IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness
| Autor: | Eu Leong Harvey J Teo, Kimberly Appelgate, Einas H Bashier, Lantao Liu, Mohammad Hassan Kharita, Jamila Salem Al-Suwaidi, W. E. Muhogora, Mohamed Shaaban, Madan M. Rehani, Pannee Visrutaratna, Jolanta Mazuoliene, Arif Jauhari, Patricia Mora, Eduard Gershkevitsh, Mirtha E. Gamarra-Sánchez, Leos Novak, Edward Gruppetta, Hamid Reza Khosravi, Helen J. Khoury, Ivana Kralik, Naw Thelsy, Alexandru Hustuc, Dario Faj, Danijela Arandjic, Aruna Pallewatte, Huda Al-Naemi, Sonja Ivanovic, N. Khelassi-Toutaoui, Tony Benavente, D. Kostova-Lefterova, Karapet Stepanyan, Vesna Gershan, Adnan Beganović, Jenia Vassileva, Esti Shelly, Simone K. Dias, S A Kharuzhyk, Tadeusz Bieganski, Humoud Al-Dhuhli, Juan Garcia-Aguilar, Pirunthavany Muthuvelu, L'ubka Gbelcová, Leila El-Nachef, Dejan Zontar, Areesha Zaman |
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| Přispěvatelé: | Nadia Khelassi Toutaoui, Ivana Kralik, Jenia Vassileva, Desislava Kostova-Lefterova, Inct Metrologia das radiacoes, Dario Faj, Mohammad Kharita, Siarhei Kharuzhyk, Madan Rehani, Vesna Gershan, Eduard Gershkevitsh, Helen Jamil Khoury |
| Rok vydání: | 2012 |
| Předmět: |
safety
medicine.medical_specialty Asia Latin Americans Referral Developing country children developing countries pediatric radiation dose radiation protection Radiation Dosage Appropriate use Pediatric ct 030218 nuclear medicine & medical imaging 03 medical and health sciences Radiation Protection 0302 clinical medicine Ct examination Surveys and Questionnaires Humans Medicine Radiology Nuclear Medicine and imaging Medical physics Practice Patterns Physicians' Child pediatric radiation dose business.industry Radiologic examination Radiation dose Infant Newborn Infant International Agencies General Medicine 3. Good health Europe Latin America Child Preschool 030220 oncology & carcinogenesis Africa Tomography X-Ray Computed business |
| Zdroj: | American Journal of Roentgenology |
| Popis: | 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 ( LT 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. |
| Databáze: | OpenAIRE |
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