ArticleJournal of medical radiation sciences2021
Digital radiography reject analysis of examinations with multiple rejects: an Australian emergency imaging department clinical audit.
Article in Journal of medical radiation sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 29 citations in OpenAlex.
- Building Research Capacity in Medical Radiation Sciences Through University-Clinical Partnerships: A Commentary on Working Smarter, Not Harder.Journal of medical radiation sciences · 2026Article
- A nationwide survey of radiographic exposure factor selection practices in small animal veterinary clinics across Ireland.Radiation protection dosimetry · 2026Article
- Image Reject Patterns in Computed Radiography: Insights From a Ghanaian Radiology Department.Journal of medical radiation sciences · 2026Article
- Positional Challenges of the Anteroposterior Pelvic X-Ray: Comparison of Imaging Reject Rates Between Trauma Trolley and Table Bucky.Journal of medical radiation sciences · 2025Article
- Enhancing patient safety through radiograph rejection analysis: Insights from a diagnostic imaging department audit.Pakistan journal of medical sciences · 2025Article
- Image Repeat Analysis in Conventional Radiography in Mobile Clinics: A Retrospective Observational Study.Acta medica Philippina · 2025Article
- Multi-centre digital radiography reject analysis for different clinical room use types: The establishment of local reject reference levels for public hospital departments.Journal of medical radiation sciences · 2024Article
- The cost of perfection: An investigation into the unnecessary rejection of clinically acceptable lateral wrist imaging.Journal of medical radiation sciences · 2023Review
- Application of repeat image analysis to radiation therapy imaging modalities as a quality improvement tool for image guided radiotherapy.Journal of applied clinical medical physics · 2023Article
- Digital radiography reject analysis: A comparison between two radiology departments in New Zealand.Journal of medical radiation sciences · 2023Article
- Making the most of X-ray reject analysis in the digital age.Journal of medical radiation sciences · 2023Article
- Assessment of image rejection in digital radiography.Journal of medicine and life · 2023Article
- The role of quality improvement in radiography.Journal of medical radiation sciences · 2021Article
- Digital radiography reject analysis of examinations with multiple rejects: an Australian emergency imaging department clinical audit.Journal of medical radiation sciences · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe largest source of manmade ionising radiation exposure to the public stems from diagnostic medical imaging examinations. Reject analysis, a form of quality assurance, was introduced to minimise repeat exposures. The purpose of this study was to analyse projection-specific reject rates and radiographic examinations with multiple rejects.
methodsA retrospective audit of rejected radiographs was undertaken in a busy Australian metropolitan emergency digital X-ray room from March to June 2018. The data were collected by reject analysis software embedded within the X-ray unit. Reject rates, and reasons for rejection for each X-ray projection were analysed.
resultsData from 11, 596 images showed overall reject rate was 10.3% and the overall multiple reject rate was 1.3%. The projections with both a high number and high percentage of rejects were antero-posterior (AP) chest (175, 18.1%), AP pelvis (78, 22.5%), horizontal beam hip (61, 33.5%) and horizontal beam knee (116, 30.5%). The projections with both a high frequency and multiple reject rate were horizontal beam knee (32, 8.4%) and horizontal beam hip (17, 9.3%). The top reasons for multiple rejects were positioning (67.1%) and anatomy cut-off (8.4%).
conclusionsThe findings of this study demonstrated that projection-specific reject and multiple reject analysis in digital radiography is necessary in identifying areas for quality improvement which will reduce radiation exposure to patients. Projections that were frequently repeated in this study were horizontal beam knee and horizontal beam hip. Future research could involve re-auditing the department following the implementation of improvement strategies to reduce unnecessary radiation exposure.
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