IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness
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Аутори
Vassileva, JeniaRehani, Madan M.
Al-Dhuhli, Humoud
Al-Naemi, Huda M.
Al-Suwaidi, Jamila Salem
Appelgate, Kimberly
Aranđić, Danijela
Bashier, Einas Hamed Osman
Beganovic, Adnan
Benavente, Tony
Bieganski, Tadeusz
Dias, Simone
El-Nachef, Leila
Faj, Dario
Gamarra-Sanchez, Mirtha E.
Garcia-Aguilar, Juan
Gbelcova, L'ubka
Gershan, Vesna
Gershkevitsh, Eduard
Gruppetta, Edward
Hustuc, Alexandru
Ivanović, Sonja
Jauhari, Arif
Kharita, Mohammad Hassan
Kharuzhyk, Siarhei
Khelassi-Toutaoui, Nadia
Khosravi, Hamid Reza
Khoury, Helen
Kostova-Lefterova, Desislava
Kralik, Ivana
Liu, Lantao
Mazuoliene, Jolanta
Mora, Patricia
Muhogora, Wilbroad
Muthuvelu, Pirunthavany
Novak, Leos
Pallewatte, Aruna S.
Shaaban, Mohamed
Shelly, Esti
Stepanyan, Karapet
Teo, Eu-Leong Harvey J.
Thelsy, Naw
Visrutaratna, Pannee
Zaman, Areesha
Zontar, Dejan
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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. Ap...propriateness 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.
Кључне речи:
children / developing countries / pediatric radiation dose / radiation protection / safetyИзвор:
American Journal of Roentgenology, 2012, 198, 5, 1021-1031
DOI: 10.2214/AJR.11.7273
ISSN: 0361-803X; 1546-3141
PubMed: 22528891
WoS: 000303162800028
Scopus: 2-s2.0-84860337424
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Институција/група
VinčaTY - JOUR AU - Vassileva, Jenia AU - Rehani, Madan M. AU - Al-Dhuhli, Humoud AU - Al-Naemi, Huda M. AU - Al-Suwaidi, Jamila Salem AU - Appelgate, Kimberly AU - Aranđić, Danijela AU - Bashier, Einas Hamed Osman AU - Beganovic, Adnan AU - Benavente, Tony AU - Bieganski, Tadeusz AU - Dias, Simone AU - El-Nachef, Leila AU - Faj, Dario AU - Gamarra-Sanchez, Mirtha E. AU - Garcia-Aguilar, Juan AU - Gbelcova, L'ubka AU - Gershan, Vesna AU - Gershkevitsh, Eduard AU - Gruppetta, Edward AU - Hustuc, Alexandru AU - Ivanović, Sonja AU - Jauhari, Arif AU - Kharita, Mohammad Hassan AU - Kharuzhyk, Siarhei AU - Khelassi-Toutaoui, Nadia AU - Khosravi, Hamid Reza AU - Khoury, Helen AU - Kostova-Lefterova, Desislava AU - Kralik, Ivana AU - Liu, Lantao AU - Mazuoliene, Jolanta AU - Mora, Patricia AU - Muhogora, Wilbroad AU - Muthuvelu, Pirunthavany 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 - 2012 UR - https://vinar.vin.bg.ac.rs/handle/123456789/4810 AB - 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. T2 - American Journal of Roentgenology T1 - IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness VL - 198 IS - 5 SP - 1021 EP - 1031 DO - 10.2214/AJR.11.7273 ER -
@article{ author = "Vassileva, Jenia and Rehani, Madan M. and Al-Dhuhli, Humoud and Al-Naemi, Huda M. and Al-Suwaidi, Jamila Salem and Appelgate, Kimberly and Aranđić, Danijela and Bashier, Einas Hamed Osman and Beganovic, Adnan and Benavente, Tony and Bieganski, Tadeusz and Dias, Simone and El-Nachef, Leila and Faj, Dario and Gamarra-Sanchez, Mirtha E. and Garcia-Aguilar, Juan and Gbelcova, L'ubka and Gershan, Vesna and Gershkevitsh, Eduard and Gruppetta, Edward and Hustuc, Alexandru and Ivanović, Sonja and Jauhari, Arif and Kharita, Mohammad Hassan and Kharuzhyk, Siarhei and Khelassi-Toutaoui, Nadia and Khosravi, Hamid Reza and Khoury, Helen and Kostova-Lefterova, Desislava and Kralik, Ivana and Liu, Lantao and Mazuoliene, Jolanta and Mora, Patricia and Muhogora, Wilbroad and Muthuvelu, Pirunthavany and Novak, Leos and Pallewatte, Aruna S. and Shaaban, Mohamed and Shelly, Esti and Stepanyan, Karapet and Teo, Eu-Leong Harvey J. and Thelsy, Naw and Visrutaratna, Pannee and Zaman, Areesha and Zontar, Dejan", year = "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 ( 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.", journal = "American Journal of Roentgenology", title = "IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness", volume = "198", number = "5", pages = "1021-1031", doi = "10.2214/AJR.11.7273" }
Vassileva, J., Rehani, M. M., Al-Dhuhli, H., Al-Naemi, H. M., Al-Suwaidi, J. S., Appelgate, K., Aranđić, D., Bashier, E. H. O., Beganovic, A., Benavente, T., Bieganski, T., Dias, S., El-Nachef, L., Faj, D., Gamarra-Sanchez, M. E., Garcia-Aguilar, J., Gbelcova, L., Gershan, V., Gershkevitsh, E., Gruppetta, E., Hustuc, A., Ivanović, S., Jauhari, A., Kharita, M. H., Kharuzhyk, S., Khelassi-Toutaoui, N., Khosravi, H. R., Khoury, H., Kostova-Lefterova, D., Kralik, I., Liu, L., Mazuoliene, J., Mora, P., Muhogora, W., Muthuvelu, P., Novak, L., Pallewatte, A. S., Shaaban, M., Shelly, E., Stepanyan, K., Teo, E. H. J., Thelsy, N., Visrutaratna, P., Zaman, A.,& Zontar, D.. (2012). IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness. in American Journal of Roentgenology, 198(5), 1021-1031. https://doi.org/10.2214/AJR.11.7273
Vassileva J, Rehani MM, Al-Dhuhli H, Al-Naemi HM, Al-Suwaidi JS, Appelgate K, Aranđić D, Bashier EHO, Beganovic A, Benavente T, Bieganski T, Dias S, El-Nachef L, Faj D, Gamarra-Sanchez ME, Garcia-Aguilar J, Gbelcova L, Gershan V, Gershkevitsh E, Gruppetta E, Hustuc A, Ivanović S, Jauhari A, Kharita MH, Kharuzhyk S, Khelassi-Toutaoui N, Khosravi HR, Khoury H, Kostova-Lefterova D, Kralik I, Liu L, Mazuoliene J, Mora P, Muhogora W, Muthuvelu P, Novak L, Pallewatte AS, Shaaban M, Shelly E, Stepanyan K, Teo EHJ, Thelsy N, Visrutaratna P, Zaman A, Zontar D. IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness. in American Journal of Roentgenology. 2012;198(5):1021-1031. doi:10.2214/AJR.11.7273 .
Vassileva, Jenia, Rehani, Madan M., Al-Dhuhli, Humoud, Al-Naemi, Huda M., Al-Suwaidi, Jamila Salem, Appelgate, Kimberly, Aranđić, Danijela, Bashier, Einas Hamed Osman, Beganovic, Adnan, Benavente, Tony, Bieganski, Tadeusz, Dias, Simone, El-Nachef, Leila, Faj, Dario, Gamarra-Sanchez, Mirtha E., Garcia-Aguilar, Juan, Gbelcova, L'ubka, Gershan, Vesna, Gershkevitsh, Eduard, Gruppetta, Edward, Hustuc, Alexandru, Ivanović, Sonja, Jauhari, Arif, Kharita, Mohammad Hassan, Kharuzhyk, Siarhei, Khelassi-Toutaoui, Nadia, Khosravi, Hamid Reza, Khoury, Helen, Kostova-Lefterova, Desislava, Kralik, Ivana, Liu, Lantao, Mazuoliene, Jolanta, Mora, Patricia, Muhogora, Wilbroad, Muthuvelu, Pirunthavany, Novak, Leos, Pallewatte, Aruna S., Shaaban, Mohamed, Shelly, Esti, Stepanyan, Karapet, Teo, Eu-Leong Harvey J., Thelsy, Naw, Visrutaratna, Pannee, Zaman, Areesha, Zontar, Dejan, "IAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriateness" in American Journal of Roentgenology, 198, no. 5 (2012):1021-1031, https://doi.org/10.2214/AJR.11.7273 . .