Experimental article – A balance between image quality and effective dose in orbital X-ray screening for ferromagnetic IOFBs: a pilot study

Samara Abbas, Gabrielle Hart, Sarah Jessop, Ana Rita Santiago, Benedicte Markali, Yann Cottier, Joana Guerreiro, Erik Normann Andersen, H. Momoniat, José Jorge, Andrew England

Research output: Chapter in Book/Report/Conference proceedingContribution to conference proceedingAcademicpeer-review

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Abstract

Purpose: To investigate whether standard X-ray acquisition factors for orbital radiographs are suitable for the detection of ferromagnetic intra-ocular foreign bodies in patients undergoing MRI.
Method: 35 observers, at varied levels of education in radiography, attending a European Dose Optimisation EURASMUS Summer School were asked to score 24 images of varying acquisition factors against a clinical standard (reference image) using two alternative forced choice. The observers were provided with 12 questions and a 5 point Likert scale. Statistical tests were used to validate the scale, and scale reliability was also measured. The images which scored equal to, or better than, the reference image (36) were ranked alongside their corresponding effective dose (E), the image with the lowest dose equal to or better than the reference is considered the new optimum acquisition factors.
Results: Four images emerged as equal to, or better than, the reference in terms of image quality. The images were then ranked in order of E. Only one image that scored the same as the reference had a lower dose. The reference image had a mean E of 3.31μSv, the image that scored the same had an E of 1.8μSv.
Conclusion: Against the current clinical standard exposure factors of 70kVp, 20mAs and the use of an anti- scatter grid, one image proved to have a lower E whilst maintaining the same level of image quality and lesion visibility. It is suggested that the new exposure factors should be 60kVp, 20mAs and
still include the use of an anti-scatter grid.
Original languageEnglish
Title of host publicationOPTIMAX 2014 – radiation dose and image quality optimisation in medical imaging
Place of PublicationLisbon, Portugal
Pages59-69
Publication statusPublished - 2015
EventOPTIMAX 2014: radiation dose and image quality optimisation in medical imaging - Lisbon , Portugal
Duration: 1 Aug 201431 Aug 2014

Seminar

SeminarOPTIMAX 2014
CountryPortugal
CityLisbon
Period1/08/1431/08/14

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Keywords

  • optimisation
  • effective dose
  • image quality
  • computed radiography
  • intra orbital foreign bodies

Cite this

Abbas, S., Hart, G., Jessop, S., Santiago, A. R., Markali, B., Cottier, Y., ... England, A. (2015). Experimental article – A balance between image quality and effective dose in orbital X-ray screening for ferromagnetic IOFBs: a pilot study. In OPTIMAX 2014 – radiation dose and image quality optimisation in medical imaging (pp. 59-69). Lisbon, Portugal.