Abstract

Introduction: General radiography is a common imaging technique and X-ray examinations of the thoracic and lumbar spine are among the most frequent procedures undertaken. The aim of this research was to investigate the success rate, dose-area product (DAP), and effective dose values of 1st and 2nd cycle radiographer students performing X-ray imaging of the thoracic and lumbar spine using a phantom. Methods: The students were divided into four groups according to the year of study (1st, 2nd, and 3rd years of 1st cycle degree, and all 2nd cycle degree students). They were asked to perform imaging of thoracic and lumbar spine on the phantom in both anteroposterior and lateral projections where IQ and DAP measurements were collated. The study was blind, so they did not know about the purpose of the study. Results: First, we have inspected the acceptability rate of the images performed. The highest success rate of performing an optimal image was discovered with the 2nd cycle degree students where the 1st year students had the most difficulties there. In the second part, DAP and effective dose values were compared, only for the acceptable images in which case the 1st and 2nd years, students of the 1st cycle degree were most successful. Conclusion: Based on that, we can conclude, that the 2nd cycle degree students had the lowest rejection rate regarding the optimal image quality, which was the price of using a larger primary X-ray field which leads to higher dose values.

Highlights

  • General radiography is a common imaging technique and X-ray examinations of the thoracic and lumbar spine are among the most frequent procedures undertaken

  • The purpose of this study is to show, if there are significant differences in the frequency of technically useful images, field collimation, and doses in technically useful images, between students in different study years of radiography program

  • While differences in field size were significant in the lateral view of the thoracic spine, differences in dose-area product (DAP) values were significant in the AP view (p = 0.001), where post hoc analysis showed, that postgraduate students had significantly higher values in comparison with 1st and 2nd year students, while 3rd year students had significantly higher values only compared to the 1st year students

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Summary

Introduction

General radiography is a common imaging technique and X-ray examinations of the thoracic and lumbar spine are among the most frequent procedures undertaken. The aim of this research was to investigate the success rate, dose-area product (DAP), and effective dose values of 1st and 2nd cycle radiographer students performing X-ray imaging of the thoracic and lumbar spine using a phantom. Back pain is one of the most common causes why individuals seek medical help when it comes to musculoskeletal system. When it comes to medical evaluation of back pain, doctors usually choose medical imaging as one of the steps in seeking the cause of the pain [1]. The biggest contributors to the collective dose are CT scans, which make 40% of the collective dose

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