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.

Cureus
|February 13, 2023
PubMed

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.

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