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Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital

Precht, H. ; Hansen, D. L. ; Ring-Pedersen, B. M. ; Møller Hansen, L. F. ; Waaler, D. ; Tingberg, A. LU ; Midtgaard, M. ; Jensen Ohlsen, M. G. ; Juhl Hankelbjerg, S. T. and Ravn, P. , et al. (2019) In Radiography
Abstract

Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All... (More)

Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52–94%] and 81% [95% CI: 54–96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQFinv, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.

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organization
publishing date
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Contribution to journal
publication status
epub
subject
keywords
Image quality, Indirect digital radiography, Mobile radiography, Nursing homes
in
Radiography
publisher
W.B. Saunders Ltd
external identifiers
  • scopus:85074496276
  • pmid:32052778
ISSN
1078-8174
DOI
10.1016/j.radi.2019.10.004
language
English
LU publication?
yes
id
30f33f40-3610-4481-b108-75fc9e5f88e4
date added to LUP
2019-11-22 10:39:24
date last changed
2020-09-30 06:28:27
@article{30f33f40-3610-4481-b108-75fc9e5f88e4,
  abstract     = {<p>Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52–94%] and 81% [95% CI: 54–96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQF<sub>inv</sub>, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.</p>},
  author       = {Precht, H. and Hansen, D. L. and Ring-Pedersen, B. M. and Møller Hansen, L. F. and Waaler, D. and Tingberg, A. and Midtgaard, M. and Jensen Ohlsen, M. G. and Juhl Hankelbjerg, S. T. and Ravn, P. and Jensen, I. E. and Christensen, J. K. and Blackburn Andersen, P. A.},
  issn         = {1078-8174},
  language     = {eng},
  month        = {10},
  publisher    = {W.B. Saunders Ltd},
  series       = {Radiography},
  title        = {Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital},
  url          = {http://dx.doi.org/10.1016/j.radi.2019.10.004},
  doi          = {10.1016/j.radi.2019.10.004},
  year         = {2019},
}