Abstract
The present study examined the mechanical attributes of 135 conventional diagnostic X-ray machines in Mizoram, India. The purpose of studying the X-ray mechanical parameters, such as congruency, perpendicularity of the central beam, and half-value layer, was to improve the quality of the diagnostic image and reduce the patient dose. A battery-operated portable dosimeter was used to measure output radiation of the X-ray machine. The half-value layer was measured at a constant accelerating potential of 70 kVp and tube load. To measure the congruency and beam alignment perpendicularity, a congruence and alignment tool was used. The survey data were collected between June 2015 and June 2016. The authors followed international standard test procedures, and the results were compared to national and international standards. SPSS Statistics for Windows, Version 17 was used to calculate the mean, range, and standard deviation. The half-value layer ranged from 0.45 to 3.00 mm; the mean half-value layer was 1.60 ± 0.51 SD mm. In comparison with national and international standards, only 27.83% (national) and 15.64% (international) of the machines’ filtration were found to be within acceptable limits. The congruence misalignment of the x-axis varied between 0.50% and 15.30% of the source-to-image distance; for the y-axis, it ranged from 0.50 to 10.90%. When the congruence between the radiation beam and optical field was tested, 80.85% of diagnostic X-ray machines did not meet the prescribed acceptance parameters. When the perpendicularity between the central beam and the image receptor was tested, 69.81% did not meet safety standards.
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References
Bennett BG. Exposures from medical radiation world-wide. Radiat Prot Dosimetry. 1991;36:237–42.
Bushong SC. Radiologic science for technologists: physics, biology, and protection, tenth edition, 3251 Riverport Lane, St. Louis, Missouri 63043. Amsterdam: Elsevier Mosby; 2013. pp. 578–9.
International Commission on Radiological Protection. Recommendations of the Commission on Radiological Protection. ICRP Publication 60. Ann of the ICRP 21 Oxford: Pergamon; 1990.
Atomic Energy Regulatory Board. Notification No. 30.1.2002-ER, Appointment of Chairman, AERB as the ‘Competent Authority’ of radiation protection in India, The Gazette of India, Part-II, Sect. 3(ii), 2006.
Atomic Energy Regulatory Board. Notification No. 25/2/83-ER, Constitution of AERB, The Gazette of India, Part-II, Sect. 3(ii); 1983.
Supe SJ, Iyer PS, Sasane JB, Sawant SG, Shirva VK. Estimation and significance of patient dose from diagnostic X-ray practices in India. Radiat Prot Dosimetry. 1992;43(1/4):209–11.
Lalrinmawia J, Pau KS, Tiwari RC. Quality assurance assessment of conventional diagnostic X-ray installations in Mizoram. J Med Phys. 2017;42 Suppl S1:208–9. http://www.jmp.org.in/text.asp?2017/42/5/110/217113. (ISSN: 0971–6203).
Gray JE, Winkler NT, Stears J, Frank ED. Quality control in diagnostic imaging. Maryland USA. Germantown: An Aspen Publication; 1983.
Papp J. Quality management in the imaging sciences 5th ed. 3251 Riverport Lane. Missouri: Elsevier Health Sciences; 2015.
Johns HE, Cunningham JR. The physics of radiology, 4th ed. Springfield, Illinois 62717, USA: Thomas CC; 1983.
Asadinezhad M, Toosi MTB, Ebrahiminia A, Giahi M. Quality control assessment of conventional radiology devices in Iran. Iran J Med Phys. 2017;14(1):1–7.
Meredith WJ, Massey JB. Fundamental Physics of Radiology, 3rd ed. Bombay: Varghese Publishing House; 1992.
Ahmad MA. Safety of analytical X-ray appliances, Master’s Thesis, University of Helsinki, Finland, 2015.
IAEA. Diagnostic radiology physics; A handbook for teachers and students. 1400 Vienna, Austria, 2014.
American Association of Physicists in Medicine. Publication Committee, Basic in Diagnostic Radiology, AAPM Report No 4; American Institute of Physics, New York, 1981.
Lalrinmawia J, Pau KS, Tiwari RC. Investigations of workers dose due to stray radiation in X-ray installations in Mizoram. Recent advances in physics research and its relevance. New Delhi: Excel India publishers; 2017. pp. 258–63. (ISBN: ISBN: 978-93-86256-85-0$4).
Lalrinmawia J, Pau KS, Tiwari RC. Investigations of public dose due to stray radiation in X-ray installations in Mizoram. Science and technology for shaping the future of Mizoram. New Delhi: Allied publishers Pvt. Ltd.; 2017, pp. 305–9. (ISBN: 978-93-85926-49-5).
National Council on Radiation Protection and Measurements. Structural shielding design for medical X-rays imaging facilities. Bethesda, MD: NCRP; NCRP Report; 2004. p. 147.
Ebisawa MLNI., Magon MFA, Mascarenhas YM. Evolution of X-ray machine quality control acceptance indices. J Appl Clin Med Phys. 2009;10(4):252–9.
Operator Manual 06-526 RAD-CHECK™ PLUS. P/N 136201, Rev. 6, Fluke Corporation, USA, 2006.
Rasuli B, Pashazadeh AM, Ghorbani M, Juybari RT, Naserpour M. Patient dose measurement in common medical X-ray examinations in Iran. J Appl Clin Med Phys. 2016;17(1):374–86.
Atomic Energy Regulatory Board. Safety Code No. AERB/SC/MED-2 (Rev. 1), ‘Safety Code for Medical Diagnostic X-ray equipment and Installations’ AERB, Mumbai, 2001.
Health Canada. Safety code 35: Safety procedures for the installation, use and control of X-ray equipment in large medical radiological facilities. Retrieved January 22 2017 from http://www.hc-sc.gc.ca (2008).
Radiation Protection No 91. Criteria for acceptability of radiological and nuclear medicine installations. Euratom Treaty and the Council Directives; European commission. https://ec.europa.eu/energy/sites/ener/files/documents/091_en.pdf, p. 6.
Operator Manual. 07-661-7662 Collimator/Beam Alignment Test Tool. Fluke Corporation, USA; 2005.
Sungita YY, Mdoe SLC. Msaki Peter. Diagnostic X-ray facilities as per quality control performances in Tanzania. J Appl Clin Med Phys 2006;7 (4):66–73.
Turner JE. Interaction of Ionizing Radiation with Matter. Health Phys. 2005;88(6):;520 – 544.
National Council on Radiation Protection and Measurements. Medical X-ray, Electron beam and Gamma-ray Protection for energies up to 50 MeV (Equipment Design, Performance and use). Bethesda: NCRP; NCRP Report, 102; 1989.
Vlachos I, Tsantilas X, Kalyvas N, Delis H, Kandaraskis I, Panayiotakis G. Measuring scatter radiation in diagnostic X-rays for radiation protection purposes. Radiat Prot Dosimetry. 2015;165(1–4):382–5.
American Association of Physics in Medicine. Publication Committee ‘Protocols for the Radiation Safety Surveys of Diagnostic Radiological Equipment’ AAPM Report No 25 American Institute of Physics, New York; 1988.
Paolicchi F, Miniati F, Bastiani L, Faggioni L, Ciaramella A, Creonti I, et al. Assessment of radiation protection awareness and knowledge about radiological examination doses among Italian radiographers. Insight Imaging. 2016;7(2):233–42.
Sonawane AU, Meghraj S, Sunil KJVK, Kulkarni ASVK Pradhan AS. Radiological safety status and quality assurance audit of medical X-ray diagnostic installations in India. J Med Phys. 2010;35:229–34.
Hude W. Radiation risks: what is to be done? American Roentgen Ray Society. 2015;204:124–7.
Acknowledgements
The authors express their sincere thanks to the Committee for Safety Research Programme (CSRP), the Atomic Energy Regulatory Board (AERB, Mumbai), Government of India, for financial assistance through Major Research Project No.AERB/CSRP/58/02/2014 awarded in September 30, 2014.
Funding
This study was funded by the Committee for Safety Research Programme (CSRP) and the Atomic Energy Regulatory Board (AERB), project number AERB/CSRP/58/02/2014; September 30, 2014.
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Lalrinmawia, J., Pau, K.S. & Tiwari, R.C. Qualitative study of mechanical parameters of conventional diagnostic X-ray machines in Mizoram. Radiol Phys Technol 11, 274–283 (2018). https://doi.org/10.1007/s12194-018-0464-3
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DOI: https://doi.org/10.1007/s12194-018-0464-3