Evaluation of Reject Analysis of Chest Radiographs in Diagnostic Radiology

OmarSalahAlahmadi, Ahmed Alrehaili, MoawiaBushraGameraddin
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引用次数: 6

Abstract

Introduction: Reject analysis is an important quality indicator and is required for reducing radiation exposure to the patient and increased cost-effectiveness. Aim: The study aims to analyze reject rates and causes in direct chest radiographs to assess the radiographic quality. Materials and Methods: A total of 150 chest radiographs (CXR) had been retrospectively analyzed at King Fahad Hospital from January to March 2016. Results: The rejection rate was 14.7%. Positioning errors and artifacts were the most significant factors for reject analysis in chest radiography. Positioning errors are the most common cause of rejection (16%), and artifacts are the second reason (11.33%). In consequence to positioning error, the scapular shadow was partially located at the lung field in 38% of the images. Conclusion: chest radiographs are the most common x-ray examination requested. Positioning errors are still challenging, which affect the quality of the image. An overall rejection rate of 14.7% indicates a need for continuous practice in the Radiology department to improve the performance.
胸片拒收分析在诊断放射学中的评价
导言:拒收分析是一项重要的质量指标,是减少患者辐射暴露和提高成本效益所必需的。目的:分析胸部x线片不良率及原因,评价胸部x线片质量。材料与方法:回顾性分析法赫德国王医院2016年1 - 3月收治的150张胸片(CXR)。结果:排异率为14.7%。定位错误和伪影是胸片拒绝分析的最重要因素。定位错误是最常见的拒收原因(16%),其次是人为因素(11.33%)。由于定位误差,38%的图像肩胛骨阴影部分位于肺野。结论:胸片是最常见的x线检查要求。定位误差仍然具有挑战性,影响图像质量。总体拒绝率为14.7%,表明放射科需要持续的实践来提高表现。
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