Abstract:
OBJECTIVES:To benchmark regional standard practice for paediatric cranial CT-procedures in terms of radiation dose and acquisition parameters. METHODS:Paediatric cranial CT-data were retrospectively collected during a 1-year period, in 3 different hospitals of the same country. A dose tracking system was used to automatically gather information. Dose (CTDI and DLP), scan length, amount of retakes and demographic data were stratified by age and clinical indication; appropriate use of child-specific protocols was assessed. RESULTS:In total, 296 paediatric cranial CT-procedures were collected. Although the median dose of each hospital was below national and international diagnostic reference level (DRL) for all age categories, statistically significant (p-value < 0.001) dose differences among hospitals were observed. The hospital with lowest dose levels showed smallest dose variability and used age-stratified protocols for standardizing paediatric head exams. Erroneous selection of adult protocols for children still occurred, mostly in the oldest age-group. CONCLUSION:Even though all hospitals complied with national and international DRLs, dose tracking and benchmarking showed that further dose optimization and standardization is possible by using age-stratified protocols for paediatric cranial CT. Moreover, having a dose tracking system revealed that adult protocols are still applied for paediatric CT, a practice that must be avoided. KEY POINTS:• Significant differences were observed in the delivered dose between age-groups and hospitals. • Using age-adapted scanning protocols gives a nearly linear dose increase. • Sharing dose-data can be a trigger for hospitals to reduce dose levels.
journal_name
Eur Radioljournal_title
European radiologyauthors
De Bondt T,Mulkens T,Zanca F,Pyfferoen L,Casselman JW,Parizel PMdoi
10.1007/s00330-016-4385-4subject
Has Abstractpub_date
2017-02-01 00:00:00pages
841-850issue
2eissn
0938-7994issn
1432-1084pii
10.1007/s00330-016-4385-4journal_volume
27pub_type
杂志文章,多中心研究abstract:OBJECTIVES:To (a) determine the diagnostic validity of axillary ultrasound (AUS) in pT1 tumours and whether fine-needle aspiration (FNA) improves its diagnostic performance, and (b) determine the negative predictive value (NPV) of AUS in a simulation environment (cutoff: two lymph nodes with macrometastases) in patient...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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