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: | S.T Juhl Hankelbjerg, Anders Tingberg, L. F. Møller Hansen, M. G. Jensen Ohlsen, Helle Precht, I. E. Jensen, P.A. Blackburn Andersen, M. Midtgaard, Pernille Ravn, Dennis Lund Hansen, Johnny Kent Christensen, Dag Waaler, B. M. Ring-Pedersen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Image quality Point-of-Care Systems Radiography Nursing homes Mobile radiography Pelvis 030218 nuclear medicine & medical imaging Indirect digital radiography 03 medical and health sciences Visual grading 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Quality of Health Care Hip Phantoms Imaging Radiographic equipment business.industry Thorax Hospitals Nursing Homes medicine.anatomical_structure 030220 oncology & carcinogenesis Orthopedic surgery Dementia Radiology business Hospital department |
| Zdroj: | Precht, H, Hansen, D L, Ring-Pedersen, B M, Møller Hansen, L F, Waaler, D, Tingberg, A, Midtgaard, M, Jensen Ohlsen, M G, Juhl Hankelbjerg, S T, Ravn, P, Jensen, I E, Christensen, J K & Blackburn Andersen, P A 2020, ' Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital ', Radiography, vol. 26, no. 2, pp. e31-e37 . https://doi.org/10.1016/j.radi.2019.10.004 |
| ISSN: | 1078-8174 |
| DOI: | 10.1016/j.radi.2019.10.004 |
| Popis: | 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 IQFinv, 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect