Evidence map›Paper›PMID 42005626›Full record

ArticleHealth science reports2026

Pediatric Diagnostic Reference Levels for Chest X-Rays in the Northern Cape Province of South Africa: A Descriptive Study.

O L Lackay, J Horn-Lodewyk, H Muller

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

O L LackayDepartment of Clinical Sciences Central University of Technology Free State Bloemfontein Free State South Africa.
J Horn-LodewykDepartment of Clinical Sciences Central University of Technology Free State Bloemfontein Free State South Africa.
H MullerDepartment of Clinical Sciences Central University of Technology Free State Bloemfontein Free State South Africa.ORCID https://orcid.org/0000-0002-1362-4299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The International Commission on Radiological Protection emphasizes dose optimization for pediatric patients due to their higher radiosensitivity. Establishing diagnostic reference levels (DRLs) supports this goal during radiological examinations. This study aimed to establish pediatric diagnostic reference levels (PiDRLs) for anteroposterior (AP) chest X-rays across four hospitals in the Northern Cape Province, South Africa. Methods: PiDRLs were calculated for 375 pediatric patients (birth to 12 years) categorized by weight bands and age groups. Image quality was assessed using an image quality assessment checklist. DRLs were determined as the 75th percentile of the dose distribution for fixed X-ray units. An image quality assessment was performed to establish if the dose levels consistently produced images of acceptable diagnostic quality. Results: Mean PiDRLs for weight groups < 5 kg, 5- < 15 kg, 15- < 30 kg, 30- < 50 kg were 0.2 mGy, 0.2 mGy, 0.2 mGy, and 0.3 mGy, respectively. Corresponding values for age groups < 1 year, 1- < 5 years, 5- < 10 years, and 10- < 12 years were 0.2 mGy, 0.2 mGy, 0.3 mGy, and 0.3 mGy, respectively. Image quality was consistently high, with the 75th percentile slightly exceeding international benchmarks. The image quality assessment confirmed that the dose levels produced images of acceptable image quality. Conclusion: PiDRLs match select international benchmarks, offering a baseline for South African optimization. This study contributes valuable regional data to support radiation safety and dose optimization in pediatric medical imaging in South Africa.

Indexed as

age groupschest X‐raysdose optimizationimage qualitypediatric; diagnostic reference levelsradiation protectionweight bands

Identifiers

PMID42005626
PMCPMC13087632

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