Show simple item record

dc.contributor.authorMussmann, B.
dc.contributor.authorHardy, Maryann L.
dc.contributor.authorRajalingham, R.
dc.contributor.authorPeters, D.
dc.contributor.authorMcFadden, S.
dc.contributor.authorAbdi, A.J.
dc.date.accessioned2021-06-17T17:03:12Z
dc.date.accessioned2021-07-01T09:25:04Z
dc.date.available2021-06-17T17:03:12Z
dc.date.available2021-07-01T09:25:04Z
dc.date.issued2021-05
dc.identifier.citationMussmann B, Hardy ML, Rajalingham R et al (2021) Local diagnostic reference levels for skeletal surveys in suspected physical child abuse. Radiography. 27(2): 425-429.
dc.identifier.urihttp://hdl.handle.net/10454/18525
dc.descriptionNo
dc.description.abstractThe purpose was to determine if an age based, local diagnostic reference level for paediatric skeletal surveys could be established using retrospective data. Methods: All children below two years of age referred for a primary skeletal survey as a result of suspected physical abuse during 2017 or 2018 (n ¼ 45) were retrospectively included from a large Danish university hospital. The skeletal survey protocol included a total of 33 images. Dose Area Product (DAP) and acquisition parameters for all images were recorded from the Picture Archival and Communication System (PACS) and effective dose was estimated. The 75th percentile for DAP was considered as the diagnostic reference level (DRL). Results: The 75th percentile for DAP was 314 mGy*cm2 , 520 mGy*cm2 and 779 mGy*cm2 for children <1 month, 1e11 months and 12 < 24 months of age respectively. However, only the age group 1e11 months had a sufficient number of children (n ¼ 27) to establish a local DRL. Thus, for the other groups the DAP result must be interpreted with caution. Effective dose was 0.19, 0.26 and 0.18 mSv for children <1, 1e11 months and 12 < 24 months of age respectively. Conclusion: For children between 1 and 11 months of age, a local diagnostic reference level of 520 mGy*cm2 was determined. This may be used as an initial benchmark for primary skeletal surveys as a result of suspected physical abuse for comparison and future discussion. Implications for practice: While the data presented reflects the results of a single department, the suggested diagnostic reference level may be used as a benchmark for other departments when auditing skeletal survey radiation dose.
dc.language.isoenen
dc.subjectDiagnostic reference level
dc.subjectPaediatric radiology
dc.subjectSuspected physical abuse
dc.subjectNon-accidental injury
dc.subjectPI-DRL
dc.titleLocal diagnostic reference levels for skeletal surveys in suspected physical child abuse
dc.status.refereedYes
dc.date.Accepted2020-10-06
dc.date.application2020-10-21
dc.typeArticle
dc.type.versionNo full-text in the repository
dc.identifier.doihttps://doi.org/10.1016/j.radi.2020.10.005
dc.date.updated2021-06-17T16:03:12Z
refterms.dateFOA2021-07-01T09:26:20Z
dc.openaccess.statusclosedAccess


Item file(s)

Thumbnail
Name:
MussmanHardyNAIdosereferencele ...
Size:
349.1Kb
Format:
PDF
Description:
Keep suppressed - published ...

This item appears in the following Collection(s)

Show simple item record