Diagnostic Reference Levels For The Most Frequent Radiological Examinations Carried Out In Brazil.

dc.creatorFreitas, Marcelo B
dc.creatorYoshimura, Elisabeth M
dc.date2009-Feb
dc.date2015-11-27T13:15:19Z
dc.date2015-11-27T13:15:19Z
dc.date.accessioned2018-03-29T01:09:01Z
dc.date.available2018-03-29T01:09:01Z
dc.identifierRevista Panamericana De Salud Pública = Pan American Journal Of Public Health. v. 25, n. 2, p. 95-104, 2009-Feb.
dc.identifier1020-4989
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/19531303
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/198366
dc.identifier19531303
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1298599
dc.descriptionA large-scale survey of doses to patients undergoing the most frequent radiological examinations was carried out in health services in São Paulo (347 radiological examinations per 1 000 inhabitants), the most populous Brazilian state. A postal dosimetric kit with thermoluminescence dosimeters was used to evaluate the entrance surface dose (ESD) to patients. A stratified sampling technique applied to the national health database furnished important data on the distribution of equipment and the annual number of examinations. Chest, head (skull and sinus), and spine (cervical, thoracic, and lumbar) examinations were included in the trial. A total of 83 rooms and 868 patients were included, and 1 415 values of ESD were measured. The data show large coefficients of variation in tube charge, giving rise to large variations in ESD values. Also, a series of high ESD values associated with unnecessary localizing fluoroscopy were detected. Diagnostic reference levels were determined, based on the 75th percentile (third quartile) of the ESD distributions. For adult patients, the diagnostic reference levels achieved are very similar to those obtained in international surveys. However, the situation is different for pediatric patients: the ESD values found in this survey are twice as large as the international recommendations for chest radiographs of children. Despite the reduced number of ESD values and rooms for the pediatric patient group, it is recommended that practices in chest examinations be revised and that specific national reference doses and image quality be established after a broader survey is carried out.
dc.description25
dc.description95-104
dc.languageeng
dc.relationRevista Panamericana De Salud Pública = Pan American Journal Of Public Health
dc.relationRev. Panam. Salud Publica
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectBrazil
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRadiation Dosage
dc.subjectRadiography
dc.subjectReference Standards
dc.subjectReference Values
dc.subjectYoung Adult
dc.titleDiagnostic Reference Levels For The Most Frequent Radiological Examinations Carried Out In Brazil.
dc.typeArtículos de revistas


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