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Paediatric x-ray examinations in Rio de Janeiro

A C P Azevedo et al 2006 Phys. Med. Biol. 51 3723-3732   doi: 10.1088/0031-9155/51/15/008  Help

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A C P Azevedo1, O A Osibote1 and M C B Boechat2
1 FIOCRUZ-Escola Nacional de Saúde Pública Sérgio Arouca-CESTEH, Rua Leopoldo Bulhões 1480, Manguinhos, 21041-210, Rio de Janeiro, Brazil
2 Instituto Fernandes Figueira, FIOCRUZ, Rio de Janeiro, Brazil
E-mail: acpa@ensp.fiocruz.br

Abstract. 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.

Print publication: Issue 15 (7 August 2006)
Received 14 February 2006, in final form 1 June 2006
Published 12 July 2006

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