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Updated: Jul 5, 2025
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X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
Published on: September 11, 2011
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Factors affecting radiographers' use of dose-reduction measures
May Bazzi1, Shilan Shamon Afram2, Irine Maghanwi Ndipen2
1Department of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Summary
Radiographers’ adoption of dose reduction techniques, like shielding and compression, is influenced by workplace factors. A strong safety culture and colleague support are essential for effective radiation protection in medical imaging.
Area of Science:
- Radiological Sciences
- Medical Imaging Safety
- Radiation Protection
Background:
- Implementing dose-reduction measures in medical imaging is crucial for patient safety.
- Understanding radiographers' perspectives on these measures is key to improving practice.
Purpose of the Study:
- To investigate radiographers' views on implementing dose-reduction measures.
- To identify factors influencing the use of patient identity verification, pregnancy status checks, gonad shielding, and compression.
Main Methods:
- An electronic questionnaire based on a clinical risk and safety framework was distributed to radiographers.
- Ordered logistic regressions analyzed associations between influencing factors and dose-reduction measure utilization.
- 170 radiographers completed the survey (36% response rate).
Main Results:
- Clear routines, colleague support, knowledge, safety culture, managerial support, and equipment access positively influence dose-reduction measure use.
- Strongest associations found were colleague support with pregnancy status verification (OR=5.65), safety culture with gonad shielding (OR=2.36), and adequate time with compression (OR=2.11).
Conclusions:
- A robust safety culture and supportive work environment are vital for effective dose-reduction.
- Education, training, and stress management can enhance the utilization of radiation protection measures by radiographers.
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