B y i r a m majeed T o p i c N a m e R e d uction of unnecessary patient radiation dose
U n n ecessary patient radiation dose i s d e f i n e d as a n y r a d i a t i o n d o s e t h a t i s n o t r e q u ired f o r t h e p a t i e n t 's w e l l _ b e i n g o r f o r p r o p e r m a n agement a n d c a r e . R e d uction of unnecessary patient radiation dose is t h e u l timate A L A R A .
U n n ecessary patient E x a m i nation T h i s is a l m ost e x c l usively t h e r a d i o l ogist o r t h e c l i n i c i a n r e s p o n s i bl y R a d iologist t e c h n o l o gi s t s c a n h e lp b y a s king w h e t her t h e h a s h a d a p r e v ious x ray e x a m i nation
I f t h e e x a m i nation i s n o t p e r f o rm e d t h e c l i n ical and t h e r a d iologist m a y b e c r i t i c i ze d s e v e r al y i f m a n a g ement o f the p atient's c o n d ition r e s u l ts i n f a i l u r e E v e n t h o ugh t h e e x a mination i n q u e s tions w o u ld have c o n t r i buted l ittle i f a n y thing t o e f f e c t ive p a t i ent m a n agement t h e r a d iologist may e v e n b e s u e d i n s u c h s i t uations t h e r a d iologist i n c a u ght b e t ween the p r o v e r b i al R o c k a n d a h a r d p l a c e
R o u t i ne x ray e x a mination s h o uld n ot be p e r f o rmed w h e n t h e r e i s n o m e d ic al i n d u c tion
B e t t er m e t h ods of t u b e r culosis t e s t ing t h a n c h e s t x rays e x a m ination a r e c u r r ently a vailable
C o m p u t e d tomography h a s b a s e d r a d i o g r a p h y a s t h e f i r s t l i n e o f d i a g n o s t i c i m a g i n g . T h i s o v e r u t l i z a t i o n e s p e c i a l ly i n t h e e m e r gency d e p artment m u s t b e c o n t r o lled b e c a use o f the r a p i d a l l y r i s i n g p o p u l ation e f f e c t ive d o s e .
E v e r y r a d i ologist i s a w a r e o f t h e A p p r o p riat n e s s C r iteria r e p o r t s o f t h e American c o l l e g e o f r a diology . T h e r a d i o l ogist t e c h n o l ogists should A l s o b e s o a w a r e i n a d d ition t o i d e n tify t h e m o s t a p p ropriate t h e s e r e p orts i n d i c a te p a t ient radiation dose l e v e l
R e p eat examination E x amination s w i t h t h e h i g h est r e p e a t r a t e s i n c l u d e d lumber s p i n e t h o r a c i c s p i n e c h e s t a n d a b d o m e n
R e a s on E q uipment m a l f unction I m p r o p er p o s i t ion i ng P o o r R a d i o g raphy
R a d i o g r aphic T e c h nique I n g e neral , t h e u s e o f h i g h k v p t e c h n i q u e r e s u lts i n r e d u c e d p a t i ent d o s e I n c r e a s i n g t h e k v p i s always a s s o ciate d i n m avs t o o b t ain a n a c c e p table r a d i a tion e x posure o f t h e i m a g e r e c e p t or ; t h i s , i n t u r n , r e s u l t s i n r e d u c e d p a t i ent r a d iation dose .
D i g i tal r a d iography c a n b e c o n d ucted a t h i g h e r k v p , r e s u l t i ng i n l o w e r p a t i ent radiation dose .