[Creation of Protective Equipment for Portable Radiography in Neonatal Intensive Care Unit]

Nihon Hoshasen Gijutsu Gakkai Zasshi. 2023 Apr 20;79(4):321-330. doi: 10.6009/jjrt.2023-1296. Epub 2023 Feb 24.
[Article in Japanese]

Abstract

Portable imaging in the NICU requires the assistance of a nurse, and the nurse is in close proximity to the X-ray tube, In all, 64 percent of our nurses thought that additional protective equipment was needed. Therefore, a radiation protection device was created and its usefulness was verified. A protective equipment of 0.13 mmPb with a width of 38 cm and a length of 70 cm was made and hung from the mono-tank X-ray unit of the mobile X-ray unit. The position of the nurse was set at 30 cm outward from the center of the irradiation field, and the protective effect was measured at three points: (a) the patient's height, (b) 30 cm above the patient, and (c) 60 cm above the patient. For the imaging conditions, a 2-liter plastic bottle filled with water was placed in the incubator, and measurements were taken with an SID of 100 cm, irradiated field of 20.3 cm×25.4 cm, tube voltage of 58 kV, and tube current-time product of 10 mAs, which was converted to the actual imaging condition of 1 mAs. Based on the results obtained, a questionnaire survey was conducted on nurses' thoughts for the protective equipment created for them. Only 3% reduction in height of (a) where no protective equipment is reached but (b) 50% and (c) 92%, respectively. In all, 82 percent of the nurses had a favorable impression of the new protective equipment. It is expected that the protective equipment designed to control lens dose and reduce anxiety of nurses will be useful.

Keywords: neonatal intensive care unit; portable radiography; radiation exposure; radiation protection device; scatter radiation.

Publication types

  • English Abstract

MeSH terms

  • Fluoroscopy
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Phantoms, Imaging
  • Radiation Dosage
  • Radiation Protection*
  • Radiography