Dose reduction in thorax radiography in simulated neonates with additional filtration and digital luminescence radiography.
OBJECTIVE
To determine the minimum acceptable radiation dose for an adequate image quality in thorax a.p. radiographs of neonates using mobile X-ray equipment.


METHODS
The influence of additional filtration (1.0 mm Al + 0.1 mm Cu) on image quality and radiation dose was determined for the speed class 400 screen-film system (SFS) and digital luminescence radiography (DLR) by making radiographs of a test phantom. Conventional and digital thorax a.p. radiographs of a rabbit were produced using various tube current-time products. The quality of the rabbit radiographs was judged by eight radiologists applying image quality criteria according to the German guidelines and the recommendations of the European Community.


RESULTS
The added filter resulted in a dose reduction of 39% at 66 kV. DLR gave a further dose reduction of 25% in comparison to the speed class 400 SFS while maintaining adequate image quality, i.e. the radiographs were clinically acceptable with regard to quality criteria.


CONCLUSIONS
The radiation dose resulting from thorax a.p. radiographs of neonates can be reduced by approximately 50% with the use of additional filtration and DLR.
Seifert
H
H
Department of Radiotherapy, University Hospital of Saarland, Homburg/Saar, Germany.
Jesberger
H J
HJ
Schneider
G
G
Rein
L
L
Blass
G
G
Limbach
H G
HG
Niewald
M
M
Sitzmann
F C
FC
Kramann
B
B
D000818:Animals; D005374:Filtration; D006801:Humans; D007231:Infant, Newborn; D008163:Luminescent Measurements; D019047:Phantoms, Imaging; D011817:Rabbits; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000379:methods*; D013902:Radiography, Thoracic / Q000592:standards