Review article – X Radiation dose implications in screening patients with ferromagnetic IOFBs prior to MRI: a literary review

Patients scheduled for a magnetic resonance imaging (MRI) scan sometimes require screening for ferromagnetic Intra Orbital Foreign Bodies (IOFBs). To assess this, they are required to fill out a screening protocol questionnaire before their scan. If it is established that a patient is at high risk, radiographic imaging is necessary. This review examines literature to evaluate which imaging modality should be used to screen for IOFBs, considering that the eye is highly sensitive to ionising radiation and any dose should be minimised. Method: Several websites and books were searched for information, these were as follows: PubMed, Science Direct, Web of Knowledge and Google Scholar. The terms searched related to IOFB, Ionising radiation, Magnetic Resonance Imaging Safety, Image Quality, Effective Dose, Orbits and X-ray. Thirty five articles were found, several were rejected due to age or irrelevance; twenty eight were eventually accepted. Results: There are several imaging techniques that can be used. Some articles investigated the use of ultrasound for investigation of ferromagnetic IOFBs of the eye and others discussed using Computed Tomography (CT) and X-ray. Some gaps in the literature were identified, mainly that there are no articles which discuss the lowest effective dose while having adequate image quality for orbital imaging. Conclusion: X-ray is the best method to identify IOFBs. The only problem is that there is no research which highlights exposure factors that maintain sufficient image quality for viewing IOFBs and keep the effective dose to the eye As Low As Reasonably Achievable (ALARA)

X Radiation dose implications in screening patients with ferromagnetic IOFBs prior to MRI: a literary review

Patients scheduled for a magnetic resonance imaging (MRI) scan sometimes require screening for ferromagnetic Intra Orbital Foreign Bodies (IOFBs). To assess this, they are required to fill out a screening protocol questionnaire before their scan. If it is established that a patient is at high risk, radiographic imaging is necessary. This review examines literature to evaluate which imaging modality should be used to screen for IOFBs, considering that the eye is highly sensitive to ionising radiation and any dose should be minimised. Method: Several websites and books were searched for information, these were as follows: PubMed, Science Direct, Web of Knowledge and Google Scholar. The terms searched related to IOFB, Ionising radiation, Magnetic Resonance Imaging Safety, Image Quality, Effective Dose, Orbits and X-ray. Thirty five articles were found, several were rejected due to age or irrelevance; twenty eight were eventually accepted. Results: There are several imaging techniques that can be used. Some articles investigated the use of ultrasound for investigation of ferromagnetic IOFBs of the eye and others discussed using Computed Tomography (CT) and X-ray. Some gaps in the literature were identified, mainly that there are no articles which discuss the lowest effective dose while having adequate image quality for orbital imaging. Conclusion: X-ray is the best method to identify IOFBs. The only problem is that there is no research which highlights exposure factors that maintain sufficient image quality for viewing IOFBs and keep the effective dose to the eye As Low As Reasonably Achievable (ALARA)

What We Know about Ethical Research Involving Children in Humanitarian Settings An overview of principles, the literature and case studies

This working paper identifies and explores the issues that should be considered when undertaking ethical research involving children in humanitarian settings. Research grounded in sound ethical principles is critical in ensuring that children’s rights are respected throughout the process and beyond and that the research itself is relevant, useful and valid. This paper examines both the universal (i.e. relevant to all research involving children) and specific ethical issues that may arise when involving children in research in humanitarian settings. This is undertaken through an examination of the literature, a review of relevant case studies and a reflection on the ethical issues highlighted in UNICEF’s Procedure for Ethical Standards in Research, Evaluation, Data Collection and Analysis (the Ethics Procedure). The latter is used as a baseline for generic ethical standards when involving children in research. The key findings of this overview highlight that many of the ethical issues that are present in other settings remain relevant and applicable in the context of humanitarian settings. These ethical issues include: an institution’s capacity to appropriately and respectfully engage children in research, understanding power relations, securing informed consent and assent, ascertaining harms and benefits, maintaining privacy and confidentiality, and ensuring appropriate communication of findings

The Grizzly, February 3, 1989

Hoc\u27sters Hammer Out Honesty Hazards • Middleton Mitts Mega-Bucks to Make Meta-Blood • Absentees Abound: Apathy Apparent • Letter: Bussers and Shirts Ream Reed • Pinsker\u27s Pace Paralyzes Prof. Pack • Grim Groans at Rock Ignorants • Plan B Plants U.C. in Place • Lady Bears Breeze by Lehigh • Hoopsters Haul Ball • AquaBears Swim On • Seniors Snarf Steak • Cinders Casting • Durst Demonstrates Decking Deftness • U.C. Supposedly Safe and Sound • Fruit Fantasy Makes Maxi Delight • U.C. Mourns Losshttps://digitalcommons.ursinus.edu/grizzlynews/1227/thumbnail.jp

The Grizzly, February 17, 1989

Malicious Arson Attempt Suspected In Fire • Board of Dirs. Calls for Big, but Beneficial Bucks • Letter: Let\u27s Keep Campbell! • WVOU Far From FM Waves • Glastnost Russian Roulette? • Freeman Displays Her Patchwork • Grim: No Meal Like a Home Meal • Drug Awareness a Downer • Title in Sight • Wrestlers Cruising at Unprecedented 21-2 • \u27Nasts O.K. • Intro. to Judaism Offered • Women\u27s Indoor Crushes \u27Em • Men\u27s Track \u27Sloshing\u27 Along • Aquabears Paddlin\u27 Wellhttps://digitalcommons.ursinus.edu/grizzlynews/1229/thumbnail.jp

The Grizzly, February 10, 1989

Ursinus Seeks Mid-States Reaccreditation • Heck Beats Traffic Blahs • Letter: Doughty Expresses Doubts • U.C. Salutes French Bicentennial • Medieval Fest Needs You • Ginsberg to Give Revolutionary Forum • Casa Maria: Muy Bien • de la Hoya Happy • Ursinus Slays F & M • U.C. Aims for Title • O\u27Malley Leaps to Nationals • Women\u27s Indoor Inspiring • U.C. Fields Strong Squad • A\u27Bears Peaking at Right Time • Scholarships to Scotland • Guess Who\u27s Coming for Dinner? • His Cheating Makes Twice the Test for You • Hallinger Argues for Proposal 42: Academics Before Athlete • Greenstein Grabs Grim \u27Just Right\u27 • Valentine No-No\u27s • From America With Love: Students Flock to U.C.https://digitalcommons.ursinus.edu/grizzlynews/1228/thumbnail.jp

Experimental article – A balance between image quality and effective dose in orbital X-ray screening for ferromagnetic IOFBs: a pilot study

Purpose: To investigate whether standard X-ray acquisition factors for orbital radiographs are suitable for the detection of ferromagnetic intra-ocular foreign bodies in patients undergoing MRI. Method: 35 observers, at varied levels of education in radiography, attending a European Dose Optimisation EURASMUS Summer School were asked to score 24 images of varying acquisition factors against a clinical standard (reference image) using two alternative forced choice. The observers were provided with 12 questions and a 5 point Likert scale. Statistical tests were used to validate the scale, and scale reliability was also measured. The images which scored equal to, or better than, the reference image (36) were ranked alongside their corresponding effective dose (E), the image with the lowest dose equal to or better than the reference is considered the new optimum acquisition factors. Results: Four images emerged as equal to, or better than, the reference in terms of image quality. The images were then ranked in order of E. Only one image that scored the same as the reference had a lower dose. The reference image had a mean E of 3.31μSv, the image that scored the same had an E of 1.8μSv. Conclusion: Against the current clinical standard exposure factors of 70kVp, 20mAs and the use of an anti- scatter grid, one image proved to have a lower E whilst maintaining the same level of image quality and lesion visibility. It is suggested that the new exposure factors should be 60kVp, 20mAs and still include the use of an anti-scatter grid