Publications by authors named "Denisa Nikodemova"

Optimization in mammography remains the most important tool in practice. In the optimization process, we look for a balanced relationship between image quality and patient dose. For mammographic examinations, the diagnostic reference levels (DRLs) are expressed as the average glandular dose (AGD) based on the thickness of the compressed breast.

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One of the most common usages of radiation in current medical diagnosis is computed tomography (CT) using X-rays. The potential health risk of CT scans has been discussed in various studies to determine whether low-dose radiation from CT could enhance the chromosome aberration yields in pediatric patients and increase their risk of carcinogenesis. For this reason, it is of great interest to study the effects of low-dose radiation.

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The coronary CT angiography (CCTA) is a frequent diagnostic method connected with large variability of effective dose. Therefore, it is the type of examination where optimization is very important and the use of a national diagnostic reference level (DRL) recommended. In Slovakia the DRL for interventional radiology examinations until now fails.

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Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries.

Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses.

Results: Modern MDCT systems are available in 77 % of the facilities surveyed with dedicated paediatric CT protocols available in 94 %.

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