AGFA DX-D 600 User Manual page 187

APPENDIX A
0242F EN 20181218
GUIDELINES FOR PEDIATRIC
APPLICATIONS
Children are more radiosensitive than adults. Adopting the
Image Gently campaign guidelines and reducing dose for
radiographic procedures while maintaining acceptable
clinical image quality will benefit patients.
Please review the following link and reduce pediatric technique factors
accordingly: http://www.pedrad.org/associations/5364/ig/
As a general rule, next recommendations shall be observed in pediatrics:
X-Ray Generator must have short exposures times.

AEC must be used carefully, preferably use manual technique setting,

applying lower doses.
If possible, use high kVp techniques.

As the use of Grids requires higher doses, never use Grids in pediatric

Exams. Remove the Grid from the Receptor assembly and select the
lower possible doses. if the Grid can not be detached, pediatric exams
can not performed using this device.
Positioning the pediatric patient: Pediatric patients are not as likely as adults
to understand the need to remain still during the procedure. Therefore it makes
sense to provide aids to maintaining stable positioning. It is strongly
recommended the use of immobilizing devices such as bean bags and
restraint systems (foam wedges, adhesive tapes, etc.) to avoid the need of
repeating exposures due to the movement of the pediatric patients. Whenever
possible use techniques based on the lowest exposure times.
Shielding: We recommend you provide extra shielding of radiosensitive
organs or tissues such as eyes, gonads and thyroid glands. Applying a
correct collimation will help to protect the patient against excessive radiation as
well. Please review the following scientific literature regarding pediatric
radiosensitivity: GROSSMAN, Herman. "Radiation Protection in Diagnostic
Radiography of Children". Pediatric Radiology, Vol. 51, (No. 1): 141- -144,
January, 1973: http://pediatrics.aappublications.org/cgi/reprint/51/1/141.
DX-D 600
User Manual
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