Computed tomography use in a large Italian region: trend analysis 2004-2014 of emergency and outpatient CT examinations in children and adults

Autor: Laura Strohmenger, Daniela Tinelli, Angelica Munari, Fabio Triulzi, M.V. Introini, Andrea Pola, Luca Trombetta, Michele Maddalo, Andrea Righini, Giovanna Garattini, Alberto Torresin, P.E. Colombo, Luigi Vismara, Daniela Corbella
Rok vydání: 2018
Předmět:
Male
Pediatrics
Paediatric exposure
030218 nuclear medicine & medical imaging
0302 clinical medicine
Nuclear Medicine and Imaging
80 and over
Young adult
Child
Computed tomography
Tomography
Neuroradiology
Aged
80 and over
Emergency Service
education.field_of_study
medicine.diagnostic_test
Interventional radiology
General Medicine
Middle Aged
Radiation Exposure
Regional survey
X-Ray Computed
medicine.anatomical_structure
Italy
Child
Preschool
030220 oncology & carcinogenesis
Female
Radiology
Emergency Service
Hospital
Developed country
Adult
medicine.medical_specialty
Outpatient Clinics
Hospital
Adolescent
Population
Radiation Dosage
Hospital
Young Adult
03 medical and health sciences
Age Distribution
Ambulatory care
medicine
Humans
Radiology
Nuclear Medicine and imaging
Preschool
Outpatient Clinics
education
Aged
Retrospective Studies
Radiation protection
business.industry
Infant
Newborn
Patient dose
Infant
Tomography
X-Ray Computed
Radiology
Nuclear Medicine and Imaging
Retrospective cohort study
Newborn
Abdomen
business
Zdroj: European Radiology. 28:2308-2318
ISSN: 1432-1084
0938-7994
DOI: 10.1007/s00330-017-5225-x
Popis: To analyse CT use in recent years in a high-density Italian area (±10 million inhabitants, including 1 million children), focusing on developing age. Retrospective analysis of records from HealthCare IT System, covering >400 hospitals and clinics. Description of CT use between 2004–2014 in emergency and outpatient care and assessment of radiation exposure trend. Over 9 million scans were performed. Emergency procedures showed a global increase of 230 %, mainly head examinations. In the global outpatient setting, the annual number of CT scans/person increased ±19 %. A moderate increase in CT examinations was observed in the developing age population, while a remarkable increase in dental, chest and abdominal procedures occurred for the 10- to 30-year age range. The increase in mean annual dose/capita in the global patient pool was approximately 42 %, increasing from 0.72–1.03 mSv. The population rate receiving an annual CT radiation dose/capita higher than 1 mSv tripled in the 11-year interval, increasing from 16–48 %. The remarkable increase in radiation exposure raises a special concern for teenagers and young adults, whose risk tends to be underestimated. The fivefold increase in dental CTs in the younger age groups requires further investigations. • Literature highlights a remarkable increase in CT use over the last decades. • The paediatric age had higher exposure to X-ray risk. • A detailed retrospective analysis of more than 9 million scans was performed. • Dental, chest, abdominal procedures increased remarkably in 10- to 30-year age range. • This study raises concern about exposure for teenagers and young adults.
Databáze: OpenAIRE
Externí odkaz: