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• W4386073380 abstract "OBJECTIVE The study evaluates the adherence of Exposure Indices (EIs) produced in a busy Indonesian hospital to Manufacturer-Recommended Exposure Index (MREI) levels published by manufacturers and investigates the factors affecting these values. METHODS A total of 75304 EI values for abdomen, chest, pelvis, head, spine, and extremity examinations were evaluated in different CR systems (Philips DR Digital Diagnost, Carestream DRX-Evolution stationary, and Carestream DRX-Revolution mobile unit). These EI values were then compared to the manufacturers’ recommendations for each specific examination. Data regarding the patient's gender and age, exposure control selection, and the use of a secondary radiation grid were also collected. The Mann-Whitney U test was employed following descriptive statistics to determine any significant findings. RESULTS Evaluation of EIs suggests a large degree of non-compliance with manufacturer guidelines, with the proportion of over- and underexposures being as high as 97.3% and 98.4% for specific examinations, respectively. Significant differences (p<0.05) in EI values were shown for patient gender and age, exposure control selection, and the use of the secondary radiation grid. CONCLUSION A large level of non-adherence to MREIs has been demonstrated in one of Indonesia's busiest hospitals, with factors such as patient gender and age, exposure control selection, and the use of secondary radiation grids being important determinants of EI levels. The study evaluates the adherence of Exposure Indices (EIs) produced in a busy Indonesian hospital to Manufacturer-Recommended Exposure Index (MREI) levels published by manufacturers and investigates the factors affecting these values. A total of 75304 EI values for abdomen, chest, pelvis, head, spine, and extremity examinations were evaluated in different CR systems (Philips DR Digital Diagnost, Carestream DRX-Evolution stationary, and Carestream DRX-Revolution mobile unit). These EI values were then compared to the manufacturers’ recommendations for each specific examination. Data regarding the patient's gender and age, exposure control selection, and the use of a secondary radiation grid were also collected. The Mann-Whitney U test was employed following descriptive statistics to determine any significant findings. Evaluation of EIs suggests a large degree of non-compliance with manufacturer guidelines, with the proportion of over- and underexposures being as high as 97.3% and 98.4% for specific examinations, respectively. Significant differences (p<0.05) in EI values were shown for patient gender and age, exposure control selection, and the use of the secondary radiation grid. A large level of non-adherence to MREIs has been demonstrated in one of Indonesia's busiest hospitals, with factors such as patient gender and age, exposure control selection, and the use of secondary radiation grids being important determinants of EI levels." @default.
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• W4386073380 date "2023-09-01" @default.
• W4386073380 modified "2023-09-25" @default.
• W4386073380 title "EXPOSURE INDICES IN A BUSY INDONESIAN HOSPITAL SHOW VARYING LEVELS OF COMPLIANCE TO THE MANUFACTURER'S RECOMMENDATIONS: EXTENT OF NON-COMPLIANCE AND CAUSAL AGENTS" @default.
• W4386073380 doi "https://doi.org/10.1016/j.jmir.2023.06.110" @default.
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