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Assessing Radiation Dosage in Pediatric Head and Neck Computed Tomography Examinations During COVID-19 in a Tertiary
Mawya Khafaji1, Abdulrahman Y AlNajjar2, Sultan Matbouli2
1Radiology, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Insights
During the COVID-19 pandemic, pediatric head CT scans showed reduced exposure times but slightly increased radiation doses. These changes in radiation dose practices may stem from efforts to minimize patient-technician contact.
Area of Science:
- Radiology
- Medical Imaging
- Pediatric Imaging
Background:
- The COVID-19 pandemic necessitated changes in healthcare practices, including medical imaging.
- Assessing radiation dose optimization in pediatric computed tomography (CT) during this period is crucial.
Purpose of the Study:
- To evaluate imaging practices and radiation dose optimization for pediatric head and neck CT examinations during the COVID-19 pandemic.
- Compare radiation dose parameters before and during the COVID-19 pandemic.
Main Methods:
- Retrospective analysis of pediatric head CT scans (0-14 years) from King Abdulaziz University Hospital.
- Data collected from March-September 2019 (pre-pandemic) and March-September 2020 (during pandemic).
- Analysis of 1005 scans (531 pre-pandemic, 474 during pandemic), focusing on exposure time, CTDIvol, and dose-length product (DLP).
Main Results:
- Exposure time was significantly lower during the COVID-19 period (5432 ms vs. 5811 ms, p < 0.001).
- Mean total CTDIvol (23.34 mGy vs. 22.04 mGy) and DLP (577.36 mGy*cm vs. 518.93 mGy*cm) were slightly higher during the pandemic, though not statistically significant (p=0.565 and p=0.193, respectively).
Conclusions:
- Pediatric head CT protocols adapted during COVID-19, showing reduced exposure times.
- Slight increases in radiation dose metrics may be linked to modified procedures aimed at limiting patient-technician contact.
Abstract:
This study aimed to assess the practice of imaging and optimization of the radiation dose in pediatric head and neck computed tomography (CT) examinations during the coronavirus disease of 2019 (COVID-19) period. This study is based on a retrospective analysis of pediatric head CT records, conducted in the Radiology Department of the King Abdulaziz University Hospital in Jeddah, Saudi Arabia. We examined the data of all pediatric patients between 0 and 14 years of age who underwent head CT scans between March and September in both 2019 (before the COVID-19 pandemic) and 2020 (during the COVID-19 pandemic). In total, we analyzed 1005 scans; 531 (52.8%) were performed before and 474 (47.2%) during COVID-19. The dose parameters were similar; however, the exposure time was significantly lower during COVID-19 (5432 ms vs. 5811 before; p < 0.001). In contrast, the mean total CTDIvol and dose-length product (DLP) were slightly higher during COVID-19 than those before (23.34 mGy vs. 22.04 mGy (p-value=0.565) and 577.36 mGy*cm vs. 518.93 mGy*cm (p-value=0.193) respectively). These changes could be attributed to the desire to limit the contact between technicians and patients. The limitation of contact with the patient allows the technicians to be independent during the scan, possibly accounting for this slight decrease.
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