Medical Radiology and Radiation Safety. 2023. Vol. 68. № 6
DOI:10.33266/1024-6177-2023-68-6-27-41
I.G. Shatskiy1, P.S. Druzhinina1, Yu.N. Kapyrina2, M.V. Osipov3
Effective Doses of Children During X-Ray Diagnostic Examinations: A Literary Review
1 P.V. Ramzaev Saint-Petersburg Research Institute of Radiation Hygiene, Saint-Petersburg, Russia
2 St. Petersburg State Pediatric Medical University, Saint-Petersburg, Russia
3 Southern Urals Biophysics Institute, Ozersk, Russia
Contact person: Polina Sergeevna Druzhinina, e-mail: Этот адрес электронной почты защищен от спам-ботов. У вас должен быть включен JavaScript для просмотра.
Contents:
Radiation diagnostics methods are widely used not only for the diagnosis of adult patients, but also in pediatrics. Children are the most radiosensitive group of the population, with a higher risk of developing long-term effects of ionizing radiation than adults. Therefore, control of exposure levels of pediatric patients is a priority. Nowadays, many publications have been devoted to the issues of radiation safety of children in foreign countries. There is no reliable information of diagnostic exposure levels of children in the Russian Federation. In domestic publications, these issues are considered insufficiently. Foreign and domestic publications of children exposure levels during X-ray, interventional and computed tomography examinations (CT-examinations) were analyzed. First of all, publications containing a quantitative characteristic of exposure levels in terms of effective dose (ED) were considered. Effective doses presented in the publications were recalculated in accordance with the division of age groups adopted in the Russian Federation for the convenience of comparing the values with each other: 0‒0.5; 0.5‒3; 3‒8; 8‒13; 13–18 years old. This study presents the average of weighted effective doses for children of all age groups for different types of radiography, interventional and CT-examinations. According to publications the average weighted effective doses of children on average for all types of X-ray diagnostics are lower in the Russian Federation than in foreign countries. To ensure the radiation protection of children in the Russian Federation during radiography, interventional and CT-examinations, it is necessary to increase the reliability of information of children exposure levels, by improving the systems for collecting data, monitoring and accounting of individual patient doses, and raising the level of awareness of specialists.
Keywords: children, effective doses, X-ray diagnostic examinations, radiography, CT, interventional radiology
For citation: Shatskiy IG, Druzhinina PS, Kapyrina YuN, Osipov MV.Effective Doses of Children During X-Ray Diagnostic Examinations: A Literary Review. Medical Radiology and Radiation Safety. 2023;68(6):27–41. (In Russian). DOI:10.33266/1024-6177-2023-68-6-27-41
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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.07.2023. Accepted for publication: 27.08.2023.