Diagnostic reference levels for paediatric computed tomography

SA Journal of Radiology

Field Value
Title Diagnostic reference levels for paediatric computed tomography
Creator Vawda, Zakariya Pitcher, Richard Akudugu, John Groenewald, Willem
Subject — —
Description Objectives: To establish local diagnostic reference levels (LDRLs) for emergency paediatric head computed tomography (CT) scans performed at a South African (SA) tertiary-level hospital and to compare these with published data.Materials and methods: A retrospective analysis was conducted of volume-based CT dose index (CTDIvol) and dose length product (DLP) data from uncontrasted paediatric head CT scans performed in the Trauma and Emergency Unit of a tertiary-level SA hospital from January to June 2013. A random sample of 30 patients in each of 3 age groups (0–2, 2–5 and 5–10 years) was used. LDRL values were compared with several national DRLs from Europe and Australia. Results: Mean CTDIvol and DLP values were: 30 mGy and 488 mGy.cm for the 0–2 years age group; 31 mGy and 508 mGy.cm for the 2–5 years group, and 32 mGy and 563 mGy.cm for the 5–10 years group, respectively. The mean DLP for 0–2 year-olds was the only parameter outside the range of corresponding published reference data. Stratification into narrower age groupings showed an increase in DLP values with age. Conclusion: An institutional review of the head CT scanning technique for emergency studies performed on children less than 2 years of age is recommended. The current study highlights the role of LDRLs in establishing institutional dosimetry baselines, in refining local imaging practice, and in enhancing patient safety. Standard age stratification for DRL and LDRL reporting is recommended.
Publisher AOSIS
Date 2015-11-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/sajr.v19i2.846
Source South African Journal of Radiology; Vol 19, No 2 (2015); 4 pages 2078-6778 1027-202X
Language eng
Relation https://sajr.org.za/index.php/sajr/article/view/846/1104 https://sajr.org.za/index.php/sajr/article/view/846/1106 https://sajr.org.za/index.php/sajr/article/view/846/1105 https://sajr.org.za/index.php/sajr/article/view/846/1069
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Rights Copyright (c) 2015 Zakariya Vawda, Richard Pitcher, John Akudugu, Willem Groenewald https://creativecommons.org/licenses/by/4.0