IAEA survey of pediatric CT practice in 40 countries in Asia, Europe, Latin America, and Africa

Part 1, frequency and appropriateness

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 & 25 others 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

Research output: Contribution to journalArticle

31 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1021-1031
Number of pages11
JournalAmerican Journal of Roentgenology
Volume198
Issue number5
DOIs
Publication statusPublished - May 2012

Fingerprint

Latin America
Pediatrics
Guidelines
Radiation
Ventriculoperitoneal Shunt
Sinusitis
Craniocerebral Trauma
Surveys and Questionnaires
Referral and Consultation
Head

Keywords

  • Children
  • Developing countries
  • Pediatric radiation dose
  • Radiation protection
  • Safety

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

IAEA survey of pediatric CT practice in 40 countries in Asia, Europe, Latin America, and Africa : Part 1, frequency and appropriateness. / Vassileva, Jenia; Rehani, Madan M.; Al-Dhuhli, Humoud; Al-Naemi, Huda M.; Al-Suwaidi, Jamila Salem; Appelgate, Kimberly; Arandjic, Danijela; Bashier, Einas Hamed Osman; Beganovic, Adnan; Benavente, Tony; Bieganski, Tadeusz; Dias, Simone; El-Nachef, Leila; Faj, Dario; Gamarra-Sánchez, Mirtha E.; Garcia-Aguilar, Juan; Gbelcová, L'ubka; Gershan, Vesna; Gershkevitsh, Eduard; Gruppetta, Edward; Hustuc, Alexandru; Ivanovic, 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.

In: American Journal of Roentgenology, Vol. 198, No. 5, 05.2012, p. 1021-1031.

Research output: Contribution to journalArticle

Vassileva, J, Rehani, MM, Al-Dhuhli, H, Al-Naemi, HM, Al-Suwaidi, JS, Appelgate, K, Arandjic, D, Bashier, EHO, Beganovic, A, Benavente, T, Bieganski, T, Dias, S, El-Nachef, L, Faj, D, Gamarra-Sánchez, ME, Garcia-Aguilar, J, Gbelcová, L, Gershan, V, Gershkevitsh, E, Gruppetta, E, Hustuc, A, Ivanovic, 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, ELHJ, 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', American Journal of Roentgenology, vol. 198, no. 5, pp. 1021-1031. https://doi.org/10.2214/AJR.11.7273
Vassileva, Jenia ; Rehani, Madan M. ; Al-Dhuhli, Humoud ; Al-Naemi, Huda M. ; Al-Suwaidi, Jamila Salem ; Appelgate, Kimberly ; Arandjic, Danijela ; Bashier, Einas Hamed Osman ; Beganovic, Adnan ; Benavente, Tony ; Bieganski, Tadeusz ; Dias, Simone ; El-Nachef, Leila ; Faj, Dario ; Gamarra-Sánchez, Mirtha E. ; Garcia-Aguilar, Juan ; Gbelcová, L'ubka ; Gershan, Vesna ; Gershkevitsh, Eduard ; Gruppetta, Edward ; Hustuc, Alexandru ; Ivanovic, 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. 2012 ; Vol. 198, No. 5. pp. 1021-1031.
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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.",
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T1 - IAEA survey of pediatric CT practice in 40 countries in Asia, Europe, Latin America, and Africa

T2 - Part 1, frequency and appropriateness

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 - Arandjic, 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-Sánchez, Mirtha E.

AU - Garcia-Aguilar, Juan

AU - Gbelcová, L'ubka

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 - 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 - 2012/5

Y1 - 2012/5

N2 - 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.

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 (< 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.

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KW - Developing countries

KW - Pediatric radiation dose

KW - Radiation protection

KW - Safety

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