ABSTRACT
X-ray imaging and diagnosis over the years has emerged an indispensable tool in medicine which offers rapid accessible insights into various medical conditions thereby enabling effective diagnosis, treatment and patient care across different healthcare settings. However, unregulated and indiscriminate use of X-radiation, non-compliance to regulations governing the use of ionizing radiation in diagnosis and absence of regular Quality Control (QC) measurements and Quality Assurance (QA) programs could jeopardize the safety of staff, patients and the general public by exposing them to radiation hazards. This study aimed at evaluating the adherence of diagnostic X-ray facilities in Calabar, Nigeria to international recommendations, focusing on QC measurements and QA programs. A systematic survey was conducted across multiple X-ray facilities in Calabar to gather data on their equipment, operational practices and data compliance protocols. Simultaneously, QC measurements were carried out to assess the performance and calibration of the X-ray machines. The findings revealed varying levels of compliance with international recommendations among the surveyed facilities. While some demonstrated commendable adherence to quality control protocols, others exhibited shortcomings in maintaining standards. Through the QC measurements conducted, specific areas of improvement were identified, highlighting the need for enhanced calibration procedures, consistent adherence to safety standards and ongoing training for personnel to ensure optimal performance and patient safety. This study underscores the importance of regular assessments and compliance with international standards in diagnostic X-ray facilities to guarantee accurate diagnoses, minimize radiation exposure and prioritize patient care. Recommendations are proposed to aid facilities in elevating their standards and promoting a safer diagnostic environment in Calabar, Nigeria.
References
- [1] American Association of Physicists in Medicine. (2002). Quality control in diagnostic radiology: Report of Task Group #12. Diagnostic X-ray Imaging Committee (Report No. 74). Editors: S.J. Shepard & P.J.P. Lin.
- [2] Army, U. S. (1984). Occupational and Environmental Health: Management and Control of Diagnostic X-ray, Therapeutic X-ray, and Gamma-beam Equipment. Headquarters, Department of the Army.
- [3] Berger, H. (1977). Non-Destructive Testing Standards: A Review. ASTM International.
- [4] Dabukke, S., Timbangen, S., Marhaposan, S., Kerista, T., Liberti, T., Juliana, S., & Berkat, P. (2018, July 17). Quality Control Parameters of Illumination, Collimation andHalf Value Layer on X-Ray General Radiography and MobileRadiography. International Journal of Scientific Research in Science, Engineering and Technology IJSRSET 4(9), pp. 121-125.
- [5] Eze, E., & Adams, O. H. (2017). Respondents assessment of operational status of x-ray machines in Benin city, Nigeria. Journal of Medicine and Biomedical Research 16(1), 62-67.
- [6] Ganapathy, A., Adhikari, N. K., Spoegelman, J., & Scales, D. C. (2012). Routine chest x-rays in intensive care units: a systematic review and meta-analysis. Critical Care.
- [7] , O., A., S., I., I. S., & A., K. (2010). Radiation Dose MEasurement in Routine X-ray Examinations. Tenth Radiation Physics & Protection Conference, (pp. 287-294). Nasr, Cairo Egypt.
- [8] Hamid, G.-N., Mohammad-Taghi, B.-T., Zare, M. H., Sadeghi, H. R., & Sadoughi, H. R. (Autumn 2013). Quality Control Status of Radiology Centers of Hospitals Associated with Mashhad University of Medical Sciences. Iranian Journal of Medical Physics / Majallah-I Fīzīk-I Pizishkī-i Īrān 11(1), pp. 182-187.
- [9] Hassan, G. M., Rabie, N., Mustafa, K. A., & Abdel-Khalid, S. S. (2012). Study on the quality of disgnostic X-ray machines and assessment of the absorbed dose to patients. Radiation Effects and Defects in Solids 167(9), 704-711.
- Idowu, B. M., & Okedere, T. A. (2020). Diagnostic Radiology in Nigeria: a country report . Journal of Global Radiology 6(1).
- Inyang, S. O., Egbe, N. O., & Ekpo, E. (2015). Challenges in setting up quality control in diagnostic radiology facilities in Nigeria. Nigerian Journal of Medicine 24(4), 344-347.
- Inyang, S. O., Egbe, N. O., Inyang, I. S., & Oshi, D. O. (2010). Bsdeline survey of level of Quality Control in Medical Radiology in Cross River State.
- ISO, (. O. (2015). QUality management systems- fundamentals and vocabulary. ISO 9000.
- Jeffrey, P. (2014). QUality MAnagement in the Imaging Sciences (5th Ed).
- Mammba, H. P., Khamis, F. O., Suleiman, A. S., Edmund, E. D., Salum, S. K., & Makoba, A. (2023). Quality Control Monitoring of Medical Diagnostic X-Ray Units in Southern Tanzania. Iranian Journal of Medical Physics 20, pp. 53-61.
- Nkubli, F. B., Nzotta , C. C., Nwobi, N. I., Moi, S. A., Adejoh, T., Luntsi, G., . . . Shem, L. S. (2017). A Survey of Structural Design of Diagnostic X-ray Imaging Facilities and Compliance to Shielding Design Goals in a Limited Resource Setting. Journal of Global Radiology 3(1).
- Ofori, E. K., Antwi, W. K., Arthur, L., Yeboah, C. A., & Dzefi-Tettey, K. (2013, Jan-Jun). Analysis and \economic Implications of X-ray Fil Repeat/Reject in selected Hospitals in Ghana. West African Journal of Radiology 20(1), pp. 14-18.
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