Radiation doses for barium meals in the Western Cape, South Africa

Authors

  • Caroline Nabasenja University of Namibia
  • Penelope Claire Engel-Hills Department of Nursing and Radiography, Cape Peninsula University of Technology
  • Tobias Christiaan Kotze Groote Schuur Hospital
  • Florence Elizabeth Davidson Department of Nursing and Radiography, Cape Peninsula University of Technology

Keywords:

Radiation protection, barium studies, reference dose levels, diagnostic reference level

Abstract

This study investigated the radiation dose received by patients referred for barium meal (BaM) examinations at three state hospitals in the Western Cape, South Africa (SA). Twenty-five participants (male and female patients) aged between 18 and 85 years and weighing 50 to 85 kilograms (kgs) were included in the study. The radiation dose to the participants was measured using a Dose-Area-Product (DAP) meter permanently fitted to the fluoroscopy equipment at the selected health facility sites. Measurements were done on digital fluoroscopy (DF) and conventional fluoroscopy (CF) units. The third quartile and median DAP values were 20.1 Gycm2 and 13.6 Gycm2 respectively. The median DAP value (13.6 Gycm2) is recommended as the diagnostic reference level (DRL) for BaM examinations because this value is less affected by outlying values of under or overweight [1]. The relationship between DAP and patient weight, fluoroscopy time (FT), the number of images recorded, and the employment of DF or CF units, are discussed.

Author Biography

Caroline Nabasenja, University of Namibia

Lecturer Radiography department

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Published

2012-11-06

Issue

Section

Original Articles