Hasaneen Mohamed, AlHameli Noora, AlMinhali Amel, Alshehhi Shamma, Salih Suliman, Alomaim Mohammad Mubarak
Department of Radiology and Medical Imaging, Fatima College of Health Sciences, Abu Dhabi, United Arab Emirates.
King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Med Life. 2023 May;16(5):731-735. doi: 10.25122/jml-2022-0341.
X-ray imaging uses ionizing radiation to generate diagnostic images. However, unnecessary radiation exposure can pose potential risks, including an increased risk of malignancy. One factor contributing to unnecessary radiation exposure is the rejection and retaking of X-ray images, which can lead to higher patient and occupational radiation doses. This study aimed to assess digital radiography rejection rates, causes of recurrence, and the most commonly repeated types of examinations. A cross-sectional online-based survey was conducted in 2022, involving 62 randomly selected radiographers in the UAE. The survey was distributed to radiographers through the head of radiology departments in various hospitals. Hospitals agreed to participate in the survey without disclosing their name. The data collected was analyzed using Excel. The study showed that 71% of radiographers working in the UAE hold a bachelor's degree. The examinations most frequently repeated were related to anatomical areas, with the spine accounting for 37.7% and facial bone for 19.7% of cases. The factors influencing repetition were primarily related to positioning (48.4%) and artifacts (21%), with the motion being the main cause of artifacts, including voluntary and involuntary movements. This study concluded that the most prevalent cause of repeating and retaking images is positioning, followed by artifacts. Furthermore, night shifts and workload impact radiographer performance, increasing the likelihood of picture retakes. The average number of rejects and repeated images has been reduced as new generations and modern equipment have been introduced, which also helped decrease the numbers.
X射线成像利用电离辐射生成诊断图像。然而，不必要的辐射暴露可能带来潜在风险，包括恶性肿瘤风险增加。导致不必要辐射暴露的一个因素是X射线图像的拒收和重新拍摄，这可能导致患者和职业辐射剂量增加。本研究旨在评估数字放射摄影的拒收率、重复的原因以及最常重复的检查类型。2022年进行了一项基于网络的横断面调查，涉及阿联酋随机挑选的62名放射技师。该调查通过各医院放射科主任分发给放射技师。医院同意参与调查但不透露其名称。收集到的数据使用Excel进行分析。研究表明，在阿联酋工作的放射技师中有71%拥有学士学位。最常重复的检查与解剖部位有关，其中脊柱占病例的37.7%，面部骨骼占19.7%。影响重复的因素主要与定位（48.4%）和伪影（21%）有关，运动是伪影的主要原因，包括自愿和非自愿运动。本研究得出结论，图像重复和重新拍摄的最普遍原因是定位，其次是伪影。此外，夜班和工作量会影响放射技师的表现，增加图像重新拍摄的可能性。随着新一代设备和现代设备的引入，拒收和重复图像的平均数量有所减少，这也有助于减少数量。
