Philips Azurion - 2.7.1 Pediatric Radiation Guidelines

Measure
Eect on skin
dose r
ate
Eect on
Ref.AK-rate
Eect on DAP-
rate
Eect on sta
dose
Minimizing the SID at a constant table
height
+ + 0 0
Using dierent X-ray beam projecons + 0 0 0
Avoiding oblique projecons + + + +
+ = posive eect (less dose), - = negave eect (more dose), 0 = no signicant eect
Paent thickness also in
uences the determinisc eects of X-ray radiaon.
For more informaon about improving radiaon safety during procedures, see the following secons:
• System Sengs Inuencing the Radiaon Dose (page 289)
• Protecon Against Stray Radiaon (page 313)
• Addional Filtering (page 317)
You are strongly urged to read the current recommendaons of the Internaonal Commission on
Radiological Protecon, and in the United States, with those of the US Naonal Council for Radiological
Protecon.
• ICRP, Pergamon Press, Oxford, New York, Beijing, Frankfurt, São Paulo, Sydney, Tokyo, Toronto.
• NCRP, Suite 800, 7910 Woodmont Avenue, Bethesda, Maryland 20814, USA.
2.7.1 Pediatric Radiaon Guidelines
When performing pediatric radiaon, you should follow these guidelines:
• Follow the guidelines provided in Radiaon Safety (page 22).
• Do not radiate when it is not necessary. Use a non-ionizing radiaon modality whenever possible
(for example, ultrasound).
• Remove any objects in the beam that are not radiolucent or that are not necessary to perform the
procedure (for example, maresses, pillows, tubes).
• Select the correct paent type and the correct examinaon protocol for the anatomy.
• Select the lowest uoroscopy avor with the lowest dose.
• Posion the detector as close as possible to the paent.
• Use electronic zoom instead of detector zoom.
• Use collimaon as much as possible to protect areas outside the region of interest. Exclude eyes,
thyroid, breast, and gonads when possible. When possible, perform collimaon on the Last Image
Hold image. Use semi-permeable wedges.
• Consider using Fluoro Store as an alternave to acquision.
• Radiate for the shortest me possible, use the Last Image Hold image to review the anatomy rather
than live uoroscopy.
Before you use the equipment for pediatric cases, Philips recommends reviewing generally available
resources on pediatric imaging, such as the following:
• The U.S. Food and Drug Administraon
www.fda.gov/Radiaon-EmingProducts/RadiaonEmingProductsandProcedures/
MedicalImaging/ucm298899.htm
• The Alliance for Radiaon Safety in Pediatric Imaging
www.imagegently.org/Procedures
• The Society for Pediatric Radiology
www.pedrad.org
Safety Radiaon Safety
Azurion Release 1.2 Ins
trucons for Use 24 Philips Healthcare 4522 203 52421