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Optimization of pediatric CT scans in a developing country
Fotso Eddy Kamdem1, Samba Odette Ngano2,3, Clemence Alla Takam2
1Unité de Recherche de la Matière Condensée, d'Electronique et de Traitement du Signal, Department of Physics, Faculty of Science, University of Dschang, Dschang, Cameroon. eddyfotsokamdem@yahoo.fr.
BMC Pediatrics
|January 21, 2021
Summary
Optimizing pediatric CT scans on adult machines in developing countries significantly reduced radiation doses. New protocols lowered radiation exposure for children, enhancing safety in medical imaging.
Area of Science:
- Medical Imaging
- Radiology
- Pediatric Health
Background:
- Adult CT scanners are often used for pediatric patients in developing countries.
- This poses challenges in optimizing radiation dose for children aged 0-15 years.
Purpose of the Study:
- To assess CT scan parameters for pediatric examinations on adult scanners.
- To propose strategies for optimizing these examinations in resource-limited settings.
Main Methods:
- A comparative study was conducted in 2015 and 2018 involving 312 pediatric patients.
- Strategies proposed in 2015 were implemented and evaluated in 2018.
- Dose and scan parameters were analyzed prospectively.
Main Results:
- Implementation of optimization strategies led to significant dose reduction.
- CTDIvol decreased by 17-32% and DLP by 20-36% across different pediatric age groups.
- Radiation doses for children were reduced despite using adult scanners.
Conclusions:
- Reducing radiation doses in pediatric CT examinations is achievable.
- Optimization protocols or dedicated pediatric scanners can improve patient safety.
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