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The radiographer and or radiologist would ask the LMP prior to performing a radiological examination so as not to irradiate the woman who may have missed her menses or may be pregnant.
The 28-day rule is utilized as a precautionary measure for irradiating the fetus at an early stage of conception for abdominal and pelvic radiography. There is a probability of the women being pregnant if the 28-day rule is applied for this examination and thus irradiating the conceptus.
Filling of the request form adequately and in details is therefore paramount to helping the radiologist give less clinically unhelpful radiographic examinations and concise radiological diagnosis ( 2). It also indirectly helps to shorten the investigation time and improve the quality of service offered to the patient.
A request for a Radiological Examination will be regarded as a request from one Clinician or Health Professional to the Radiology Department for an opinion based upon a radiological examination to assist in the management of a clinical problem.
The x-ray request form is an essential tool for communicating patient data and clinical indication from the referring physicians to radiologic departments and reduction of unnecessary radiation dose to the patient.
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The ultimate objective of the diagnostic radiology department is to aid physicians in their efforts to diagnose and treat disease by providing them with timely and reliable information obtained from radiographic examinations using the least amount of radiation necessary for conducting the radiographic examination.
The \u201c10 day rule\u201d recommended that, in women of child-bearing potential, non-urgent x ray examinations that entailed pelvic irradiation should be restricted to the first 10 days of the menstrual cycle. Its rationale was to avoid irradiating a fetus before the mother realised that she was pregnant.
The ideal X-ray beam used for imaging should be: Sufficiently penetrating, to pass through the patient and react with the film emulsion and produce good contrast between the different shadows. Parallel, i.e. non-diverging, to prevent magnification of the image.
Three basic principles should be adhered to when dealing with radiation and making radiographs: \u2022 Time \u2022 Distance \u2022 Shielding. These principles form the basis of a broader radiation safety concept called aLaRa (as Low as Reasonably achievable).
The process of justification allows determining whether the medical exposure will take place or not. The goal of justification is to avoid unnecessary radiological procedure, which would result in patient being unnecessary exposed to ionizing radiation and its potential risks.

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