Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital

H. Precht*, D. L. Hansen, B. M. Ring-Pedersen, L. F. Møller Hansen, D. Waaler, A. Tingberg, M. Midtgaard, M. G. Jensen Ohlsen, S. T. Juhl Hankelbjerg, P. Ravn, I. E. Jensen, J. K. Christensen, P. A. Blackburn Andersen

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Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52–94%] and 81% [95% CI: 54–96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQFinv, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.

OriginalsprogEngelsk
TidsskriftRadiography
ISSN1078-8174
DOI
StatusE-pub ahead of print - 24. okt. 2019

Fingeraftryk

Hospital Equipment and Supplies
Nursing Homes
Radiography
Hip
Equipment and Supplies
Hospital Departments
Logistic Models
Communication
X-Rays
Health

Citer dette

Precht, H. ; Hansen, D. L. ; Ring-Pedersen, B. M. ; Møller Hansen, L. F. ; Waaler, D. ; Tingberg, A. ; Midtgaard, M. ; Jensen Ohlsen, M. G. ; Juhl Hankelbjerg, S. T. ; Ravn, P. ; Jensen, I. E. ; Christensen, J. K. ; Blackburn Andersen, P. A. / Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital. I: Radiography. 2019.
@article{6f7462ca78c44f249ba97fb3e846a93a,
title = "Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital",
abstract = "Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78{\%} [95{\%} CI: 52–94{\%}] and 81{\%} [95{\%} CI: 54–96{\%}] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQFinv, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.",
keywords = "Image quality, Indirect digital radiography, Mobile radiography, Nursing homes",
author = "H. Precht and Hansen, {D. L.} and Ring-Pedersen, {B. M.} and {M{\o}ller Hansen}, {L. F.} and D. Waaler and A. Tingberg and M. Midtgaard and {Jensen Ohlsen}, {M. G.} and {Juhl Hankelbjerg}, {S. T.} and P. Ravn and Jensen, {I. E.} and Christensen, {J. K.} and {Blackburn Andersen}, {P. A.}",
year = "2019",
month = "10",
day = "24",
doi = "10.1016/j.radi.2019.10.004",
language = "English",
journal = "Radiography",
issn = "1078-8174",
publisher = "W.B.Saunders Co. Ltd.",

}

Precht, H, Hansen, DL, Ring-Pedersen, BM, Møller Hansen, LF, Waaler, D, Tingberg, A, Midtgaard, M, Jensen Ohlsen, MG, Juhl Hankelbjerg, ST, Ravn, P, Jensen, IE, Christensen, JK & Blackburn Andersen, PA 2019, 'Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital', Radiography. https://doi.org/10.1016/j.radi.2019.10.004

Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital. / Precht, H.; Hansen, D. L.; Ring-Pedersen, B. M.; Møller Hansen, L. F.; Waaler, D.; Tingberg, A.; Midtgaard, M.; Jensen Ohlsen, M. G.; Juhl Hankelbjerg, S. T.; Ravn, P.; Jensen, I. E.; Christensen, J. K.; Blackburn Andersen, P. A.

I: Radiography, 24.10.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital

AU - Precht, H.

AU - Hansen, D. L.

AU - Ring-Pedersen, B. M.

AU - Møller Hansen, L. F.

AU - Waaler, D.

AU - Tingberg, A.

AU - Midtgaard, M.

AU - Jensen Ohlsen, M. G.

AU - Juhl Hankelbjerg, S. T.

AU - Ravn, P.

AU - Jensen, I. E.

AU - Christensen, J. K.

AU - Blackburn Andersen, P. A.

PY - 2019/10/24

Y1 - 2019/10/24

N2 - Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52–94%] and 81% [95% CI: 54–96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQFinv, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.

AB - Introduction: A hospital environment can be a significant burden and a health risk especially for dementia patients. Mobile x-ray equipment (ME) is used to enable imaging of these patients at home. The aim was to compare image quality (IQ) of chest, hip and pelvis images from ME to the stationary equipment (SE) used in a hospital department. Methods: We analysed examinations of the chest (n = 20), hip (n = 64) and pelvis (n = 32). Images were equally obtained from each setting of ME and SE. All images were graded using Visual Grading Analysis (VGA) by three radiographers (hip and pelvis) and three radiologists (chest). Technical IQ assessment was done by 80 additional images of a Contrast-Detail Radiography phantom (CDRAD). Results: All chest images were approved for diagnostic use, as well as the hip AP and pelvis images from SE. ‘Approved proportion of ME images was for HIP antero-posterior (AP) and pelvis, 78% [95% CI: 52–94%] and 81% [95% CI: 54–96%] respectively. Hip axial had an overall low, but not significant different approval rate. Ordered logistic regression indicated higher IQ of HIP AP and pelvic images from SE. This contrasts that the CDRAD substudy indicated better IQ, expressed as IQFinv, from ME. Conclusion: The VGA showed higher IQ for the SE system, while the CDRAD showed higher IQ for the ME system. Implications for practice: Dementia patients can be examined at their home if the acquisition is optimised according to image quality in conjunct to radiation dose. Performing imaging out of the hospital and coordinating the patients’ further treatment are new work areas for radiographers and requires excellent communication skills.

KW - Image quality

KW - Indirect digital radiography

KW - Mobile radiography

KW - Nursing homes

U2 - 10.1016/j.radi.2019.10.004

DO - 10.1016/j.radi.2019.10.004

M3 - Journal article

AN - SCOPUS:85074496276

JO - Radiography

JF - Radiography

SN - 1078-8174

ER -