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Reject Analysis in Digital Radiography and Computed Tomography: A Belgian Imaging Department Case Study Cover

Reject Analysis in Digital Radiography and Computed Tomography: A Belgian Imaging Department Case Study

Open Access
|Dec 2023

Figures & Tables

Table 1

DR Reject Rate and corresponding radiation dose according to body region.

BODY REGIONREJECTED DR PER BODY REGIONDR ACQUIRED PER BODY REGIONDR REJECT RATE PER BODY REGIONCONVERSION FACTORS (MSV/GY.CM2)REJECTED DR CUMULATIVE DAP (GY.CM2)REJECTED DR CUMULATIVE ED (MSV)
Foot4016,9745.7%0.00326.40.1
Knee1,99711,15717.9%0.003145.30.5
Femur557107.7%0.03624.60.9
Hips9747,50513.0%0.130379.849.4
Abdomen801,6484.9%0.18067.012.1
Pelvis6547,3508.9%0.140500.270.0
Lumbar spine65920,7663.2%0.220858.8188.9
Thoracic spine1522,5845.9%0.24074.317.8
Cervical spine2906,4364.5%0.19025.04.8
Shoulder81115,3035.3%0.064131.58.4
Chest2,83226,84410.5%0.160152.624.4
Total8,904107,2778.3%2,385.3377.3

[i] Table 1 shows the number of rejected DR according to body region as well as the number of DR acquired per body region (including both accepted and rejected DR examinations). It also shows the conversion factors specific to each body region and the corresponding cumulative effective doses (ED).

Table 2

The identified reasons for DR image rejection.

DR REJECT REASONN(%)
Positioning5,431 (61%)
Anatomy cut-off1,888 (21%)
Clothing artefact712 (8%)
Under exposed356 (4%)
Poor inspiration338 (3.8%)
Over exposed162 (2%)
Software failure9 (0.11%)
Other failure8 (0.09%)
Total8,904

[i] Table 2 shows the list of reasons for DR rejection and their percentage of occurrence.

Table 3

CT Reject Rate and corresponding radiation dose according to body region.

BODY REGIONREJECTED CT PER BODY REGIONCT ACQUIRED PER BODY REGIONCT REJECT RATE PER BODY REGIONCONVERSION FACTORS (MSV/MGY.CM)REJECTED CT CUMULATIVE DLP (MGY.CM)REJECTED CT CUMULATIVE ED (MSV)
HEAD2414,5145.3%0.0021110,874.0232.8
NECK309,3220.3%0.005914,439.885.2
CHEST222,0411.1%0.01403,389.047.4
ABDOMEN PELVIS1729,3221.8%0.015051,077.2766.2
EXTREMITIES491,1844.1%0.01109,050.3135.8
Total51420,6592.5%188,830.31,267.4

[i] Table 3 shows the number of rejected CT according to body region as well as the number of CT acquired per body region (including both accepted and rejected CT examinations). It also shows the conversion factors specific to each body region and the corresponding cumulative effective doses (ED).

Table 4

The identified reasons for CT image rejection.

CT REJECT REASONN(%)
Positioning225 (44%)
Anatomy cut-off148 (29%)
Patient movement46 (8,9%)
Inappropriate contrast phase36 (7%)
Metal Artefact29 (6%)
Poor Inspiration20 (4%)
Software failure5 (0.1%)
Other failure5 (0.1%)
Total514

[i] Table 4 shows the list of reasons for DR rejection and their percentage of occurrence.

DOI: https://doi.org/10.5334/jbsr.3259 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jul 6, 2023
Accepted on: Oct 25, 2023
Published on: Dec 22, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Laura Haddad, Hanna Saleme, Nigel Howarth, Denis Tack, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.