Comparison of anteroposterior and posteroanterior projection in lumbar spine radiography

Alukić, Erna; Skrk, Damijan; Mekiš, Nejc

doi:10.2478/raon-2018-0021

Cited by 10 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brennan and E. Madigan (Brennan & Madigan, 2000), where an average of 38.6 % reduction in lumbar spine imaging was reported when the patient was moved from AP to PA position for lumbar spine projection. Similar results in DAP and effective dose reduction by 27% and 53% respectively were found in the research conducted by Erna Alukic et al (Alukic et al, 2018), PA projection was used instead of AP projection in lumbar spine radiography (Frank et al, 1983). Another research called dose reduction in Lumbar spine radiography conducted by Heriard JB et al, mentioned that PA lumbar projection produced the benefit of reduced dose (200+ %) to the eyes, ovaries, uterus and testis (Jb et al, 1993).…”

Section: Discussionsupporting

confidence: 77%

Modification of the Projection from Anterior-Posterior to Posterior-Anterior for Abdominal Radiographic Examinations

Almaziad¹

2021

Biosc Biotech Res Comm

View full text Add to dashboard Cite

The technological development improvement in healthcare, specifically in medical imaging, resulted in an increase in the number of examinations performed in diagnostic medical imaging. These examinations involve the use of ionizing radiation in both adult and pediatric patients. The aim of the study is to provide the foundation for the modification of the current practice of using Anterior-posterior (AP) projection in favor of Posterior-Anterior (PA) projection. The modification will facilitate adherence to the "as low as reasonably achievable" (ALARA) principle. This study was conducted at the Main X-ray of the Radiology Department, Ministry of National Guard-Health Affairs (MNGHA), King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. A cross-sectional study, with an experimental research study, were performed and measured in different phases. We included 110 patients (57 males, and 53 females) who required an abdominal radiographic examination. The majority (63) were exposed to the AP and 47 to the PA orientation. A nonparametric Mann Whitney U test was used to analyze the data. A total of 110 patients participated in this study. Statistical significance (P <0.001) was observed in the overweight Body mass index (BMI) category, with a mean Dose area product (DAP) of 11.8 dGycm 2 and 6.8 dGycm 2 for the AP and PA projections. In the overweight BMI category, the Entrance Skin Dose (ESD) was 1.51 mGy and 0.83 mGy for the AP and PA projections, respectively, with a statistically significant 58.11% difference (P<0.001). Similarly, in the obese BMI category, the ESD was 2.35 mGy and 1.6 mGy for the AP and PA projections, indicating a statistically significant 37.97% difference (P<0.046). The study provided evidence that the PA projection is an easily implementable method to reduce the dose, with no loss of diagnosis for the patient and no additional cost to the department.

show abstract

Section: Discussionsupporting

confidence: 77%

Modification of the Projection from Anterior-Posterior to Posterior-Anterior for Abdominal Radiographic Examinations

Almaziad¹

2021

Biosc Biotech Res Comm

View full text Add to dashboard Cite

show abstract

“…Papers describing optimisation techniques in lumbar spine radiography have been studied in several countries around the world. Those countries are Finland (16), Australia (17,34,39,41), Ireland (18,19,21,22,25), China (20), Sweden (24,26,33), Kuwait (23), United Kingdom (27,30,36), Slovenia (28,35,37), Iran (29,32), Israel (31), Croatia (38) and Malta (40).…”

Section: Results Analysismentioning

confidence: 99%

Optimisation of Radiographic Procedures – Lumbar Spine Imaging in General Radiography

Alukić

Zalokar

Mekiš³

2021

MIRTJournal

Self Cite

View full text Add to dashboard Cite

Purpose: Any use of ionizing radiation must be justifi ed and the benefi t must be greater than the harm it causes. Imaging must be performed with the lowest possible dose received by the patient, while maintaining optimal radiographic image quality. Imaging of the lumbar spine is a relatively high dose imaging procedure. This systematic review aims to explore optimisation options to reduce patient exposure, while maintaining radiographic quality during plain lumbar spine imaging. Methods: A systematic review of the literature from the databases Pub Med Central, EBSCOhost including CINAHL, Cochrane Library, Web of Science, Science Direct, DiKUL and Springer Link was conducted. The documents were fully accessible and in the English language. Results: 26 experimental studies were included in the analysis. There are many optimisation methods: changing the tube potential, comparison of diff erent projections, use of shielding, primary beam collimation, increasing the source-to-image receptor distance, compression of the imaged area, using the air gap technique, evaluation of the need for additional projections, and rotating the patient depending on the tube side. On average, the dose is reduced by 44%. Studies that also evaluated the quality of radiographs found all radiographs to be diagnostically acceptable. Conclusion: The results confi rm a reasonable use of methods to optimize radiation exposure and to maintain an optimal image quality of radiographs. A systematic review for each specifi c area in general radiography should be conducted in the future. Keywords: lumbar spine imaging, optimisation, dose reduction, low dose, image quality

show abstract

“…Women were allowed to participate in the X-ray examination only after a negative urine pregnancy test. An X-ray contrast agent was not used, according to the standard protocol procedure [89] [90] [91] [92].…”

Section: Cervical Posteroanterior Radiographymentioning

confidence: 99%

Morphometric Correlations of the Voice Category (VC) in Professional Singers with Oropharyngeal and Laryngeal Anatomy Using Stroboscopy and Cervical Posteroanterior Radiography

Zarachi¹,

Tafiadis²,

Ziavra³

et al. 2021

IJOHNS

View full text Add to dashboard Cite

Objective(s): The aim of this study is to explore if there is a correlation between the typical voice classification and the oropharyngeal and laryngeal morphology, using video laryngeal stroboscopy and cervical posterior-anterior radiography on professional singers in Greece. Methods: 55 professional singers (28 females: 7 sopranos, 12 mezzo-sopranos, and 9 contraltos; 27 males: 8 tenors, 12 baritones and 7 basses) were recruited for this study. All participants underwent stroboscopic and cervical posterior-anterior radiographic imaging of their oral pharyngeal and laryngeal area. Additionally, the voice classification and features (e.g., height, weight) of individuals were correlated statistically. Results: Statistically significant correlations were observed between the VC of the participants with the Phonetic Area (PA) (r = −0.451, p = 0.001) and the VC with the Oral-pharyngeal Cavity (OPC) area (r = −0.402, p = 0.

show abstract

Comparison of anteroposterior and posteroanterior projection in lumbar spine radiography

Cited by 10 publications

References 11 publications

Modification of the Projection from Anterior-Posterior to Posterior-Anterior for Abdominal Radiographic Examinations

Modification of the Projection from Anterior-Posterior to Posterior-Anterior for Abdominal Radiographic Examinations

Optimisation of Radiographic Procedures – Lumbar Spine Imaging in General Radiography

Morphometric Correlations of the Voice Category (VC) in Professional Singers with Oropharyngeal and Laryngeal Anatomy Using Stroboscopy and Cervical Posteroanterior Radiography

Contact Info

Product

Resources

About