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Title: IAEA survey of pediatric CT practice in 40 countries in Asia, Europe, Latin America, and Africa: Part 1, frequency and appropriateness
Authors: Jenia Vassileva
Madan M. Rehani
Humoud Al-Dhuhli
Huda M. Al-Naemi
Jamila Salem Al-Suwaidi
Kimberly Appelgate
Danijela Arandjic
Einas Hamed Osman Bashier
Adnan Beganovic
Tony Benavente
Tadeusz Bieganski
Simone Dias
Leila El-Nachef
Dario Faj
Mirtha E. Gamarra-Sánchez
Juan Garcia-Aguilar
L'ubka Gbelcová
Vesna Gershan
Eduard Gershkevitsh
Edward Gruppetta
Alexandru Hustuc
Sonja Ivanovic
Arif Jauhari
Mohammad Hassan Kharita
Siarhei Kharuzhyk
Nadia Khelassi-Toutaoui
Hamid Reza Khosravi
Helen Khoury
Desislava Kostova-Lefterova
Ivana Kralik
Lantao Liu
Jolanta Mazuoliene
Patricia Mora
Wilbroad Muhogora
Pirunthavany Muthuvelu
Leos Novak
Aruna S. Pallewatte
Mohamed Shaaban
Esti Shelly
Karapet Stepanyan
Eu Leong Harvey J. Teo
Naw Thelsy
Pannee Visrutaratna
Areesha Zaman
Dejan Zontar
Keywords: Medicine
Issue Date: 1-May-2012
Abstract: 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.
ISSN: 15463141
Appears in Collections:CMUL: Journal Articles

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