Reduction in retake rates and radiation dosage through computed radiography.

Abstract

The availability of computed radiography has opened the possibility of using reduced dosage for radiographs in clinical settings and reducing the retake rate. A prospective controlled study was carried out over a period of four months comparing conventional X-rays and computed radiography. The aim was to assess if computed radiography at 50% normal dosage would result in films of adequate quality and a reduced retake rate compared to conventional radiography. The number and reason for retakes in each group were recorded. Film quality comparison using only chest X-rays (CXR) in one of three positions; erect posterior-anterior (PA), anterior-posterior (AP) sitting and supine was done by a panel of radiologists. A total of 6373 conventional and 4127 digital films were analysed. The overall retake rate was lower in the computed radiography group (4.6 vs 8.2% P < 0.001) as was the retake rate due to exposure factors (0.6% vs 3.2% P < 0.01). There was a higher proportion of optimal films in the computed radiography group for erect PA and sitting AP CXR (71% vs 61% P = 0.0015 and 64% vs 9% P = 0.0009 respectively) but no difference for supine films. Computed radiography resulted in a reduced retake rate due to exposure factors leading to a reduction in the overall retake rate. Despite 50% dosage reduction, films were of better or equal quality when compared to conventional radiography.