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conferenceseries
.com
Volume 6, Issue 4(Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Medical Imaging and Clinical Research 2017
September 11-12, 2017
September 11-12, 2017 | Paris, France
2
nd
World Congress on
Medical Imaging and Clinical Research
The use of abdominal X-rays film in the emergency department of Ysbyty Gwynedd NHS Hospital
Amjed Eljaili
Ysbyty Gwynedd, UK
T
he audit was carried out to exercise the compliance of the emergency department at Ysbyty Gwynedd, in relation to the standards
guidelines of I-Refer and the royal college of radiologist (RCR), in order to ensure that the plain abdominal films are performed
appropriately since it was noted that a significant numbers of abdominal X-rays are not clinically indicated or justified. Adherence
to the recommended guidelines surely helps reducing the unnecessary radiation dose exposure directly toward sensitive and soft
abdominal organs and genitalia, also that will facilitate accessing more relevant imaging quicker into the way of establishing the
diagnosis of the patient’s clinical problem. Abdominal X-rays is considered as high radiation dose study, and below is highlighting’s
of few examples in comparison to the abdominal radiograph radiation dose,
1.
Chest X-Ray: 0.1mSv (10 days background radiation).
2.
CT head 2.0mSv (8 months background radiation).
3.
Abdominal X ray 8.0mSv (3 years background radiation).
4.
CT Abdomen and Pelvis 10mSv (3 years background of radiation).
5.
CT chest 7mSv (2 years background of radiation).
The audit has also covered few other aspects in terms of film quality and request form adequacy as beside proper indication of the
abdominal radiograph. The breakdown of the abnormal results illustrated by the radiology reports also has been mentioned, generally
speaking, faecal loading represents the majority of that.
I-Refer/ RCR Standards guideline
The indications for requesting abdominal X-rays film, including:
1.
Clinical suspicion of perforation or obstruction
2.
Acute exacerbation of inflammatory bowel disease
3.
Palpable mass (specific circumstances)
4.
Constipation (specific circumstances)
5.
Acute and chronic pancreatitis
6.
Sharp/poisonous foreign body
7.
Smooth and small foreign body, e.g., coin (specific circumstances)
8.
Blunt or stab abdominal injury
Abdominal radiograph is not indicated routinely in the following conditions unless otherwise in very specific circumstances by
specialist, pancreatitis, biliary Colic, constipation and GI Bleed.
Aim of the Audit:
To audit our compliance in Ysbyty Gwynedd Hospital, emergency department, in adherence to the RCR/I-Refer
standards guidelines and to increase the awareness of the healthcare staff in Ysbyty Gwynedd in relation to correct and appropriate
indications of abdominal X-ray films, in so doing that will reduce to unnecessary radiation dose the patient will expose to. 2- To
improve ‘the optimization of abdominal radiographic imaging in the emergency department in order to allow easy and correct
interpretation of the radiograph film.
Methodology:
This was a retrospective study involved data collection of 60 patients that were audited over period of two-months
Amjed Eljaili, OMICS J Radiol 2017, 6:4(Suppl)
DOI: 10.4172/2167-7964-C1-012