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Pregled bibliografske jedinice broj: 1052999

CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries


Gershan, Vesna; Homayounieh, Fatemeh; Singh, Ramandeep; Avramova-Cholakova, Simona; Faj, Dario; Georgiev, Emil; Girjoaba, Olga; Griciene, Birute; Gruppetta, Edward; Hadnadjev Šimonji, Darka et al.
CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries // European journal of radiology, 126 (2020), 108923, 11 doi:10.1016/j.ejrad.2020.108923 (međunarodna recenzija, članak, znanstveni)


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Naslov
CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries

Autori
Gershan, Vesna ; Homayounieh, Fatemeh ; Singh, Ramandeep ; Avramova-Cholakova, Simona ; Faj, Dario ; Georgiev, Emil ; Girjoaba, Olga ; Griciene, Birute ; Gruppetta, Edward ; Hadnadjev Šimonji, Darka ; Kharuzhyk, Siarhei ; Klepanec, Andrej ; Kostova-Lefterova, Desisslava ; Kulikova, Anna ; Lasic, Ivan ; Milatovic, Aleksandra ; Paulo, Graciano ; Vassileva, Jenia ; Kalra, Mannudeep K.

Izvornik
European journal of radiology (0720-048X) 126 (2020); 108923, 11

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Computed Tomography ; Radiation Dose ; Urography ; Urinary Stone ; Clinical Protocols

Sažetak
Purpose Patients with hematuria and renal colic often undergo CT scanning. The purpose of our study was to assess variations in CT protocols and radiation doses for evaluation of hematuria and urinary stones in 20 countries. Method The International Atomic Energy Agency (IAEA) surveyed practices in 51 hospitals from 20 countries in the European region according to the IAEA Technical cooperation classification and obtained following information for three CT protocols (urography, urinary stones, and routine abdomen-pelvis CT) for 1276 patients: patient information (weight, clinical indication), scanner information (scan vendor, scanner name, number of detector rows), scan parameters (such as number of phases, scan start and end locations, mA, kV), and radiation dose descriptors (CTDIvol, DLP). Two radiologists assessed the appropriateness of clinical indications and number of scan phases using the ESR Referral Guidelines and ACR Appropriateness Criteria. Descriptive statistics and Student’s t tests were performed. Results Most institutions use 3-6 phase CT urography protocols (80%, median DLP 1793-3618 mGy.cm) which were associated with 2.4-4.9-fold higher dose compared to 2-phase protocol (20%, 740 mGy.cm) (p < 0.0001). Likewise, 52% patients underwent 3-5 phase routine abdomen- pelvis CT (1574-2945 mGy.cm) as opposed to 37% scanned with a single-phase routine CT (676 mGy.cm). The median DLP for urinary stones CT (516 mGy.cm) were significantly lower than the median DLP for the other two CT protocols (p < 0.0001). Conclusions Few institutions (4/13) use low dose CT for urinary stones. There are substantial variations in CT urography and routine abdomen- pelvis CT protocols result in massive radiation doses (up to 2945-3618 mGy.cm).

Izvorni jezik
Engleski

Znanstvena područja
Fizika, Temeljne medicinske znanosti



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Osijek,
Fakultet za dentalnu medicinu i zdravstvo, Osijek

Profili:

Avatar Url Dario Faj (autor)

Poveznice na cjeloviti tekst rada:

doi

Citiraj ovu publikaciju:

Gershan, Vesna; Homayounieh, Fatemeh; Singh, Ramandeep; Avramova-Cholakova, Simona; Faj, Dario; Georgiev, Emil; Girjoaba, Olga; Griciene, Birute; Gruppetta, Edward; Hadnadjev Šimonji, Darka et al.
CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries // European journal of radiology, 126 (2020), 108923, 11 doi:10.1016/j.ejrad.2020.108923 (međunarodna recenzija, članak, znanstveni)
Gershan, V., Homayounieh, F., Singh, R., Avramova-Cholakova, S., Faj, D., Georgiev, E., Girjoaba, O., Griciene, B., Gruppetta, E. & Hadnadjev Šimonji, D. (2020) CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries. European journal of radiology, 126, 108923, 11 doi:10.1016/j.ejrad.2020.108923.
@article{article, author = {Gershan, Vesna and Homayounieh, Fatemeh and Singh, Ramandeep and Avramova-Cholakova, Simona and Faj, Dario and Georgiev, Emil and Girjoaba, Olga and Griciene, Birute and Gruppetta, Edward and Hadnadjev \v{S}imonji, Darka and Kharuzhyk, Siarhei and Klepanec, Andrej and Kostova-Lefterova, Desisslava and Kulikova, Anna and Lasic, Ivan and Milatovic, Aleksandra and Paulo, Graciano and Vassileva, Jenia and Kalra, Mannudeep K.}, year = {2020}, pages = {11}, DOI = {10.1016/j.ejrad.2020.108923}, chapter = {108923}, keywords = {Computed Tomography, Radiation Dose, Urography, Urinary Stone, Clinical Protocols}, journal = {European journal of radiology}, doi = {10.1016/j.ejrad.2020.108923}, volume = {126}, issn = {0720-048X}, title = {CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries}, keyword = {Computed Tomography, Radiation Dose, Urography, Urinary Stone, Clinical Protocols}, chapternumber = {108923} }
@article{article, author = {Gershan, Vesna and Homayounieh, Fatemeh and Singh, Ramandeep and Avramova-Cholakova, Simona and Faj, Dario and Georgiev, Emil and Girjoaba, Olga and Griciene, Birute and Gruppetta, Edward and Hadnadjev \v{S}imonji, Darka and Kharuzhyk, Siarhei and Klepanec, Andrej and Kostova-Lefterova, Desisslava and Kulikova, Anna and Lasic, Ivan and Milatovic, Aleksandra and Paulo, Graciano and Vassileva, Jenia and Kalra, Mannudeep K.}, year = {2020}, pages = {11}, DOI = {10.1016/j.ejrad.2020.108923}, chapter = {108923}, keywords = {Computed Tomography, Radiation Dose, Urography, Urinary Stone, Clinical Protocols}, journal = {European journal of radiology}, doi = {10.1016/j.ejrad.2020.108923}, volume = {126}, issn = {0720-048X}, title = {CT Protocols and Radiation Doses for Hematuria and Urinary Stones: Comparing Practices in 20 Countries}, keyword = {Computed Tomography, Radiation Dose, Urography, Urinary Stone, Clinical Protocols}, chapternumber = {108923} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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