TY - JOUR
T1 - IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa
T2 - Procedures and protocols
AU - Vassileva, Jenia
AU - Rehani, Madan M.
AU - Applegate, Kimberly
AU - Ahmed, Nada A.
AU - Al-Dhuhli, Humoud
AU - Al-Naemi, Huda M.
AU - Al Suwaidi, Jamila Salem
AU - Arandjic, Danijela
AU - Beganovic, Adnan
AU - Benavente, Tony
AU - Bieganski, Tadeusz
AU - Dias, Simone
AU - El-Nachef, Leila
AU - Faj, Dario
AU - Gamarra-Sánchez, Mirtha E.
AU - Aguilar, Juan Garcia
AU - Gershan, Vesna
AU - Gershkevitsh, Eduard
AU - Gruppetta, Edward
AU - Hustuc, Alexandru
AU - Ivanovic, Sonja
AU - Jauhari, Arif
AU - Kharita, Mohammad Hassan
AU - Kharuzhyk, Siarhei
AU - Khelassi-Toutaoui, Nadia
AU - Khosravi, Hamid Reza
AU - Kostova-Lefterova, Desislava
AU - Kralik, Ivana
AU - Liu, Lantao
AU - Mazuoliene, Jolanta
AU - Mora, Patricia
AU - Muhogora, Wilbroad
AU - Muthuvelu, Pirunthavany
AU - Nikodemova, Denisa
AU - Novak, Leos
AU - Pallewatte, Aruna S.
AU - Shaaban, Mohamed
AU - Shelly, Esti
AU - Stepanyan, Karapet
AU - Teo, Eu Leong Harvey J.
AU - Thelsy, Naw
AU - Visrutaratna, Pannee
AU - Zaman, Areesha
AU - Zontar, Dejan
PY - 2013/3
Y1 - 2013/3
N2 - 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.
AB - 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.
KW - CT protocols
KW - Computed tomography
KW - Paediatric CT
KW - Patient doses
KW - Radiation protection
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U2 - 10.1007/s00330-012-2639-3
DO - 10.1007/s00330-012-2639-3
M3 - Article
C2 - 22940731
AN - SCOPUS:84893845283
SN - 0938-7994
VL - 23
SP - 623
EP - 631
JO - European Radiology
JF - European Radiology
IS - 3
ER -