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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

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Published on: August 14, 2019

Relationship between radiologist training level and fluoroscopy time for voiding cystourethrography.

Ruth Lim¹, Ranish Deedar Ali Khawaja, Katherine Nimkin

¹Department of Radiology, Division of Pediatric Imaging, Massachusetts General Hospital, Harvard Medical School, 34 Fruit St, Ellison 237, Boston, MA 02114, USA. rlim@partners.org

AJR. American Journal of Roentgenology

|February 26, 2013

Summary

This summary is machine-generated.

Attending pediatric radiologists perform voiding cystourethrography (VCUG) procedures with the shortest fluoroscopy times. Male patients had longer VCUG fluoroscopy times compared to female patients.

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Area of Science:

Radiology
Medical Imaging
Pediatric Imaging

Background:

Voiding cystourethrography (VCUG) is a common diagnostic imaging procedure in pediatric patients.
Fluoroscopy time during VCUG can contribute to radiation exposure.
Understanding factors influencing fluoroscopy time is crucial for optimizing patient safety.

Purpose of the Study:

To investigate the relationship between radiologist training level and fluoroscopy time during VCUG.
To identify potential differences in fluoroscopy duration across various radiologist experience levels.

Main Methods:

Retrospective review of 784 normal VCUG reports from 2008-2011.
Calculation of average fluoroscopy times for first-year residents, senior residents, fellows, and attending pediatric radiologists.
Statistical analysis (ANOVA) to compare fluoroscopy times across training levels, patient age groups, and patient sex.

Main Results:

Attending pediatric radiologists demonstrated the shortest average fluoroscopy time (1.63 minutes).
This was significantly shorter than senior residents (1.96 minutes) and fellows (1.91 minutes).
Male patients had significantly longer average fluoroscopy times (2.02 minutes) than female patients (1.71 minutes).

Conclusions:

Radiologist training level impacts VCUG fluoroscopy time, with attending physicians being the most efficient.
Patient sex is a significant factor, with male patients requiring longer fluoroscopy durations.
These findings can inform strategies for radiation dose reduction in pediatric VCUG procedures.