Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital.

Autor: Precht H; Conrad Research Program, Health Sciences Research Centre, UCL University College, Niels Bohrs Allé 1, 5230, Odense M, Denmark; Medical Research Department, Odense University Hospital, Svendborg, Denmark; Department of Clinical Research, University of Southern, Denmark. Electronic address: hepr@ucl.dk., Hansen DL; Department of Haematology, Odense University Hospital, Denmark; Department of Clinical Research, University of Southern Denmark, Denmark., Ring-Pedersen BM; Conrad Research Program, Health Sciences Research Centre, UCL University College, Niels Bohrs Allé 1, 5230, Odense M, Denmark; Department of Radiology, Hospital Little Belt Kolding, Denmark., Møller Hansen LF; Conrad Research Program, Health Sciences Research Centre, UCL University College, Niels Bohrs Allé 1, 5230, Odense M, Denmark; Department of Radiology, Hospital Little Belt Kolding, Denmark., Waaler D; Department of Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway., Tingberg A; Department of Translational Medicine, Medical Radiation Physics, Lund University, Skåne University Hospital Malmö, Malmö, Sweden., Midtgaard M; Department of Radiology, Hospital Little Belt Kolding, Denmark., Jensen Ohlsen MG; Department of Radiology, Hospital Little Belt Kolding, Denmark., Juhl Hankelbjerg ST; Department of Radiology, Hospital Little Belt Kolding, Denmark., Ravn P; Department of Radiology, Hospital Little Belt Kolding, Denmark., Jensen IE; Department of Radiology, Hospital Little Belt Kolding, Denmark., Christensen JK; Department of Radiology, Hospital Little Belt Kolding, Denmark., Blackburn Andersen PA; Department of Radiology, Hospital Little Belt Kolding, Denmark.
Jazyk: angličtina
Zdroj: Radiography (London, England : 1995) [Radiography (Lond)] 2020 May; Vol. 26 (2), pp. e31-e37. Date of Electronic Publication: 2019 Oct 24.
DOI: 10.1016/j.radi.2019.10.004
Abstrakt: Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department.
Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD).
Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. 'Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52-94%] and 81% [95% CI: 54-96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQF inv , from ME.
Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system.
Implications for Practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients' further treatment are new work areas for radiographers and requires excellent communication skills.
(Copyright © 2019 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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