Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study

Introduction: Trauma patients presented to emergency department usually come with spinal immobilization device as a precaution and initial pre-management care by emergency medical personnel. These types of patients are at higher risk for suspected cervical fractures and internal injuries. The use of...

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Main Authors:	Adnan, Nadhratul Wardah, Sayed, Inayatullah Shah
Format:	Article
Language:	English
Published:	Kulliyyah of Allied Health Sciences, International Islamic University Malaysia 2018
Subjects:	QC Physics
Online Access:	http://irep.iium.edu.my/67372/ http://irep.iium.edu.my/67372/ http://irep.iium.edu.my/67372/1/Effects%20of%20Cervical%20Collar.pdf

id	iium-67372
recordtype	eprints
spelling	iium-673722019-01-28T03:33:41Z http://irep.iium.edu.my/67372/ Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study Adnan, Nadhratul Wardah Sayed, Inayatullah Shah QC Physics Introduction: Trauma patients presented to emergency department usually come with spinal immobilization device as a precaution and initial pre-management care by emergency medical personnel. These types of patients are at higher risk for suspected cervical fractures and internal injuries. The use of cervical collar raises some issues on radiation dose to the patient and image quality. Therefore, the use of cervical collar in routine trauma patients is questioned by researchers. The purpose of this paper was to investigate the effect of cervical collar on entrance surface dose, exit surface dose and image quality. Methods: Siemens Multix Top CR System and Kyoto Kagaku PBU-50 Body Phantom was used. The phantom was positioned supine on the table couch and was exposed with and without cervical collar. An Anteroposterior (AP) Axial cervical projection was performed and the phantom was also exposed with and without Automatic Exposure Control (AEC) to study the effects on radiation dose and image quality. The dose reading was recorded in all exposures and compared. Images obtained were analyzed for Signal to Noise Ratio (SNR). Results: Lower entrance dose was recorded with cervical collar when the AEC was disabled during the exposure and the results were vice versa when the AEC was enabled. Higher exit dose was calculated when cervical collar was applied to the phantom. Greater signal to noise ratio (SNR) was observed with cervical collar. Conclusions: This study concluded that cervical collar adds to exit dose and without any impact on image quality. The entrance surface dose recorded with cervical collar and AEC disabled was lower compared to when it was removed. The entrance dose recorded with collar and the AEC enabled was higher compared to when it was removed. Kulliyyah of Allied Health Sciences, International Islamic University Malaysia 2018 Article PeerReviewed application/pdf en http://irep.iium.edu.my/67372/1/Effects%20of%20Cervical%20Collar.pdf Adnan, Nadhratul Wardah and Sayed, Inayatullah Shah (2018) Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study. International Journal of Allied Health Sciences. E-ISSN 2600-8491 (In Press) http://journals.iium.edu.my/ijahs/index.php/IJAHS
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	QC Physics
spellingShingle	QC Physics Adnan, Nadhratul Wardah Sayed, Inayatullah Shah Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
description	Introduction: Trauma patients presented to emergency department usually come with spinal immobilization device as a precaution and initial pre-management care by emergency medical personnel. These types of patients are at higher risk for suspected cervical fractures and internal injuries. The use of cervical collar raises some issues on radiation dose to the patient and image quality. Therefore, the use of cervical collar in routine trauma patients is questioned by researchers. The purpose of this paper was to investigate the effect of cervical collar on entrance surface dose, exit surface dose and image quality. Methods: Siemens Multix Top CR System and Kyoto Kagaku PBU-50 Body Phantom was used. The phantom was positioned supine on the table couch and was exposed with and without cervical collar. An Anteroposterior (AP) Axial cervical projection was performed and the phantom was also exposed with and without Automatic Exposure Control (AEC) to study the effects on radiation dose and image quality. The dose reading was recorded in all exposures and compared. Images obtained were analyzed for Signal to Noise Ratio (SNR). Results: Lower entrance dose was recorded with cervical collar when the AEC was disabled during the exposure and the results were vice versa when the AEC was enabled. Higher exit dose was calculated when cervical collar was applied to the phantom. Greater signal to noise ratio (SNR) was observed with cervical collar. Conclusions: This study concluded that cervical collar adds to exit dose and without any impact on image quality. The entrance surface dose recorded with cervical collar and AEC disabled was lower compared to when it was removed. The entrance dose recorded with collar and the AEC enabled was higher compared to when it was removed.
format	Article
author	Adnan, Nadhratul Wardah Sayed, Inayatullah Shah
author_facet	Adnan, Nadhratul Wardah Sayed, Inayatullah Shah
author_sort	Adnan, Nadhratul Wardah
title	Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
title_short	Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
title_full	Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
title_fullStr	Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
title_full_unstemmed	Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
title_sort	effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study
publisher	Kulliyyah of Allied Health Sciences, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/67372/ http://irep.iium.edu.my/67372/ http://irep.iium.edu.my/67372/1/Effects%20of%20Cervical%20Collar.pdf
first_indexed	2023-09-18T21:35:40Z
last_indexed	2023-09-18T21:35:40Z
_version_	1777412803399778304

Effects of cervical collar on entrance surface dose, exit surface dose and image quality in plain radiography: a phantom study

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