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Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram
INTRODUCTION: To prove objective effect of using mechanical device for immobilization of pediatric patient during voiding cystourethrogram (VCUG) compare immobilization by hand-holding. METHODS: This study included 77 patients, who underwent VCUG in our center from April to October 2017, who had a c...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799906/ https://www.ncbi.nlm.nih.gov/pubmed/31626680 http://dx.doi.org/10.1371/journal.pone.0224063 |
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author | Cho, Hyun-Hae Lee, So Mi You, Sun Kyoung |
author_facet | Cho, Hyun-Hae Lee, So Mi You, Sun Kyoung |
author_sort | Cho, Hyun-Hae |
collection | PubMed |
description | INTRODUCTION: To prove objective effect of using mechanical device for immobilization of pediatric patient during voiding cystourethrogram (VCUG) compare immobilization by hand-holding. METHODS: This study included 77 patients, who underwent VCUG in our center from April to October 2017, who had a clinically suspicious urinary tract infection. Patients were classified into one of two groups based on whether examination was done before (Group A) or after (Group B) adaptation of immobilization device. Patient-related data, image quality related score and dose-related data were collected and compared between two groups. RESULTS: Group A included 36 patients and group B included 41. Patient related data including mean age, sex, body weight and height didn’t show significant difference between two groups (p > 0.05 for all). Among the image quality scoring, overall image quality, motion artifact, showed significant difference between two groups with improved inadequate timing and centering after adaptation of immobilization device. Dose related data showed significantly decreased shot number, mean fluoroscopic time with decreased mean dose area product (DAP) value and effective dose after adaptation of immobilization device (p < 0.05 for all). CONCLUSION: Adaptation of immobilization device can improve overall image quality with decreased motion artifact and improved centering and timing with even shot number, mean fluoroscopic time with decreased mean DAP value and effective dose. |
format | Online Article Text |
id | pubmed-6799906 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-67999062019-10-25 Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram Cho, Hyun-Hae Lee, So Mi You, Sun Kyoung PLoS One Research Article INTRODUCTION: To prove objective effect of using mechanical device for immobilization of pediatric patient during voiding cystourethrogram (VCUG) compare immobilization by hand-holding. METHODS: This study included 77 patients, who underwent VCUG in our center from April to October 2017, who had a clinically suspicious urinary tract infection. Patients were classified into one of two groups based on whether examination was done before (Group A) or after (Group B) adaptation of immobilization device. Patient-related data, image quality related score and dose-related data were collected and compared between two groups. RESULTS: Group A included 36 patients and group B included 41. Patient related data including mean age, sex, body weight and height didn’t show significant difference between two groups (p > 0.05 for all). Among the image quality scoring, overall image quality, motion artifact, showed significant difference between two groups with improved inadequate timing and centering after adaptation of immobilization device. Dose related data showed significantly decreased shot number, mean fluoroscopic time with decreased mean dose area product (DAP) value and effective dose after adaptation of immobilization device (p < 0.05 for all). CONCLUSION: Adaptation of immobilization device can improve overall image quality with decreased motion artifact and improved centering and timing with even shot number, mean fluoroscopic time with decreased mean DAP value and effective dose. Public Library of Science 2019-10-18 /pmc/articles/PMC6799906/ /pubmed/31626680 http://dx.doi.org/10.1371/journal.pone.0224063 Text en © 2019 Cho et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Cho, Hyun-Hae Lee, So Mi You, Sun Kyoung Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title | Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title_full | Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title_fullStr | Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title_full_unstemmed | Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title_short | Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram |
title_sort | effect of using immobilization device in fluoroscopic study in pediatric patient: focused on radiation dose reduction in voiding cystourethrogram |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799906/ https://www.ncbi.nlm.nih.gov/pubmed/31626680 http://dx.doi.org/10.1371/journal.pone.0224063 |
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