title: Dose audit for patients undergoing two common radiography examinations with digital radiology systems.
abstract: OBJECTIVE
  We aimed to determine the radiation doses delivered to patients undergoing general examinations using computed or digital radiography systems in Turkey.
  
  
  METHODS
  Radiographs of 20 patients undergoing posteroanterior chest X-ray and of 20 patients undergoing anteroposterior kidney-ureter-bladder radiography were evaluated in five X-ray rooms at four local hospitals in the Ankara region. Currently, almost all radiology departments in Turkey have switched from conventional radiography systems to computed radiography or digital radiography systems. Patient dose was measured for both systems. The results were compared with published diagnostic reference levels (DRLs) from the European Union and International Atomic Energy Agency.
  
  
  RESULTS
  The average entrance surface doses (ESDs) for chest examinations exceeded established international DRLs at two of the X-ray rooms in a hospital with computed radiography. All of the other ESD measurements were approximately equal to or below the DRLs for both examinations in all of the remaining hospitals. Improper adjustment of the exposure parameters, uncalibrated automatic exposure control systems, and failure of the technologists to choose exposure parameters properly were problems we noticed during the study.
  
  
  CONCLUSIONS
  This study is an initial attempt at establishing local DRL values for digital radiography systems, and will provide a benchmark so that the authorities can establish reference dose levels for diagnostic radiology in Turkey.
authors: From the Department of Electrical-Electronics Engineering (T.İ. e-mail: tinal@eng.ankara.edu.tr), Ankara University School of Engineering, Ankara, Turkey; the Department of Radiology (G.A.), Ufuk University School of Medicine, Ankara, Turkey.
authors: Tolga
authors: T
authors: İnal
authors: Gökçe
authors: G
authors: Ataç
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement; D055815:Young Adult