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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa: Procedures and protocols
European Radiology, Volume 23, No. 3, Year 2013
Notification
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Description
Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries. Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses. Results: Modern MDCT systems are available in 77% of the facilities surveyed with dedicated paediatric CT protocols available in 94%. However, protocols for some age groups were unavailable in around 50% of the facilities surveyed. Indication-based protocols were used in 57% of facilities. Estimates of radiation dose using CTDI or DLP from standard CT protocols demonstrated wide variation up to a factor of 100. CTDIvol values for the head and chest were between two and five times those for an adult at some sites. Sedation and use of shielding were frequently reported; immobilisation was not. Records of exposure factors were kept at 49% of sites. Conclusion: There is significant potential for improvement in CT practice and protocol use for children in less resourced countries. Dose estimates for young children varied widely. This survey provides critical baseline data for ongoing quality improvement efforts by the IAEA. Key Points: • Paediatric computed tomography (CT) practice was audited in 40 less resourced countries. • This audit revealed widespread (up to 100 times) variation in radiation dose. • Specific CT protocols for certain age groups were frequently (ca. 50%) unavailable. • This survey demonstrates significant potential for improvement in paediatric CT practice. • Multinational networking is an effective mechanism for quality improvement. © European Society of Radiology 2012.
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
Applegate, Kimberly
United States, Atlanta
Emory University School of Medicine
Ahmed, Nada A.
Sudan, Khartoum
Sudan Atomic Energy Commission
Al-Dhuhli, Humoud H.
Oman, Muscat
Sultan Qaboos University
Al-Naemi, Huda M.
Qatar, Doha
Hamad General Hospital
AlSuwaidi, Jamila Salem
Unknown Affiliation
Arandjic, D.
Unknown Affiliation
Beganovic, Adnan
Unknown Affiliation
Benavente, Tony
Unknown Affiliation
Biegański, Tadeusz
Unknown Affiliation
Dias, Simone
Unknown Affiliation
El-Nachef, Leila
Unknown Affiliation
Faj, Dario
Unknown Affiliation
Gamarra-Sánchez, Mirtha E.
Unknown Affiliation
Aguilar, J. G.
Unknown Affiliation
Gershan, V.
Unknown Affiliation
Gershkevitsh, E.
Unknown Affiliation
Gruppetta, E.
Unknown Affiliation
Hustuc, A.
Unknown Affiliation
Ivanovic, Sonja
Unknown Affiliation
Jauhari, A.
Unknown Affiliation
Kharita, Mohammad Hassan
Unknown Affiliation
Kharuzhyk, Siarhei
Unknown Affiliation
Khelassi-Toutaoui, Nadia
Unknown Affiliation
Khosravi, H. R.
Unknown Affiliation
Kostova-Lefterova, Desislava
Unknown Affiliation
Kralik, I.
Unknown Affiliation
Liu, Lantao
Unknown Affiliation
Mazuoliene, J.
Unknown Affiliation
Mora, P.
Unknown Affiliation
Muhogora, Wilbroad Edward
Unknown Affiliation
Muthuvelu, Pirunthavany
Unknown Affiliation
Nikodemova, D.
Unknown Affiliation
Novak, L.
Unknown Affiliation
Pallewatte, A.
Unknown Affiliation
Shaaban, Mohamed
Unknown Affiliation
Shelly, E.
Unknown Affiliation
Stepanyan, K.
Unknown Affiliation
Teo, Eu Leong Harvey J.
Unknown Affiliation
Thelsy, N.
Unknown Affiliation
Visrutaratna, P.
Unknown Affiliation
Zaman, Areesha
Unknown Affiliation
Žontar, Dejan
Unknown Affiliation
Statistics
Citations: 60
Authors: 44
Affiliations: 6
Identifiers
Doi:
10.1007/s00330-012-2639-3
ISSN:
09387994
e-ISSN:
14321084
Research Areas
Cancer
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative