Strategies for dose reduction in ordinary radiographic examinations using CR and DR.
Uncoupling of display from acquisition in computed radiography (CR) and digital radiography (DR) introduces the potential for systematic overexposure without necessarily compromising image quality. Although the magnitude of radiation doses in general radiography is low compared to computed tomography and fluoroscopy, the dose to the patient is more critical in pediatric examinations than in adults, because of the greater radiosensitivity of children. This manuscript examines a variety of countermeasures for managing radiation doses in pediatric CR and DR examinations, including use of derived exposure indicators, modifications of imaging practice, and development of more efficient radiographic detectors.
Willis
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Texas Children's Hospital, Edward B Singleton Diagnostic Imaging Services, 6621 Fannin (MC 2-2521), Houston, TX 77030-2399, USA. cewillis@texaschildrenshospital.org
D002648:Child; D004867:Equipment Design; D006801:Humans; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000517:prevention & control*; D011836:Radiation Tolerance; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*