Study on image quality optimization of abdominal digital radiography with different additional filters / 中华放射医学与防护杂志

Objective:To investigate the effect of different additional filters on the image quality and radiation dose in abdominaldigital radiography (DR).Methods:Retrospective analysis was performed on 10 cases of abdominal DR from December 2020 to January 2021 in Fuxing Hospital, and the average mAs was calculated. Using automatic exposure control (AEC) technology, a polymethyl methacrylate (PMMA) slab of the corresponding thickness (18 cm) at the same output of above mAs was confirmed and used as the attenuator to simulate the abdomen. The phantom of CDRAD 2.0 and 17 slices of 10 mm thick PMMA plates (total thickness 18 cm) were placed on the bed. The additional filters were selected as no additional filter, 2 mmAl, 0.1 mmCu+ 1 mmAl, 0.1 mmCu+ 2 mmAl respectively. The AEC levels were selected at -2, -1, 0, 1, and 2 respectively. The images were collected and analyzed by using CDRAD 2.0 software to obtain the image quality factor (IQF inv). The incident air kinetic energy on the surface of the PPMA was measured for each exposure, and PCXMC software was used to estimate the organ dose and effective dose, and a comparative analysis was made. Results:The skin incident doses at no additional filter, 2 mmAl, 0.1 mmCu+ 1 mmAl, 0.1 mmCu+ 2 mm Al were (0.546 1±0.200 8), (0.376 2±0.133 8 ), (0.285 3±0.100 1) and (0.289 9±0.099 2) mGy, respectively. The estimated effective doses were (79.63±29.24)×10 -3, (71.05±25.56)×10 -3, (63.58±22.18)×10 -3 and (67.64±23.11)×10 -3 mSv, respectively. The gonadal doses were (0.058 1±0.020 8), (0.050 0±0.018 0), (0.044 8±0.015 6) and (0.047 7±0.016 3) mGy.The IQF inv values were 4.70±0.61, 4.80±0.84, 4.60±0.55, 4.60±0.60, respectively. There were linear correlations between the effective dose and the skin incident dose under different additional filtration, and the effective doses increased with the increase of the incident doses. The dose was lowest at the addition filtration of 0.1 mmCu+ 1 mmAl. There was no significant difference in the IQF inv between groups( P>0.05). Conclusions:The optimal additional filtration for abdominal DR was 0.1 mmCu+ 1 mmAl with the image quality meeting the requirements of clinical diagnosis, the radiation dose reduced reasonably, and the objective of the optimization of radiographic parameters achieved.

A study on constructing the practice training platform of medical imaging technology in the higher vocational education conforming to the demand of society / 中国医学装备

Objective:To establish the practice training platform of medical imaging technology conforming to the demand of society and the characteristics of vocational education, and improve the training conditions and promote the quality of higher vocational talent cultivation.Methods: To carry out investigation and expert interviews in various grade hospital; analyze vocation standard and skill training grade; plan and design the layout and function position of hardware for this training platform; and then take practice research for application of this platform.Results: The training platform of medical imaging technology has been established which includes 14 digital training rooms. Every teaching function, such as radiology registration, detection, image processing, diagnostic reporting, report printing and storage capability, could achieve and correspond to a clinical task.Conclusion:This study effectively improves medical imaging technology vocational practice conditions, and has a great significance to improve teaching quality of education and ensure quality of talents cultivation.

Research on practical training equipment of medical equipments maintenance major / 中国医学装备

Objective: In order to meet the training requirement for the vocational education and achieve the technical training of the specialty of medical equipment maintenance technology which is newly launched by the Beijing Health Vocational College, practical training equipments for professional core courses teaching are needed to be developed. Methods: The practical training equipments are reconstructed from the usual clinical equipments by improving the exterior structure and setting typical malfunctions for basic test points. Results:Beijing Health Vocational College successively developed 18 items including 264 training equipments and primarily built the Medical Equipment Maintenance Technology Training Center which has Electronic Technology Training Room, Medical Electronic Equipment Training Room, Medical Laboratory Science Equipment and Ultrasonic Equipment Training Room and X-ray Equipment Training Room. Conclusion:Practical training equipments have high value for practice teaching and social training.