Han Xiaole,Li Cuiling,Tian Shuang,et al.Clinical reliability of radiation protection of a neonatal bedside X-ray photography device[J].Chinese Journal of Radiological Medicine and Protection,2022,42(7):549-553
Clinical reliability of radiation protection of a neonatal bedside X-ray photography device
Received:March 19, 2022  
DOI:10.3760/cma.j.cn112271-20220319-00112
KeyWords:Bedside X-rays  Radiation dose  Phantom  Protection
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Author NameAffiliationE-mail
Han Xiaole Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Key Laboratory of Molecular Imaging, Wuhan 430022, China  
Li Cuiling Wuhan Prevention And Treatment Center For Occupational Diseases, Wuhan 430015, China  
Tian Shuang Department of Pain, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China  
Liao Tian Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Key Laboratory of Molecular Imaging, Wuhan 430022, China  
Lei Ziqiao Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Key Laboratory of Molecular Imaging, Wuhan 430022, China  
Yu Jianming Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Key Laboratory of Molecular Imaging, Wuhan 430022, China  
Kong Xiangchuang Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Key Laboratory of Molecular Imaging, Wuhan 430022, China hongke80@163.com 
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Abstract::
      Objective To analyze the clinical reliability of neonatal bedside photography protection and body position fixing device during neonatal bedside X-ray photography. Methods A mobile X-ray diagnostic machine was used to project the phantom of children. The samples were divided into group A with conventional bedside photography mode, and group B using neonatal bedside X-ray photography protection device. X-ray diagnostic level dosimeters were placed at the projection and radiation sensitive sites, respectively. The three parts of the chest, pelvis and skull were used as the projection center, and the radiation dose to the projection site and the radiation sensitive site were collected and recorded, and the statistical analysis was carried out. Results When the chest was taken as the center of the projection, the radiation doses to the lens of the eye, thyroid and gonad in the body model group B of children were 94.4%, 96.9% and 96.7% lower than those in the non-injected part of group A, respectively (t=-152.55, -445.16, -129.07, P<0.05). When the pelvis was taken as the projection center, the radiation doses to the lens, thyroid and thymus in the body model group B were 85.5%, 87.1% and 94.9% lower than those in the non-projection part of group A, respectively (t=-50.68, -194.18, -535.94, P<0.05). When the head was taken as the projection center, the radiation doses to thyroid, thymus and gonad in the body model group B were 99.3 %, 97.4 % and 94.3 % lower than those in the non-projection position of group A, respectively (t=-1859.97, -542.08, -66.26, P< 0.05). Conclusions The use of neonatal bedside photography protection and position fixing device during neonatal bedside X-ray photography can significantly reduce the radiation dose to children in non-projected areas under the premise of ensuring image quality. At the same time, it can fix and protect the children, improve the success rate of examination, being worthy of clinical promotion.
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