engleski

Protocol of radiographic examination of children in order to improve the radiation protection.

Because of the fact that repeated radiograms are often unavoidable [1] in the evaluation of medical treatment and that radiographic examination in some medically justified cases starts at the youngest age of a child, it is necessary to minimise harmful consequences of irradiation during diagnostic X-ray examinations. Considering that children are radiovulnerable population, and that during these examinations adjacent organs (bone marrow, thyroid gland, gonads etc.) are also irradiated, it became obvious that there is a special need for establishing a Protocol of Radiographic Examination for little children in order to improve radiation protection. This Protocol should consider cooperation of thoracic radiologists, paediatricians, pulmologists and primary care doctors. Self-criticism is expected whenever ordering a radiographic examination, be it first or later control ones. Finally, adequate examination techniques, adjusted for children-age, like ultrasound and apico-lordotic position (AL) projection should be used additionally. In this study, the absorbed doses to some body parts during respiratory tract examination of children have been measured using thermoluminescent dosimeters. It has been proved that the highest mean doses of radiation were found at the back.

X-ray diagnostic; pediatric radiology; radiation protection

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