Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia

Introduction: During computed tomography examinations variation of dose for pediatric and adults has been increasing widely, even when automated exposure control is used. Hence, the objective of this study was to assess the computed tomography head local diagnostic reference levels in the Amhara reg...

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Main Authors: Seife Dellie, Ambaye Tesfaw
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2023-09-01
Series:Iranian Journal of Medical Physics
Subjects:
Online Access:https://ijmp.mums.ac.ir/article_20963_9c309a2f8874e16a65a2dcae6638bfd4.pdf
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author Seife Dellie
Ambaye Tesfaw
author_facet Seife Dellie
Ambaye Tesfaw
author_sort Seife Dellie
collection DOAJ
description Introduction: During computed tomography examinations variation of dose for pediatric and adults has been increasing widely, even when automated exposure control is used. Hence, the objective of this study was to assess the computed tomography head local diagnostic reference levels in the Amhara region.Material and Methods: Active computed tomography scanners in the Amhara region were identified and then both retrospective and prospective technique was used to collect data for pediatric and adult head examinations. Scan parameters, patient profiles, and CT dose indicators were collected from 334 patients.  Pediatric patients were grouped into three age (years) groups of (1-5, 5-10, and 10-15). The local diagnostic reference levels were established from third quartile values of computed tomography dose index and dose length product. SPSS software version 26 and Microsoft Excel 2016 were used for the entire data analysis.Results: The calculated 3rd quartile values  of computed tomography dose index and dose length product, for adult head examinations, were 49 mGy and 1806 mGy.cm respectively. Similarly, for pediatric head CT scan, computed tomography dose index (mGy) and dose length product (mGy.cm) values for age (years) groups (1-5, 5-10, and 10-15) were (30, 2015); (35, 1221); and (43, 2051) respectively.The investigated 3rd quartile values of computed tomography dose index and dose length product were higher than other national and international reported values.Conclusion: For all pediatric and adult patients , there are differences in the local diagnostic reference levels between the CT centers and the same scanners, indicating the need for dose optimization.
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spelling doaj.art-19b140c0cfb942c9b7753ea83cbcdcb72024-04-14T06:28:24ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722023-09-0120525225610.22038/ijmp.2022.65494.212520963Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, EthiopiaSeife Dellie0Ambaye Tesfaw1Addis Ababa University, Tikur Anbessa Hospital Department of RadiologyPhysics, College of natural Computational Sciences, Woldia University, woldia, EthiopiaIntroduction: During computed tomography examinations variation of dose for pediatric and adults has been increasing widely, even when automated exposure control is used. Hence, the objective of this study was to assess the computed tomography head local diagnostic reference levels in the Amhara region.Material and Methods: Active computed tomography scanners in the Amhara region were identified and then both retrospective and prospective technique was used to collect data for pediatric and adult head examinations. Scan parameters, patient profiles, and CT dose indicators were collected from 334 patients.  Pediatric patients were grouped into three age (years) groups of (1-5, 5-10, and 10-15). The local diagnostic reference levels were established from third quartile values of computed tomography dose index and dose length product. SPSS software version 26 and Microsoft Excel 2016 were used for the entire data analysis.Results: The calculated 3rd quartile values  of computed tomography dose index and dose length product, for adult head examinations, were 49 mGy and 1806 mGy.cm respectively. Similarly, for pediatric head CT scan, computed tomography dose index (mGy) and dose length product (mGy.cm) values for age (years) groups (1-5, 5-10, and 10-15) were (30, 2015); (35, 1221); and (43, 2051) respectively.The investigated 3rd quartile values of computed tomography dose index and dose length product were higher than other national and international reported values.Conclusion: For all pediatric and adult patients , there are differences in the local diagnostic reference levels between the CT centers and the same scanners, indicating the need for dose optimization.https://ijmp.mums.ac.ir/article_20963_9c309a2f8874e16a65a2dcae6638bfd4.pdfcomputed tomography dose indexdose length productradiation exposure parameters
spellingShingle Seife Dellie
Ambaye Tesfaw
Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
Iranian Journal of Medical Physics
computed tomography dose index
dose length product
radiation exposure parameters
title Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
title_full Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
title_fullStr Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
title_full_unstemmed Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
title_short Evaluation of Local Diagnostic Reference Levels for Paediatric and Adult Patients Undergoing Head Computed Tomography Examination in Amhara Regional States, Ethiopia
title_sort evaluation of local diagnostic reference levels for paediatric and adult patients undergoing head computed tomography examination in amhara regional states ethiopia
topic computed tomography dose index
dose length product
radiation exposure parameters
url https://ijmp.mums.ac.ir/article_20963_9c309a2f8874e16a65a2dcae6638bfd4.pdf
work_keys_str_mv AT seifedellie evaluationoflocaldiagnosticreferencelevelsforpaediatricandadultpatientsundergoingheadcomputedtomographyexaminationinamhararegionalstatesethiopia
AT ambayetesfaw evaluationoflocaldiagnosticreferencelevelsforpaediatricandadultpatientsundergoingheadcomputedtomographyexaminationinamhararegionalstatesethiopia