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Paediatric CT examinations in 19 developing countries: frequency and radiation dose.

W E Muhogora1, N A Ahmed, J S Alsuwaidi

  • 1Tanzania Atomic Energy Commission, PO Box 743, Arusha, Tanzania.

Radiation Protection Dosimetry
|February 16, 2010
PubMed
Summary
This summary is machine-generated.

Paediatric computed tomography (CT) use varies significantly across developing regions. Many facilities need better radiation dose awareness and optimization for children, highlighting a need for training and monitoring.

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Area of Science:

  • Medical Imaging
  • Radiology
  • Public Health

Background:

  • Computed tomography (CT) is a vital diagnostic tool, but its use in paediatric populations requires careful consideration of radiation exposure.
  • Data on paediatric CT frequency and radiation doses in developing countries are scarce, hindering effective dose optimization strategies.

Purpose of the Study:

  • To investigate the frequency of paediatric CT examinations in developing countries across Africa, Asia, and Eastern Europe.
  • To assess the magnitude of radiation doses delivered during paediatric CT examinations in these regions.
  • To identify areas for improvement in radiation protection practices for children undergoing CT scans.

Main Methods:

  • A survey of 128 CT facilities in 28 developing countries was conducted to determine paediatric CT examination frequency.
  • Radiation dose data, including weighted CT dose index (CTDI(w)) and dose length product (DLP), were collected from 101 facilities in 19 countries.
  • Standard methods were used to assess doses for common paediatric CT examinations (chest, abdomen, pelvis).

Main Results:

  • Paediatric CT examinations constituted 20%, 16%, and 5% of all CTs in participating African, Asian, and Eastern European centers, respectively.
  • Eleven facilities (6 countries) used adult CT parameters for paediatric patients, indicating a lack of awareness and need for optimization.
  • Significant variations in CTDI(w) (up to factor 55) and DLP (up to factor 20) were observed across regions, with generally lower doses in Japan.

Conclusions:

  • There is a significant need to justify and optimize CT examinations for children in many developing countries.
  • Improved awareness, targeted training programs, and consistent monitoring of radiation doses are crucial for enhancing paediatric radiation protection.
  • Ensuring adequate diagnostic image quality while minimizing radiation exposure remains a key challenge.