Radiation exposure by digital radiographic imaging in very low birth weight infants

J Perinatol. 2019 Jan;39(1):115-119. doi: 10.1038/s41372-018-0276-7. Epub 2018 Nov 20.

Abstract

Objective: The aim of this study was to determine the cumulative effective doses (CED) from digital radiographic imaging in very low birth weight infants treated in a tertiary care neonatal intensive care unit (NICU).

Study design: The CED for each infant was retrospectively calculated using a voxel-based model. The results were compared with previous studies applying conventional radiography.

Results: Two hundred and six preterm infants were included into this study. Neonates received a median of four radiographs (range: 1-68) and a CED of 50 µSv (4-883 µSv). Overall mean CED was lower than in previously published data applying conventional radiography. Factors contributing to a lower radiation dose per infant in our study were a lower number of radiographs and smaller field sizes per radiographic image.

Conclusions: The number of conducted radiographs per patient and the employed field size had a higher impact on the CED than the applied radiographic technology.

MeSH terms

  • Dose-Response Relationship, Radiation*
  • Female
  • Germany
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Infant, Very Low Birth Weight*
  • Intensive Care Units, Neonatal* / statistics & numerical data
  • Intensive Care Units, Neonatal* / trends
  • Male
  • Quality Improvement
  • Radiation Exposure* / analysis
  • Radiation Exposure* / prevention & control
  • Radiation Exposure* / standards
  • Radiographic Image Enhancement* / methods
  • Radiographic Image Enhancement* / standards
  • Technology, Radiologic / standards
  • Technology, Radiologic / trends