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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
IAEA survey of pediatric CT practice in 40 countries in Asia, Europe, Latin America, and Africa: Part 1, frequency and appropriateness
American Journal of Roentgenology, Volume 198, No. 5, Year 2012
Notification
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Description
OBJECTIVE. The purpose of this study was to assess the frequency of pediatric CT in 40 less-resourced countries and to determine the level of appropriateness in CT use. MATERIALS AND METHODS. Data on the increase in the number of CT examinations during 2007 and 2009 and appropriate use of CT examinations were collected, using standard forms, from 146 CT facilities at 126 hospitals. RESULTS. The lowest frequency of pediatric CT examinations in 2009 was in European facilities (4.3%), and frequencies in Asia (12.2%) and Africa (7.8%) were twice as high. Head CT is the most common CT examination in children, amounting to nearly 75% of all pediatric CT examinations. Although regulations in many countries assign radiologists with the main responsibility of deciding whether a radiologic examination should be performed, in fact, radiologists alone were responsible for only 6.3% of situations. Written referral guidelines for imaging were not available in almost one half of the CT facilities. Appropriateness criteria for CT examinations in children did not always follow guidelines set by agencies, in particular, for patients with accidental head trauma, infants with congenital torticollis, children with possible ventriculoperitoneal shunt malfunction, and young children (< 5 years old) with acute sinusitis. In about one third of situations, nonavailability of previous images and records on previously received patient doses have the potential to lead to unnecessary examinations and radiation doses. CONCLUSION. With increasing use of CT in children and a lack of use of appropriateness criteria, there is a strong need to implement guidelines to avoid unnecessary radiation doses to children. © American Roentgen Ray Society.
Authors & Co-Authors
Vassileva, J.
Bulgaria, Sofia
National Center of Radiobiology and Radiation Protection Bulgaria
Rehani, Madan Mohan
Austria, Vienna
International Atomic Energy Agency, Vienna
Al-Dhuhli, Humoud H.
Oman, Muscat
Sultan Qaboos University
Al-Naemi, Huda M.
Qatar, Doha
Hamad General Hospital
AlSuwaidi, Jamila Salem
United Arab Emirates, Dubai
Dubai Hospital
Appelgate, Kimberly
United States, Atlanta
Emory University School of Medicine
Arandjic, D.
Serbia, Belgrade
Institut za Nuklearne Nauke Vinca
Bashier, Einas Hamed Osman
Sudan, Khartoum
Sudan Atomic Energy Commission
Beganovic, Adnan
Bosnia and Herzegovina, Sarajevo
Univerzitet u Sarajevu
Benavente, Tony
Peru, Lima
Instituto Peruano de Energia Nuclear
Biegański, Tadeusz
Poland, Lodz
Instytut Centrum Zdrowia Matki Polki
Dias, Simone
Brazil, Rio de Janeiro
Comissão Nacional de Energia Nuclear Rio de Janeiro
El-Nachef, Leila
Lebanon
Lebanon Atomic Energy Commission
Faj, Dario
Croatia, Osijek
Kbc Osijek
Gamarra-Sánchez, Mirtha E.
Paraguay, Asuncion
Ministerio de Salud Pública y Bienestar Social
Garcia-Aguilar, Juan
Mexico, Ocoyoacac
Instituto Nacional de Investigaciones Nucleares
Gbelcová, L'ubka
Slovakia, Bratislava
Slovak Medical University
Gershan, V.
North Macedonia, Skopje
Ss Cyril and Methodius University
Gershkevitsh, E.
Estonia, Tallinn
North Estonia Regional Hospital
Gruppetta, E.
Malta, Msida
St. Luke's Hospital Malta
Hustuc, A.
Moldova, Chisinau
National Scientific-applied Centre of Preventive Medicine (nsacpm)
Ivanovic, Sonja
Montenegro, Podgorica
University of Montenegro
Jauhari, A.
Unknown Affiliation
Kharita, Mohammad Hassan
Syrian Arab Republic, Damascus
Atomic Energy Commission of Syria
Kharuzhyk, Siarhei
Belarus, Minsk
N.n. Alexandrov National Cancer Center of Belarus
Khelassi-Toutaoui, Nadia
Algeria, Algiers
Commissariat à L'energie Atomique
Khosravi, H. R.
Iran, Tehran
National Radiation Protection Department Iran
Khoury, Helen Jamil
Brazil, Recife
Universidade Federal de Pernambuco
Kostova-Lefterova, Desislava
Bulgaria, Sofia
National Center of Radiobiology and Radiation Protection Bulgaria
Kralik, I.
Croatia, Zagreb
State Office for Radiological and Nuclear Safety
Liu, Lantao
China, Beijing
Ministry of Health of People's Republic of China
Mazuoliene, J.
Lithuania, Kaunas
Lietuvos Sveikatos Mokslų Universitetas
Mora, P.
Costa Rica, San Jose
Universidad de Costa Rica
Muhogora, Wilbroad Edward
Tanzania, Arusha
Tanzania Atomic Energy Commission
Muthuvelu, Pirunthavany
Malaysia, Putrajaya
Kementerian Kesihatan Malaysia
Novak, L.
Czech Republic, Prague
Státní Ústav Radiacní Ochrany
Pallewatte, A.
Sri Lanka, Colombo
Lady Ridgeway Hospital for Children
Shaaban, Mohamed
Kuwait
Al-sabah Hospital
Shelly, E.
Israel, Jerusalem
Ministry of Health
Stepanyan, K.
Armenia, Yerevan
Research Center of Radiation Medicine and Burns
Teo, Eu Leong Harvey J.
Singapore, Singapore City
Kk Hospital
Thelsy, N.
Myanmar, Yangon
Ministry of Health
Visrutaratna, P.
Thailand, Chaing Mai
Chiang Mai University
Zaman, Areesha
Pakistan, Islamabad
Pakistan Atomic Energy Commission
Žontar, Dejan
Slovenia, Ljubljana
Slovenian Radiation Protection Administration
Statistics
Citations: 55
Authors: 45
Affiliations: 43
Identifiers
Doi:
10.2214/AJR.11.7273
ISSN:
0361803X
e-ISSN:
15463141
Research Areas
Cancer
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative