Skip to main content
Log in

Small intestine biopsy of children with coeliac disease: Influence of X-ray equipment on radiation dosage

  • Original Articles
  • Pediatric Radiology
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

In paediatric radiology intestinal biopsies for the diagnosis of coeliac disease are performed using fluoroscopy. The radiation exposure to the child depends on the X-ray equipment. We report patient measurements from three different equipments (A, B and C) together with a phantom study simulating children of different thickness relative to age. The median values of the mean absorbed dose to the child in the irradiated volume were 1.2 mGy (A), 0.79 mGy (B) and 0.15 mGy (C). The results show that the increase in tube potential with increasing distance in one equipment decreases the dosage, and also that modern equipment should be employed. Particularly old image intensifiers should not be used. With an optimal choice of equipment the dosage to the child can be reduced fourfold. The combination of an optimal technique of sedation and an experienced operator can reduce the dosage tenfold.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Meuwisse GW (1970) Diagnostic criteria in coeliac disease. Acta Paediatr Scand 59: 461

    Google Scholar 

  2. Walker-Smith JA, Guandalini S, Schmitz J, Shmerling DH, Visakorpi JK (1990) Revised criteria for diagnosis of coeliac disease. Report of working group of the European Society of Paediatric Gastroenterology and Nutrition. Arch Dis Child 65: 909

    Google Scholar 

  3. Cavell B, Stenhammar L, Ascher H et al. (1992) Increasing incidence of childhood coeliac disease in Sweden. Results of a national study. Acta Paediatr 81: 589

    Google Scholar 

  4. Persliden J, Pettersson HBL, Fälth-Magnusson K (1993) Small intestinal biopsy in children with coeliac disease: measurement of radiation dose and analysis of risk. Acta Paediatr 82: 296

    Google Scholar 

  5. Maintenance of X-ray equipment, organization, content and performance. Spri råd 6.27: 2. Spri, Stockholm 1987. (in Swedish)

  6. Sandborg M, Dance D, Alm-Carlsson G, Persliden J (1993) Monte Carlo study of grid performance in diagnostic radiology: factors which affect the selection of tube potential and grid ratio. Br J Radiol 66: 1164

    Google Scholar 

  7. Granditsch G, Deutsch J, Tsarmaklis G, Kletter K (1981) Exposure to X-rays during small bowel biopsies in children. Eur J Pediatr 137: 165

    Google Scholar 

  8. Kushner DC, Herman TE, Cleveland RH, Kleinman RE, Goodsitt MM (1988) Reduction of radiation exposure during gastro-intestinal biopsy procedures in children. Invest Radiol 23: 211

    Google Scholar 

  9. Stenhammar L, Wärngård O, Lewander P, Nordvall M (1993) Oral versus intravenous premedication for small bowel biopsy in children: effect on procedure and fluoroscopy times. Acta Paediat 82: 49

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Correspondence to: J. Persliden

Rights and permissions

Reprints and permissions

About this article

Cite this article

Persliden, J., Pettersson, H.B.L., Stenhammar, L. et al. Small intestine biopsy of children with coeliac disease: Influence of X-ray equipment on radiation dosage. Eur. Radiol. 4, 458–461 (1994). https://doi.org/10.1007/BF00212821

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00212821

Key words

Navigation