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Radiation Protection Dosimetry Advance Access published online on February 3, 2006

Radiation Protection Dosimetry, doi:10.1093/rpd/nci716
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

SCIENTIFIC AND TECHNICAL PAPER

PATIENT DOSIMETRY AND IMAGE QUALITY IN DIGITAL RADIOLOGY FROM ONLINE AUDIT OF THE X-RAY SYSTEM

E. Vano 1 *, J. M. Fernandez 1, J. I. Ten 2, L. Gonzalez 3, E. Guibelalde 3, and C. Prieto 4

1 San Carlos University Hospital, Medical Physics Service, 28040 Madrid, Spain; Radiology Department, Medicine School, Complutense University, 28040 Madrid, Spain
2 San Carlos University Hospital, Diagnostic Radiology Service, 28040 Madrid, Spain
3 Radiology Department, Medicine School, Complutense University, 28040 Madrid, Spain
4 San Carlos University Hospital, Medical Physics Service, 28040 Madrid, Spain

* To whom correspondence should be addressed.
E. Vano, E-mail: eliseov{at}med.ucm.es


   Abstract

The present work describes an online patient dosimetry and an image quality system in digital radiology. For the patient dosimetry audit, current mean values of entrance surface dose (ESD) were compared with local and national reference values (RVs) for the specific examination type evaluated. Mean values exceeding the RV trigger an alarm signal and then an evaluation of the technical parameters, operational practice and image quality was begun, using data available in the DICOM header to derive any abnormal settings or performance to obtain the image. The X-ray tube output for different kVp values is measured periodically, to allow for the automatic calculation of ESD. The system allows also for image audit, linking the dose imparted, the image quality and the alarm condition, if produced. Results and the benefits derived from this online quality control are discussed here.


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