欧洲共同体委员会(CEC)发布了:《诊断射线照相图像质量标准欧洲指南》。这些准则被认为是黄金标准,建议在质量保证协议中使用。这项研究的目的:1)根据CEC质量标准,为丹麦脊椎整脊诊所提供一种分级分类格式,用于腰椎诊断X线图像。2)提出射线照相图像质量报告原则。3)记录诊所之间辐射暴露的变化。
这是一项基于148个脊椎按摩诊所随机抽样的图像质量横断面研究。如果使用:1)数字X线摄影和2)丹麦北欧脊椎按摩和临床生物力学研究所(NIKKB)的脊椎按摩图片和存档系统(KirPACS),则包括诊所。从KirPACS(2018年1月)随机收集296个腰椎系列样本。两名独立观察员以4周的间隔两次回顾了50腰椎系列,测试观察者内和观察者间的再现性。然后,相同的观察者回顾了其余的246项射线照相研究。所有研究均使用CEC质量标准进行评估。从KirPACS(2020年第一季度)检索患者的辐射剂量值。
148个整脊诊所采用了诊断图像质量的报告和分类原则。符合22个CEC质量标准的比例为18个标准的0.72-0.96,而规定细节和定义的4个标准在0.20-0.66之间。拟议的评级系统(A到E)显示:18个诊所,28个B诊所,32个C诊所,25个D诊所和45个E诊所(A=最高质量;E=最低质量)。对于AP/PA腰椎,丹麦的患者辐射参考剂量为7mGy。很少有诊所超过参考剂量值,大约50%的诊所低于5mGy。
提出了基于CEC质量标准的腰椎诊断射线照相图像的分级分类格式的报告原则。在148个丹麦脊椎指压诊所中,质量标准大部分令人满意,但是重要的图像细节被泄露了,在大多数情况下,因为病人的辐射剂量低.患者辐射剂量调查的结果能够记录脊椎按摩诊所中辐射暴露的变化。
The Commission of the European Communities (CEC) has published: European
Guidelines on Quality Criteria for Diagnostic Radiographic Images. These
guidelines are considered a gold standard, recommended for use in quality assurance protocols. The objectives of this study: 1) Propose a graded classification format for Danish chiropractic clinics according to the CEC-quality criteria for diagnostic radiographic images of the lumbar spine. 2) Propose a reporting principle for quality of radiographic images. 3) Document variation in radiation exposure among clinics.
This is a cross-sectional study of image quality based on random sampling from 148 chiropractic clinics. Clinics were included if using: 1) Digital radiography and 2) The chiropractic picture and archiving system (KirPACS) at the Nordic Institute of Chiropractic and Clinical Biomechanics (NIKKB) in Denmark. A sample of 296 lumbar spine series were randomly collected from KirPACS (January 2018). Two independent observers reviewed 50 lumbar spine series twice with a 4-week interval, testing intra- and inter-observer reproducibility. The same observers then reviewed the remaining 246 radiographic studies. All studies were evaluated using the CEC Quality Criteria. Patient radiation dose values were retrieved from KirPACS (First quarter of 2020).
A reporting and classification principle of diagnostic image quality was used in 148 chiropractic clinics. Compliance with the 22 CEC Quality Criteria had proportions ranging from 0.72-0.96 for 18 criteria, while 4 criteria specifying detail and definition ranged between 0.20-0.66. The proposed rating system (A to E) revealed: 18 A clinics, 28 B clinics, 32 C clinics, 25 D clinics and 45 E clinics (A = highest quality; E = lowest quality). The patient radiation reference dose in Denmark is 7 mGy for the AP/PA lumbar spine. Very few clinics exceed the reference dose value, approximately 50% of clinics were below 5 mGy.
A reporting principle is proposed for a graded classification format based on the CEC-quality criteria for diagnostic radiographic images of the lumbar spine. The Quality Criteria are for the most part met satisfactorily in 148 Danish chiropractic clinics, but important image details are compromised, in most cases, because of low patient radiation doses. The results of a patient radiation dose survey enabled documentation of variation in radiation exposure among chiropractic clinics.