Modification of chest radiography exposure parameters using a neonatal chest phantom

Influence of the use of various imaging units and projections on the radiation dose received by children during chest digital radiography

“…Some researchers have suggested that in children, the DAP values obtained on chest DR decrease as SID decreases; however, a shorter SID results in a higher ESD value [ 6 ]. Other academicians have found that the combined application of 0.6-mm focal spots and SID greater than 100 cm can objectively reflect heart size and control penumbra blurriness, hence guaranteeing image clarity [ 4 , 5 , 16 , 18 ]. Therefore, a SID of 100 cm was adopted in this study.…”

“…The DAP and ESD values provided by the DR units were recorded after every exposure and were used as an indirect evaluation index of the radiation dose [ 16 , 17 ]. The nonirradiated sites of the pediatric participants and their accompanying caregivers were protected [ 18 ]. To explore whether some factors influencing the radiation dose exceeded suitable limitations and ensure equipment performance consistency and the reliability and reproducibility of exposure parameters, quality control tests were performed at regular intervals throughout this study by the Medical Physics Department of the hospital [ 14 ].…”

Regarding ‘Modifications of chest radiography exposure parameters using a neonatal chest phantom’ by Schäfer et al.

“…The paper "Modifications of chest radiography exposure parameters using a neonatal chest phantom" by Schäfer and coworkers [1] deals with an important issue in neonatal radiography. However, it is questionable whether optimisation of the radiographic technique can be reached with the Gammex 610 Neonatal Chest Phantom.…”

Dose optimization in newborn abdominal radiography: Assessing the added value of additional filtration on radiation dose and image quality using an anthropomorphic phantom

“…Numerous studies have demonstrated the benefits of additional filtration for thoracic [16] , [17] , [18] , abdominal X-rays [ 19 , 20 ] and even thoracic CT [21] in adults, as well as for pelvic X-rays in children [22] , [23] , [24] . In newborns, it has been shown that additional filtration can reduce radiation dose without compromising the quality of thoracic [25] , [26] , [27] , [28] and pelvic X-rays [22] . However, to our knowledge, no study has explored the value of additional filtration for abdominal radiographs in newborns.…”