrance Skin Dose (ESD) was calculated using the X-ray radiation output and the exposure parameters (high voltage, tube loading, focus-patient distance). Thermoluminescent dosimeters were used to measure the X-rays radiation output. Conversion coefficients were used to relate ESD to the effective dose (ED). A total of 302 radiographic examinations were collected from the four hospitals during two months of 2019. The highest ESD (mGy) was found for the lumbar spine lateral projection, with an average value of 2.66 mGy. The highest value of ED was observed for the abdomen lateral projection with an average of 0.174 mSv. The ESDs and EDs reported in this study are generally lower than reference dose values published by the IAEA. This trend is an indication that the patient radiation protection practices in these four hospitals are already acceptable. The results of this study showed that there is a need to improve the radiodiagnostic procedures for reducing patient radiation dose without affecting the quality of the radiography image. The data of this work will be useful in contributing to the formulation of regional guidance levels.},
 year = {2021}
}

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