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Radiation Protection Dosimetry Advance Access published online on January 12, 2006
Radiation Protection Dosimetry, doi:10.1093/rpd/nck002
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received June 26, 2005
Revised December 4, 2005
Accepted December 20, 2005

SCIENTIFIC AND TECHNICAL PAPER

FLUROSCOPY IN PAEDIATRIC FRACTURES--SETTING A LOCAL DIAGNOSTIC REFERENCE LEVEL

Anand Pillai 1 *, Andrew McAuley 2, Kenneth McMurray 1, and Manav Jain 1

1 West of Scotland Region, Wishaw General Hospital, Wishaw, Lanarkshire, Scotland ML2 ODP
2 Lanarkshire ADAT, Strathclyde Hospital, Airbles Road, Motherwell, Scotland ML1 3BW

* To whom correspondence should be addressed.
Anand Pillai, E-mail: Aorthopod{at}aol.com


  Abstract

Background: The ionizing radiations (Medical Exposure) Regulation 2000 has made it mandatory to establish diagnostic reference levels (DRLs) for all typical radiological examinations. Objectives: We attempt to provide dose data for some common fluoroscopic procedures used in orthopaedic trauma that may be used as the basis for setting DRLs for paediatric patients. Materials and methods: The dose area product (DAP) in 865 paediatric trauma examinations was analysed. Median DAP values and screening times for each procedure type along with quartile values for each range are presented. Results: In the upper limb, elbow examinations had maximum exposure with a median DAP value of 1.21 cGy cm2. Median DAP values for forearm and wrist examinations were 0.708 and 0.538 cGy cm2, respectively. In lower limb, tibia and fibula examinations had a median DAP value of 3.23 cGy cm2 followed by ankle examinations with a median DAP of 3.10 cGy cm2. The rounded third quartile DAP value for each distribution can be used as a provisional DRL for the specific procedure type.


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