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dc.creatorVassileva, Jenia
dc.creatorRehani, Madan M.
dc.creatorAl-Dhuhli, Humoud
dc.creatorAl-Naemi, Huda M.
dc.creatorAl-Suwaidi, Jamila Salem
dc.creatorAppelgate, Kimberly
dc.creatorArandjic, Danijela
dc.creatorBashier, Einas Hamed Osman
dc.creatorBeganovic, Adnan
dc.creatorBenavente, Tony
dc.creatorBieganski, Tadeusz
dc.creatorDias, Simone
dc.creatorEl-Nachef, Leila
dc.creatorFaj, Dario
dc.creatorGamarra-Sanchez, Mirtha E.
dc.creatorGarcia-Aguilar, Juan
dc.creatorGbelcova, L'ubka
dc.creatorGershan, Vesna
dc.creatorGershkevitsh, Eduard
dc.creatorGruppetta, Edward
dc.creatorHustuc, Alexandru
dc.creatorIvanovic, Sonja
dc.creatorJauhari, Arif
dc.creatorKharita, Mohammad Hassan
dc.creatorKharuzhyk, Siarhei
dc.creatorKhelassi-Toutaoui, Nadia
dc.creatorKhosravi, Hamid Reza
dc.creatorKhoury, Helen
dc.creatorKostova-Lefterova, Desislava
dc.creatorKralik, Ivana
dc.creatorLiu, Lantao
dc.creatorMazuoliene, Jolanta
dc.creatorMora, Patricia
dc.creatorMuhogora, Wilbroad
dc.creatorMuthuvelu, Pirunthavany
dc.creatorNovak, Leos
dc.creatorPallewatte, Aruna S.
dc.creatorShaaban, Mohamed
dc.creatorShelly, Esti
dc.creatorStepanyan, Karapet
dc.creatorTeo, Eu-Leong Harvey J.
dc.creatorThelsy, Naw
dc.creatorVisrutaratna, Pannee
dc.creatorZaman, Areesha
dc.creatorZontar, Dejan
dc.identifier.issn0361-803X (print)
dc.identifier.issn1546-3141 (electronic)
dc.description.abstractOBJECTIVE. 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.en
dc.sourceAmerican Journal of Roentgenologyen
dc.subjectdeveloping countriesen
dc.subjectpediatric radiation doseen
dc.subjectradiation protectionen
dc.titleIAEA Survey of Pediatric CT Practice in 40 Countries in Asia, Europe, Latin America, and Africa: Part 1, Frequency and Appropriatenessen
dcterms.abstractКхеласси-Тоутаоуи, Надиа; Кхарита, Мохаммад Хассан; Јаухари, Aриф; Хустуц, Aлеxандру; Группетта, Едwард; Герсхкевитсх, Едуард; Герсхан, Весна; Гбелцова, Л'убка; Гарциа-Aгуилар, Јуан; Гамарра-Санцхез, Миртха Е.; Фај, Дарио; Ел-Нацхеф, Леила; Диас, Симоне; Биегански, Тадеусз; Бенавенте, Тонy; Бегановиц, Aднан; Басхиер, Еинас Хамед Осман; Aрандјиц, Данијела; Aппелгате, Кимберлy; Aл-Суwаиди, Јамила Салем; Aл-Наеми, Худа М.; Aл-Дхухли, Хумоуд; Рехани, Мадан М.; Ивановиц, Соња; Зонтар, Дејан; Заман, Aреесха; Висрутаратна, Паннее; Тхелсy, Наw; Тео, Еу-Леонг Харвеy Ј.; Степанyан, Карапет; Схеллy, Ести; Схаабан, Мохамед; Паллеwатте, Aруна С.; Новак, Леос; Мутхувелу, Пирунтхаванy; Мухогора, Wилброад; Мора, Патрициа; Мазуолиене, Јоланта; Лиу, Лантао; Костова-Лефтерова, Десислава; Кхоурy, Хелен; Кхосрави, Хамид Реза; Вассилева, Јениа; Кхарузхyк, Сиархеи; Кралик, Ивана;

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