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British Journal of Radiology 74 (2001),1032-1040 © 2001 The British Institute of Radiology

Full paper

Key factors in the optimization of paediatric X-ray practice

J V Cook, MRCP, FRCR1, J C Kyriou, BSc, MSc2, A Pettet, DCR, DMU2, M C Fitzgerald, BSc, MSc2, K Shah, DCR, DMU1 and S M Pablot, FRCR1

1Queen Mary's Hospital for Children, The St Helier NHS Trust, Wrythe Lane, Surrey SM5 1AA and 2The Radiological Protection Centre, St George's Hospital, Blackshaw Road, London SW17 0QT, UK

Correspondence: J C Kyriou

Justification of radiological requests, standardization of procedures and optimization of protection measures are key principles in the protection of individuals exposed to ionizing radiation for diagnostic purposes. Nowhere is this more pertinent than in the imaging of children and, following the recent introduction of the Ionising Radiation (Medical Exposure) Regulations, there is now a regulatory requirement for diagnostic radiology departments to demonstrate compliance with these principles. A study was undertaken to compare all aspects of paediatric radiological practice at two specialist and two non-specialist centres. An initial study involved analysis of nearly 3000 patient doses. The second phase of the project involved assessment of referral criteria, radiographic technique and approximately 100 radiographs at each centre by two consultant paediatric radiologists. While all radiographs were found to be diagnostically acceptable, major differences in technique were evident, reflecting the disparity in experience between staff at the specialist and non-specialist centres. The large number of sub-optimum films encountered at the latter suggests that there is a need for specific training of less experienced radiographic and clinical staff.






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