IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa: Procedures and protocols

Jenia Vassileva, Madan M. Rehani, Kimberly Applegate, Nada A. Ahmed, Humoud Al-Dhuhli, Huda M. Al-Naemi, Jamila Salem Al Suwaidi, Danijela Arandjic, Adnan Beganovic, Tony Benavente, Tadeusz Bieganski, Simone Dias, Leila El-Nachef, Dario Faj, Mirtha E. Gamarra-Sánchez, Juan Garcia Aguilar, Vesna Gershan, Eduard Gershkevitsh, Edward Gruppetta, Alexandru HustucSonja Ivanovic, Arif Jauhari, Mohammad Hassan Kharita, Siarhei Kharuzhyk, Nadia Khelassi-Toutaoui, Hamid Reza Khosravi, Desislava Kostova-Lefterova, Ivana Kralik, Lantao Liu, Jolanta Mazuoliene, Patricia Mora, Wilbroad Muhogora, Pirunthavany Muthuvelu, Denisa Nikodemova, Leos Novak, Aruna S. Pallewatte, Mohamed Shaaban, Esti Shelly, Karapet Stepanyan, Eu Leong Harvey J Teo, Naw Thelsy, Pannee Visrutaratna, Areesha Zaman, Dejan Zontar

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries. Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses. Results: Modern MDCT systems are available in 77% of the facilities surveyed with dedicated paediatric CT protocols available in 94%. However, protocols for some age groups were unavailable in around 50% of the facilities surveyed. Indication-based protocols were used in 57% of facilities. Estimates of radiation dose using CTDI or DLP from standard CT protocols demonstrated wide variation up to a factor of 100. CTDIvol values for the head and chest were between two and five times those for an adult at some sites. Sedation and use of shielding were frequently reported; immobilisation was not. Records of exposure factors were kept at 49% of sites. Conclusion: There is significant potential for improvement in CT practice and protocol use for children in less resourced countries. Dose estimates for young children varied widely. This survey provides critical baseline data for ongoing quality improvement efforts by the IAEA. Key Points: • Paediatric computed tomography (CT) practice was audited in 40 less resourced countries. • This audit revealed widespread (up to 100 times) variation in radiation dose. • Specific CT protocols for certain age groups were frequently (ca. 50%) unavailable. • This survey demonstrates significant potential for improvement in paediatric CT practice. • Multinational networking is an effective mechanism for quality improvement.

Original languageEnglish
Pages (from-to)623-631
Number of pages9
JournalEuropean Radiology
Volume23
Issue number3
DOIs
Publication statusPublished - 2013

Fingerprint

Latin America
Tomography
Pediatrics
Quality Improvement
Age Groups
Surveys and Questionnaires
Radiation
Nuclear Energy
Immobilization
Thorax
Head
Technology

Keywords

  • Computed tomography
  • CT protocols
  • Paediatric CT
  • Patient doses
  • Radiation protection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa : Procedures and protocols. / Vassileva, Jenia; Rehani, Madan M.; Applegate, Kimberly; Ahmed, Nada A.; Al-Dhuhli, Humoud; Al-Naemi, Huda M.; Al Suwaidi, Jamila Salem; Arandjic, Danijela; Beganovic, Adnan; Benavente, Tony; Bieganski, Tadeusz; Dias, Simone; El-Nachef, Leila; Faj, Dario; Gamarra-Sánchez, Mirtha E.; Aguilar, Juan Garcia; Gershan, Vesna; Gershkevitsh, Eduard; Gruppetta, Edward; Hustuc, Alexandru; Ivanovic, Sonja; Jauhari, Arif; Kharita, Mohammad Hassan; Kharuzhyk, Siarhei; Khelassi-Toutaoui, Nadia; Khosravi, Hamid Reza; Kostova-Lefterova, Desislava; Kralik, Ivana; Liu, Lantao; Mazuoliene, Jolanta; Mora, Patricia; Muhogora, Wilbroad; Muthuvelu, Pirunthavany; Nikodemova, Denisa; Novak, Leos; Pallewatte, Aruna S.; Shaaban, Mohamed; Shelly, Esti; Stepanyan, Karapet; Teo, Eu Leong Harvey J; Thelsy, Naw; Visrutaratna, Pannee; Zaman, Areesha; Zontar, Dejan.

In: European Radiology, Vol. 23, No. 3, 2013, p. 623-631.

Research output: Contribution to journalArticle

Vassileva, J, Rehani, MM, Applegate, K, Ahmed, NA, Al-Dhuhli, H, Al-Naemi, HM, Al Suwaidi, JS, Arandjic, D, Beganovic, A, Benavente, T, Bieganski, T, Dias, S, El-Nachef, L, Faj, D, Gamarra-Sánchez, ME, Aguilar, JG, Gershan, V, Gershkevitsh, E, Gruppetta, E, Hustuc, A, Ivanovic, S, Jauhari, A, Kharita, MH, Kharuzhyk, S, Khelassi-Toutaoui, N, Khosravi, HR, Kostova-Lefterova, D, Kralik, I, Liu, L, Mazuoliene, J, Mora, P, Muhogora, W, Muthuvelu, P, Nikodemova, D, Novak, L, Pallewatte, AS, Shaaban, M, Shelly, E, Stepanyan, K, Teo, ELHJ, Thelsy, N, Visrutaratna, P, Zaman, A & Zontar, D 2013, 'IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa: Procedures and protocols', European Radiology, vol. 23, no. 3, pp. 623-631. https://doi.org/10.1007/s00330-012-2639-3
Vassileva, Jenia ; Rehani, Madan M. ; Applegate, Kimberly ; Ahmed, Nada A. ; Al-Dhuhli, Humoud ; Al-Naemi, Huda M. ; Al Suwaidi, Jamila Salem ; Arandjic, Danijela ; Beganovic, Adnan ; Benavente, Tony ; Bieganski, Tadeusz ; Dias, Simone ; El-Nachef, Leila ; Faj, Dario ; Gamarra-Sánchez, Mirtha E. ; Aguilar, Juan Garcia ; Gershan, Vesna ; Gershkevitsh, Eduard ; Gruppetta, Edward ; Hustuc, Alexandru ; Ivanovic, Sonja ; Jauhari, Arif ; Kharita, Mohammad Hassan ; Kharuzhyk, Siarhei ; Khelassi-Toutaoui, Nadia ; Khosravi, Hamid Reza ; Kostova-Lefterova, Desislava ; Kralik, Ivana ; Liu, Lantao ; Mazuoliene, Jolanta ; Mora, Patricia ; Muhogora, Wilbroad ; Muthuvelu, Pirunthavany ; Nikodemova, Denisa ; 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 paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa : Procedures and protocols. In: European Radiology. 2013 ; Vol. 23, No. 3. pp. 623-631.
@article{2068f91149124aafabf73f5d570757bc,
title = "IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa: Procedures and protocols",
abstract = "Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries. Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses. Results: Modern MDCT systems are available in 77{\%} of the facilities surveyed with dedicated paediatric CT protocols available in 94{\%}. However, protocols for some age groups were unavailable in around 50{\%} of the facilities surveyed. Indication-based protocols were used in 57{\%} of facilities. Estimates of radiation dose using CTDI or DLP from standard CT protocols demonstrated wide variation up to a factor of 100. CTDIvol values for the head and chest were between two and five times those for an adult at some sites. Sedation and use of shielding were frequently reported; immobilisation was not. Records of exposure factors were kept at 49{\%} of sites. Conclusion: There is significant potential for improvement in CT practice and protocol use for children in less resourced countries. Dose estimates for young children varied widely. This survey provides critical baseline data for ongoing quality improvement efforts by the IAEA. Key Points: • Paediatric computed tomography (CT) practice was audited in 40 less resourced countries. • This audit revealed widespread (up to 100 times) variation in radiation dose. • Specific CT protocols for certain age groups were frequently (ca. 50{\%}) unavailable. • This survey demonstrates significant potential for improvement in paediatric CT practice. • Multinational networking is an effective mechanism for quality improvement.",
keywords = "Computed tomography, CT protocols, Paediatric CT, Patient doses, Radiation protection",
author = "Jenia Vassileva and Rehani, {Madan M.} and Kimberly Applegate and Ahmed, {Nada A.} and Humoud Al-Dhuhli and Al-Naemi, {Huda M.} and {Al Suwaidi}, {Jamila Salem} and Danijela Arandjic and Adnan Beganovic and Tony Benavente and Tadeusz Bieganski and Simone Dias and Leila El-Nachef and Dario Faj and Gamarra-S{\'a}nchez, {Mirtha E.} and Aguilar, {Juan Garcia} and Vesna Gershan and Eduard Gershkevitsh and Edward Gruppetta and Alexandru Hustuc and Sonja Ivanovic and Arif Jauhari and Kharita, {Mohammad Hassan} and Siarhei Kharuzhyk and Nadia Khelassi-Toutaoui and Khosravi, {Hamid Reza} and Desislava Kostova-Lefterova and Ivana Kralik and Lantao Liu and Jolanta Mazuoliene and Patricia Mora and Wilbroad Muhogora and Pirunthavany Muthuvelu and Denisa Nikodemova and Leos Novak and Pallewatte, {Aruna S.} and Mohamed Shaaban and Esti Shelly and Karapet Stepanyan and Teo, {Eu Leong Harvey J} and Naw Thelsy and Pannee Visrutaratna and Areesha Zaman and Dejan Zontar",
year = "2013",
doi = "10.1007/s00330-012-2639-3",
language = "English",
volume = "23",
pages = "623--631",
journal = "European Radiology",
issn = "0938-7994",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - IAEA survey of paediatric computed tomography practice in 40 countries in Asia, Europe, Latin America and Africa

T2 - Procedures and protocols

AU - Vassileva, Jenia

AU - Rehani, Madan M.

AU - Applegate, Kimberly

AU - Ahmed, Nada A.

AU - Al-Dhuhli, Humoud

AU - Al-Naemi, Huda M.

AU - Al Suwaidi, Jamila Salem

AU - Arandjic, Danijela

AU - Beganovic, Adnan

AU - Benavente, Tony

AU - Bieganski, Tadeusz

AU - Dias, Simone

AU - El-Nachef, Leila

AU - Faj, Dario

AU - Gamarra-Sánchez, Mirtha E.

AU - Aguilar, Juan Garcia

AU - Gershan, Vesna

AU - Gershkevitsh, Eduard

AU - Gruppetta, Edward

AU - Hustuc, Alexandru

AU - Ivanovic, Sonja

AU - Jauhari, Arif

AU - Kharita, Mohammad Hassan

AU - Kharuzhyk, Siarhei

AU - Khelassi-Toutaoui, Nadia

AU - Khosravi, Hamid Reza

AU - Kostova-Lefterova, Desislava

AU - Kralik, Ivana

AU - Liu, Lantao

AU - Mazuoliene, Jolanta

AU - Mora, Patricia

AU - Muhogora, Wilbroad

AU - Muthuvelu, Pirunthavany

AU - Nikodemova, Denisa

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 - 2013

Y1 - 2013

N2 - Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries. Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses. Results: Modern MDCT systems are available in 77% of the facilities surveyed with dedicated paediatric CT protocols available in 94%. However, protocols for some age groups were unavailable in around 50% of the facilities surveyed. Indication-based protocols were used in 57% of facilities. Estimates of radiation dose using CTDI or DLP from standard CT protocols demonstrated wide variation up to a factor of 100. CTDIvol values for the head and chest were between two and five times those for an adult at some sites. Sedation and use of shielding were frequently reported; immobilisation was not. Records of exposure factors were kept at 49% of sites. Conclusion: There is significant potential for improvement in CT practice and protocol use for children in less resourced countries. Dose estimates for young children varied widely. This survey provides critical baseline data for ongoing quality improvement efforts by the IAEA. Key Points: • Paediatric computed tomography (CT) practice was audited in 40 less resourced countries. • This audit revealed widespread (up to 100 times) variation in radiation dose. • Specific CT protocols for certain age groups were frequently (ca. 50%) unavailable. • This survey demonstrates significant potential for improvement in paediatric CT practice. • Multinational networking is an effective mechanism for quality improvement.

AB - Objective: To survey procedures and protocols in paediatric computed tomography (CT) in 40 less resourced countries. Methods: Under a project of the International Atomic Energy Agency, 146 CT facilities in 40 countries of Africa, Asia, Europe and Latin America responded to an electronic survey of CT technology, exposure parameters, CT protocols and doses. Results: Modern MDCT systems are available in 77% of the facilities surveyed with dedicated paediatric CT protocols available in 94%. However, protocols for some age groups were unavailable in around 50% of the facilities surveyed. Indication-based protocols were used in 57% of facilities. Estimates of radiation dose using CTDI or DLP from standard CT protocols demonstrated wide variation up to a factor of 100. CTDIvol values for the head and chest were between two and five times those for an adult at some sites. Sedation and use of shielding were frequently reported; immobilisation was not. Records of exposure factors were kept at 49% of sites. Conclusion: There is significant potential for improvement in CT practice and protocol use for children in less resourced countries. Dose estimates for young children varied widely. This survey provides critical baseline data for ongoing quality improvement efforts by the IAEA. Key Points: • Paediatric computed tomography (CT) practice was audited in 40 less resourced countries. • This audit revealed widespread (up to 100 times) variation in radiation dose. • Specific CT protocols for certain age groups were frequently (ca. 50%) unavailable. • This survey demonstrates significant potential for improvement in paediatric CT practice. • Multinational networking is an effective mechanism for quality improvement.

KW - Computed tomography

KW - CT protocols

KW - Paediatric CT

KW - Patient doses

KW - Radiation protection

UR - http://www.scopus.com/inward/record.url?scp=84893845283&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893845283&partnerID=8YFLogxK

U2 - 10.1007/s00330-012-2639-3

DO - 10.1007/s00330-012-2639-3

M3 - Article

C2 - 22940731

AN - SCOPUS:84893845283

VL - 23

SP - 623

EP - 631

JO - European Radiology

JF - European Radiology

SN - 0938-7994

IS - 3

ER -