Effect of Clinician-directed Technical Specifications on Entrance Skin Doses in Neonates

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dc.contributor.authorShrikant, Ketaki Nawlakheen_US
dc.contributor.authorPournami, Femithaen_US
dc.contributor.authorPanackal, Anila Ven_US
dc.contributor.authorPrithvi, Ajai Kumaren_US
dc.contributor.authorPrabhakar, Jyothien_US
dc.contributor.authorJain, Naveenen_US
dc.date.accessioned2023-08-25T06:39:59Z
dc.date.available2023-08-25T06:39:59Z
dc.date.issued2023-07
dc.description.abstractObjectives: To compare the entrance skin doses (ESD) before and after implementation of a radiation safety policy in neonates (RSN), which focused on clinician-directed technical specifications on the digital X-ray machine. Methods: Prospective observations included two sets of X-rays: Before (BRSN) and after (ARSN) implementation of RSN (documented indication for Xray/expected posttest findings, settings of 40 kVp, 0.5 mAs, film-focus distance 100 cm, gonadal-shield, optimal collimation, and post-shoot image-enhancement). Results: 33 and 32 X-rays were analyzed in respective groups. Mean (SD) of calculated and machine-quantified ESD (µGy/m2) was higher in BRSN group as compared to ARSN group (P <0.001). All ARSN X-rays were interpretable for expected post-test findings. Conclusion: Clinicians’ cognizance of ability to make consequential bedside technical specifications, can reduce ESD without affecting interpretability. These single observations could have a larger impact in sick neonates, where multiple X-rays are done.en_US
dc.identifier.affiliationsDepartment of Neonatology, Kerala Institute of Medical Sciences (KIMS) Health, Trivandrum, Keralaen_US
dc.identifier.citationShrikant Ketaki Nawlakhe, Pournami Femitha, Panackal Anila V, Prithvi Ajai Kumar, Prabhakar Jyothi, Jain Naveen. Effect of Clinician-directed Technical Specifications on Entrance Skin Doses in Neonates. Indian Pediatrics. 2023 Jul; 60(7): 537-540en_US
dc.identifier.issn0079-6061
dc.identifier.issn0974-7559
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225435
dc.languageenen_US
dc.publisherIndian Academy of Pediatricsen_US
dc.relation.issuenumber7en_US
dc.relation.volume60en_US
dc.source.urihttps://indianpediatrics.net/july2023/537.pdfen_US
dc.subjectALARAen_US
dc.subjectFilm-focus distanceen_US
dc.subjectKilovoltage-peaken_US
dc.subjectRadiation safetyen_US
dc.titleEffect of Clinician-directed Technical Specifications on Entrance Skin Doses in Neonatesen_US
dc.typeJournal Articleen_US
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