Skip to main content
SpringerLink
Log in

Radiation Exposure of Patients in Neonatal Intensive Care Unit

  • Conference paper
  • First Online:
CMBEBIH 2019 (CMBEBIH 2019)

Part of the book series: IFMBE Proceedings ((IFMBE,volume 73))

Included in the following conference series:

  • 2281 Accesses

Abstract

The chest radiography is the most valuable imaging modality in the assessment of respiratory problems in neonates. However, use of X-rays is associated with exposure to ionising radiation. Scattered and leakage radiation increases over-all dose received by each patient in the ward. In this study we explore medical and public exposure of patients in neonatal intensive care unit (NICU) in the Clinical Centre of Sarajevo University (CCSU). Study included 120 randomly selected patients. The effective dose arising from medical and public exposure was estimated using direct measurements and appropriate software tools. The entrance surface air kerma for a single chest radiography exposure is 86 μGy, which corresponds to 0.60 mSv effective dose. On average, patients are exposed 2.1 times, so the average cumulative effective dose is 0.13 mSv. The estimated effective dose from public exposure was \( 1.25 \times 10^{ - 4} \) mSv, which could be considered negligible. For patients undergoing more examinations, one could consider introducing ultrasound (LUS) as a method of choice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Aramesh, M., Zanganeh, K.A., Dehdashtian, M., Malekian, A., Fatahiasl, J.: Evaluation of radiation dose received by premature neonates admitted to neonatal intensive care unit. J. Clin. Med. Res. 9(2), 124 (2017)

    Article  Google Scholar 

  2. Arthur, R.: The neonatal chest X-ray. Paediatr. Respir. Rev. 2(4), 311–323 (2001)

    Google Scholar 

  3. Brindhaban, A., Al-Khalifah, K.: Radiation dose to premature infants in neonatal intensive care units in Kuwait. Radiat. Prot. Dosimetry 111(3), 275–281 (2004)

    Article  Google Scholar 

  4. Corsini, I., Parri, N., Gozzini, E., Coviello, C., Leonardi, V., Poggi, C., Giacalone, M., Bianconi, T., Tofani, L., Raimondi, F., Dani, C.: Lung ultrasound for the differential diagnosis of respiratory distress in neonates. Neonatology 115, 77–84 (2018)

    Article  Google Scholar 

  5. EC: Technical recommendations for monitoring individuals occupationally exposed to external radiation. European Commission (2009)

    Google Scholar 

  6. Edison, P., Chang, P.S., Toh, G.H., Lee, L.N., Sanamandra, S.K., Shah, V.A.: Reducing radiation hazard opportunities in neonatal unit: quality improvement in radiation safety practices. BMJ Open Qual. 6(2), e000128 (2017)

    Article  Google Scholar 

  7. Hiles, M., Culpan, A.M., Watts, C., Munyombwe, T., Wolstenhulme, S.: Neonatal respiratory distress syndrome: chest X-ray or lung ultrasound? A systematic review. Ultrasound 25(2), 80–91 (2017)

    Article  Google Scholar 

  8. HSE: Occupational exposure to ionising radiation: exposures among classified uk workers as reported to the central index of dose information (CIDI), 2015. Technical Report, Health and Safety Executive (2017)

    Google Scholar 

  9. IAEA: Occupational Radiation Protection. International Atomic Energy Agency, Vienna, Austria (2018)

    Google Scholar 

  10. ICRP: ICRP Publication 103: Recommendations of the International Commission on Radiological Protection. Technical Report, International Commission on Radiological Protection (2008)

    Google Scholar 

  11. ICRU: Determination of dose equivalents resulting from external radiation sources (report 39). Technical Report, International Commission on Radiation Units and Measurements, Bethesda, MD, USA (1985)

    Google Scholar 

  12. Longo, M., Genovese, E., Donatiello, S., Cassano, B., Insero, T., Campoleoni, M., Del Vecchio, A., Magistrelli, A., Tomà, P., Cannatà, V.: Quantification of scatter radiation from radiographic procedures in a neonatal intensive care unit. Pediatr. Radiol. 48(5), 715–721 (2018)

    Article  Google Scholar 

  13. NCRP: Structural shielding design for medical X-ray imaging facilities. NCRP Report No. 147, National Council on Radiation Protection and Measurements, Bethesda, MD (2005)

    Google Scholar 

  14. Olgar, T., Onal, E., Bor, D., Okumus, N., Atalay, Y., Turkyilmaz, C., Ergenekon, E., Koc, E.: Radiation exposure to premature infants in a neonatal intensive care unit in Turkey. Korean J. Radiol. 9(5), 416–419 (2008)

    Article  Google Scholar 

  15. Smans, K., Struelens, L., Smet, M., Bosmans, H., Vanhavere, F.: Patient dose in neonatal units. Radiat. Prot. Dosimetry 131(1), 143–147 (2008)

    Article  Google Scholar 

  16. Toossi, M.T.B., Malekzadeh, M.: Radiation dose to newborns in neonatal intensive care units. Iran. J. Radiol. 9(3), 145 (2012)

    Article  Google Scholar 

  17. Tsalafoutas, I., Yakoumakis, E., Manetou, A., Flioni-Vyza, A.: The diagnostic X-ray protection characteristics of Ytong, an aerated concrete based building material. Br. J. Radiol. 71(849), 944–949 (1998)

    Article  Google Scholar 

  18. Yu, C.C.: Radiation safety in the neonatal intensive care unit: too little or too much concern? Pediatr. Neonatology 51(6), 311–319 (2010)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiation Protection and Medical Physics, Clinical Centre of Sarajevo University, Bolnička 25, 71000, Sarajevo, Bosnia and Herzegovina

    Adnan Beganović, Maja Gazdić-Šantić, Rahima Jašić & Amra Skopljak-Beganović

  2. Faculty of Science, University of Sarajevo, Zmaja od Bosne 33–35, 71000, Sarajevo, Bosnia and Herzegovina

    Adnan Beganović

  3. Clinic of Radiology, Clinical Centre of Sarajevo University, Bolnička 25, 71000, Sarajevo, Bosnia and Herzegovina

    Irmina Sefić-Pašić & Sandra Vegar-Zubović

  4. Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71000, Sarajevo, Bosnia and Herzegovina

    Adnan Šehić

Authors
  1. Adnan Beganović
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Irmina Sefić-Pašić
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Maja Gazdić-Šantić
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rahima Jašić
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Amra Skopljak-Beganović
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Adnan Šehić
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sandra Vegar-Zubović
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Adnan Beganović .

Editor information

Editors and Affiliations

  1. International Burch University, Sarajevo, Bosnia and Herzegovina

    Almir Badnjevic

  2. Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina

    Ranko Škrbić

  3. International Burch University, Sarajevo, Bosnia and Herzegovina

    Lejla Gurbeta Pokvić

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Beganović, A. et al. (2020). Radiation Exposure of Patients in Neonatal Intensive Care Unit. In: Badnjevic, A., Škrbić, R., Gurbeta Pokvić, L. (eds) CMBEBIH 2019. CMBEBIH 2019. IFMBE Proceedings, vol 73. Springer, Cham. https://doi.org/10.1007/978-3-030-17971-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17971-7_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17970-0

  • Online ISBN: 978-3-030-17971-7

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation