TY  - 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 . .