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Updated: Oct 26, 2025

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
Published on: September 11, 2011
STATUS OF RADIATION DOSE LEVELS IN PAEDIATRIC CHEST RADIOGRAPHY IN A TERTIARY HOSPITAL IN GHANA
Samuel Anim-Sampong1, Lawrence Arthur1, Enock Boahen1
1Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, PO Box KB 143 Korle Bu, Accra, Ghana.
Abstract:
Determination of appropriate radiation doses to paediatric patients in accordance with the as low as reasonably achievable (ALARA) principle is important, as it allows for effective optimization of imaging techniques. This study assessed the status of radiation dose levels in paediatric patients undergoing chest X-ray examinations at a tertiary hospital in Ghana. A population encompassing 86 paediatric patients categorised as infants (<1 y), young children (1-5 y) and older children (6-12 y) was selected using a quasi-experimental study design. The patients' anatomical data and X-ray beam exposure parameters were used to indirectly calculate the entrance surface doses (ESDs) received during the examinations. The infants received the highest mean ESD of 196 μGy (uncertainty = 0.37) compared to 158 μGy (uncertainty = 0.46) among the older children. The risk of developing radiation-induced biological effects was therefore higher for infant patients. The ESDs were generally higher than the internationally recommended reference doses. Careful adoption of internationally accepted exposure factors (high tube voltage and low tube load) is most recommended to optimise the dose.
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