Publications by authors named "Urban Zdesar"

: Radiography is an essential and low-cost diagnostic method in pulmonary medicine that is used for the early detection and monitoring of lung diseases. An adequate and consistent image quality (IQ) is crucial to ensure accurate diagnosis and effective patient management. This pilot study evaluates the feasibility and effectiveness of the International Atomic Energy Agency (IAEA)'s remote and automated quality control (QC) methodology, which has been tested in multiple imaging centers.

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Setting: The organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50-69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for quality assurance in breast cancer screening and diagnosis (4th edition), including centralized assessment, training and supervision, and proactive monitoring of performance indicators. This report describes the progress of implementation and rollout from 2003 through 2019.

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Background: Percutaneous endovascular revascularisation interventions are increasingly used in treatment of lower extremity artery disease and may expose patients to substantial radiation.

Patients And Methods: Dose-area product (DAP) was retrospectively analysed in 1063 consecutive interventions performed in adult patients with lower extremity artery disease in a single tertiary medical centre. Differences between procedure types, stratified according to anatomical region and arterial lesion complexity were evaluated.

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Peak skin doses to patients undergoing interventional radiological procedures in a 3-year period were assessed to identify the most critical procedures and evaluate probability for occurrence of radiation-induced tissue injuries. Data of 7607 patients were reviewed, identifying those with cumulative air kerma at a reference point (Ka,r) exceeding 3 Gy. Observed tissue injuries in patients with exceeded levels were gathered by a questionnaire.

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Purpose: The International Atomic Energy Agency (IAEA) through a Coordinated Research Project on "Enhancing Capacity for Early Detection and Diagnosis of Breast Cancer through Imaging", brought together a group of mammography radiologists, medical physicists and radiographers; to investigate current practices and improve procedures for the early detection of breast cancer by strengthening both the clinical and medical physics components. This paper addresses the medical physics component.

Methods: The countries that participated in the CRP were Bosnia and Herzegovina, Costa Rica, Egypt, India, Kenya, the Frmr.

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Background: Parathyroid subtraction scintigraphy (PSS) is the most commonly used imaging method for localisation of hyperfunctioning parathyroid glands (HPGs) in primary hyperparathyroidism (PHP), a common endocrine disorder. Hybrid (SPECT/CT) imaging with Tc-sestaMIBI (MIBI) at an early and delayed phase (dual-phase imaging) may be the most accurate conventional imaging approach, but includes additional radiation exposure due to added CT imaging. Recently, F-choline (FCH) PET/CT was introduced for HPG imaging, which can also be performed using the dual-phase approach.

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Background: The aim of the study was to systematically evaluate population exposure from diagnostic and interventional radiological procedures in Slovenia.

Methods: The study was conducted in scope of the "Dose Datamed 2" project. A standard methodology based on 20 selected radiological procedures was adopted.

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Diagnostic reference levels are a well-established tool for optimisation in diagnostic radiology. A dose-reference level for certain diagnostic procedures, meant to identify practices with unusually high doses, is usually set at the third quartile of the distribution of doses in different diagnostic centres. If image quality is somehow quantified, the same 'worst quarter' principle can also be used to identify practices with less than optimal performance in terms of image quality.

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