Thambura Muchui Julius
Department of Radiography, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Afr J Emerg Med. 2023 Sep;13(3):166-170. doi: 10.1016/j.afjem.2023.05.009. Epub 2023 Jun 12.
A low dose x-rays alias Lodox© statscan was originally developed in South Africa to detect smuggled diamonds in the mines. Later, hospital trauma units began to use it as a screening tool for gross pathology on trauma patients. This imaging system became popular because of its use of low radiation doses and its ability to perform anterior posterior (head to toe image) image in under 13 seconds. Anecdotal evidence confirms that patients were referred for additional regional images on conventional x-ray systems after Lodox imaging. Thus, patients were subjected to additional ionising radiation, long waiting times as well as additional charges for secondary radiological examinations.
This research aimed at investigating the extent to which Lodox was used in trauma units (n=28) in South Africa.
In this descriptive cross-sectional research. researcher invited one radiographer from each of the 28 hospitals in South Africa that were using Lodox.
Out of twenty radiographers who responded, it was found that most hospitals were referring patients for additional conventional x-ray images (Figure 1); for example, for chest x-rays. This was done despite the patient having undergone radiological procedures and examinations by the Lodox imaging system that was similar to those performed by conventional x-ray systems.
Lodox was used for a successful diagnosis Thus, researcher recommends an imaging protocol for Lodox to be developed for guiding the referral of patients after the Lodox scanning has been performed.
低剂量X射线成像系统(别名Lodox© statscan)最初是在南非研发,用于检测矿井中走私的钻石。后来,医院创伤科开始将其用作创伤患者大体病理学的筛查工具。这种成像系统因其使用低辐射剂量以及能够在13秒内完成前后位(从头到脚的图像)成像而受到欢迎。有传闻证据证实,在进行Lodox成像后,患者会被转至传统X射线系统进行额外的局部成像。因此,患者遭受了额外的电离辐射、长时间等待以及二次放射检查的额外费用。
本研究旨在调查南非创伤科(共28个)使用Lodox的程度。
在这项描述性横断面研究中,研究人员邀请了南非使用Lodox的28家医院中的每位放射技师参与。
在回复的20位放射技师中,发现大多数医院会让患者进行额外的传统X射线成像(图1);例如胸部X射线检查。尽管患者已经通过Lodox成像系统进行了与传统X射线系统类似的放射学检查,但仍会这样做。
Lodox用于成功诊断。因此,研究人员建议制定Lodox成像方案,以指导在完成Lodox扫描后患者的转诊。