Current situation and analysis of radiological diagnosis and treatment resources in Inner Mongolia Autonomous Region, China, 2019 / 中国辐射卫生

Objective To comprehensively obtain the present situation of medical radiation protection resources by investigating the basic information of all medical institutions in Inner Mongolia Autonomous Region, China from 2017 to 2019. Methods An investigation was conducted on the basic information of medical institutions according to the unified plan of medical radiation protection monitoring project issued in Inner Mongolia Autonomous Region, involving all radiodiagnostic medical institutions throughout the region. Results By the end of 2019, there were 1195 radiological diagnosis and treatment institutions, 7285 radiation workers, 2705 sets of radiological diagnostic equipment, 36 medical accelerators, and 22 sets of nuclear medicine equipment in the whole region. Conclusion The radiological diagnosis and treatment resources in Inner Mongolia Autonomous Region are developing rapidly. However, the problems of insufficient per capita resources and uneven development among the cities are becoming increasingly prominent.

Survey on frequency of medical X-ray diagnosis in Inner Mongolia region / 中华放射医学与防护杂志

Objective To obtain the information on frequency of diagnostic medical X-ray examination and age distribution of examined individuals surveyed through samples from 12 hospitals in Inner Mongolia region to provide the basis for the optimization of medical exposure.Methods Stratified sampling method was used to select 12 hospitals in the region to survey the information of examined patients on sex,age and exposed location of patients undergoing medical X-ray examination in 2015 and 2016.Based on the information on number of inpatients,number of inpatients and total number of staff,the total frequency of medical X-ray examinations in the region for 2015 and 2016 was estimated by using multiple linear regression model.Results The survey showed that the total frequency of medical exposure was,in decreasing order,tertiary hospitals ＞ secondary hospitals ＞ primary hospitals,and meanwhile the general hospitals ＞ specialized hospitals.Values on frequency in general hospitals in 2015 and 2016 were 223 examinations per 1 000 population and 233 per 1 000 in conventional X-ray examination,96 per 1 000 and 125 per 1 000 in CT examination,1 per 1 000 and 2 per 1 000 in fluoroscopy,35 per 1 000 and 19 per 1 000 in dental radiology,1 per 1 000 and 2 per 1 000 in breast fluoroscopy in the region,respectively.Conclusions The frequency of radiological diagnosis and treatment in Inner Mongolia showed an rapid upward trend,but varied greatly dependent on the levels and types of medical institutions.Further surveys should be expanded with focuses on their comprehensiveness and relevancy.

Investigation on entrance surface doses to patients from medical X-ray diagnosis in Inner Mongolia autonomous region / 中华放射医学与防护杂志

Objective To analyze the levels of entrance surface dose (ESD) to patients from diagnostic medical X-ray examinations in Inner Mongolia autonomous region.Methods The investigation of diagnostic medical X-ray examinations was completed in 30％ of the number of hospitals under the requirement of the program plan of the national survey on frequency and dose from medical exposure.The investigation of ESDs to patients from general diagnostic X-ray examinations was carried out in terms of the scale of annual outpatients in different levels of hospital.The difference in ESDs to patients was compared for different equipments,different grade hospitals and different exposure sites,with the comparison result being subjected to rank sum test.Results In all types of diagnostic medical X-ray equipment,DR photography equipment accounted for the majority.During various routine diagnostic X-ray examinations,the average ESDs was lumbar vertebral 3.39 mGy,pelvic and hip 1.65 mGy,cervical spine 0.90 mGy,extremities 0.38 mGy and thorax 0.37 mGy,respectively.In the diagnostic examinations of chest,lumbar and cervical spine,the ESDs caused by the use of screen film photography equipment were higher than those by DR photography equipment,with statistically significant difference (Z =-3.229,-4.820,-5.265,P＜0.05).Conclusions Screen film photography equipment results in higher ESD than DR photography equipment.The doctor's operation behavior is an important factor that affects the ESD.