CT-scan is the most irradiating tool in diagnostic radiology. For 5% - 10% of diagnostic X-ray procedures, it is responsible for 34% of irradiation according to UNSCEAR. Patients radiation protection must therefore be...CT-scan is the most irradiating tool in diagnostic radiology. For 5% - 10% of diagnostic X-ray procedures, it is responsible for 34% of irradiation according to UNSCEAR. Patients radiation protection must therefore be increased during CT-scan procedures. This requires the rigorous application of optimization principle which imposes to have “diagnostic reference levels”. Objective: The aim of this study was to determine the diagnostic reference levels (DRLs) of the four most frequent CT-scans examinations of adults in Cameroon. Material and Method: It was a cross-sectional pilot study carried out from April to September 2015 in five health facilities using CT-scan in Cameroon. The studied variables were: patients age and sex, type of CT-scan examination (cerebral, chest, abdomino-pelvic, lumbar spine), Used of IV contrast (IV﹣/ IV+), acquisition length, time of tube rotation, voltage (kV), mAs, pitch, thickness of slices, CTDIvol and DLP. For each type of examination, at least 30 patients were included per center, consecutively on the randomly predetermined days. The DRL for each type of examination was defined as the 75th percentile of its PDL and CTDIvol. Results: Of the 696 examinations, 41.2% were cerebral, 26.9% abdomino-pelvic, 17.7% lumbar spine and 14.2% chest. The mean age of patients was 52 ± 15 years [20 - 90 years], 58.9% were 50 years and older. The sex-ratio was 1.26 (55.9% males). The CT machines were 4, 8 and 16 multidetectors. The 75th percentile of DLP or DRLs [standard deviation] was: [1150 ± 278 mGy·cm], [770 ± 477 mGy·cm], [720 ± 170 mGy·cm] and [715 ± 187 mGy·cm] respectively for cerebral, lumbar spine, abdominopelvic and chest CT-scans. Taking in consideration the number of detectors, the 75th percentile of the Dose-Length product decreased with the increase number of detectors for cerebral examinations but was the highest with 16 MDCT for the abdominopelvic, lumbar spine and chest CT-scans. For the chest and lumbar spine examinations, there was a significant increase in patient-dose with the increase in the number of detectors. Conclusion: Our DRLs values lie between the norms of some European countries and those of some African countries. There is remarquable variation in dose for the commonest CT-scans examinations in Cameroon, requiring then an optimization process from these determined DRLs and establishment of national DRLs. Special attention to optimization should be paid when using 16 MDCT.展开更多
In this work the performance of a screening analytical method for Energy Dispersive X-Ray Fluorescence (EDXRF) analysis in terms of accuracy and precision was evaluated through analysis of rock standard reference mate...In this work the performance of a screening analytical method for Energy Dispersive X-Ray Fluorescence (EDXRF) analysis in terms of accuracy and precision was evaluated through analysis of rock standard reference materials. The method allowed the division of elements into four groups taking into account the excitation energies and measurement conditions of the sample. Two standard reference materials were used and 15 sample replicates were prepared and analyzed, then statistics were applied to assess the precision and accuracy of analytical results. The obtained results show that major compounds or elements (SiO<sub>2</sub>, P<sub>2</sub>O<sub>5</sub>, K<sub>2</sub>O, CaO, Fe<sub>2</sub>O<sub>3</sub>, Ti) can be determined in fine powder sample with a deviation lower than 15%, and a relative standard deviation in the range (1 - 10)%. The deviation was found to be lower than 5% for major compounds such as K<sub>2</sub>O, and CaO, which suggest that the EDXRF is accurate in evaluating major elemental concentrations in rock samples. It was also found that the method seems to be more accurate and precise for major elements than for trace element investigation. This screening analytical method can be used for routine analysis with acceptable results, even though the method should be optimized to increase its precision and accuracy.展开更多
文摘CT-scan is the most irradiating tool in diagnostic radiology. For 5% - 10% of diagnostic X-ray procedures, it is responsible for 34% of irradiation according to UNSCEAR. Patients radiation protection must therefore be increased during CT-scan procedures. This requires the rigorous application of optimization principle which imposes to have “diagnostic reference levels”. Objective: The aim of this study was to determine the diagnostic reference levels (DRLs) of the four most frequent CT-scans examinations of adults in Cameroon. Material and Method: It was a cross-sectional pilot study carried out from April to September 2015 in five health facilities using CT-scan in Cameroon. The studied variables were: patients age and sex, type of CT-scan examination (cerebral, chest, abdomino-pelvic, lumbar spine), Used of IV contrast (IV﹣/ IV+), acquisition length, time of tube rotation, voltage (kV), mAs, pitch, thickness of slices, CTDIvol and DLP. For each type of examination, at least 30 patients were included per center, consecutively on the randomly predetermined days. The DRL for each type of examination was defined as the 75th percentile of its PDL and CTDIvol. Results: Of the 696 examinations, 41.2% were cerebral, 26.9% abdomino-pelvic, 17.7% lumbar spine and 14.2% chest. The mean age of patients was 52 ± 15 years [20 - 90 years], 58.9% were 50 years and older. The sex-ratio was 1.26 (55.9% males). The CT machines were 4, 8 and 16 multidetectors. The 75th percentile of DLP or DRLs [standard deviation] was: [1150 ± 278 mGy·cm], [770 ± 477 mGy·cm], [720 ± 170 mGy·cm] and [715 ± 187 mGy·cm] respectively for cerebral, lumbar spine, abdominopelvic and chest CT-scans. Taking in consideration the number of detectors, the 75th percentile of the Dose-Length product decreased with the increase number of detectors for cerebral examinations but was the highest with 16 MDCT for the abdominopelvic, lumbar spine and chest CT-scans. For the chest and lumbar spine examinations, there was a significant increase in patient-dose with the increase in the number of detectors. Conclusion: Our DRLs values lie between the norms of some European countries and those of some African countries. There is remarquable variation in dose for the commonest CT-scans examinations in Cameroon, requiring then an optimization process from these determined DRLs and establishment of national DRLs. Special attention to optimization should be paid when using 16 MDCT.
文摘In this work the performance of a screening analytical method for Energy Dispersive X-Ray Fluorescence (EDXRF) analysis in terms of accuracy and precision was evaluated through analysis of rock standard reference materials. The method allowed the division of elements into four groups taking into account the excitation energies and measurement conditions of the sample. Two standard reference materials were used and 15 sample replicates were prepared and analyzed, then statistics were applied to assess the precision and accuracy of analytical results. The obtained results show that major compounds or elements (SiO<sub>2</sub>, P<sub>2</sub>O<sub>5</sub>, K<sub>2</sub>O, CaO, Fe<sub>2</sub>O<sub>3</sub>, Ti) can be determined in fine powder sample with a deviation lower than 15%, and a relative standard deviation in the range (1 - 10)%. The deviation was found to be lower than 5% for major compounds such as K<sub>2</sub>O, and CaO, which suggest that the EDXRF is accurate in evaluating major elemental concentrations in rock samples. It was also found that the method seems to be more accurate and precise for major elements than for trace element investigation. This screening analytical method can be used for routine analysis with acceptable results, even though the method should be optimized to increase its precision and accuracy.
