Department of Surgery, Division of Transplantation, Leiden University Medical Center, Leiden, Netherlands.
Department of Organ and Tissue Donation, Dutch Transplant Foundation, Leiden, Netherlands.
Transpl Int. 2022 May 19;35:10289. doi: 10.3389/ti.2022.10289. eCollection 2022.
Organ transplantation is performed worldwide, but policies regarding donor imaging are not uniform. An overview of the policies in different regions is missing. This study aims to investigate the various protocols worldwide on imaging in deceased organ donation. An online survey was created to determine the current policies. Competent authorities were approached to fill out the survey based on their current protocols. In total 32 of the 48 countries approached filled out the questionnaire (response rate 67%). In 16% of the countries no abdominal imaging is required prior to procurement. In 50%, abdominal ultrasound (US) is performed to screen the abdomen and in 19% an enhanced abdominal Computed Tomography (CT). In 15% of the countries both an unenhanced abdominal CT scan and abdominal US are performed. In 38% of the countries a chest radiographic (CXR) is performed to screen the thorax, in 28% only a chest CT, and in 34% both are performed. Policies regarding radiologic screening in deceased organ donors show a great variation between different countries. Consensus on which imaging method should be applied is missing. A uniform approach will contribute to quality and safety, justifying (inter)national exchange of organs.
器官移植在全球范围内进行，但关于供体成像的政策并不统一。缺少对不同地区政策的概述。本研究旨在调查全球在死亡器官捐献中成像的各种方案。创建了一个在线调查来确定当前的政策。根据他们当前的方案，联系主管部门填写调查问卷。总共联系了 48 个国家中的 32 个国家（回复率为 67%）。在 16%的国家，在进行采购之前不需要进行腹部成像。在 50%的国家，进行腹部超声（US）检查以筛查腹部，在 19%的国家进行增强腹部 CT。在 15%的国家，同时进行未增强的腹部 CT 扫描和腹部 US。在 38%的国家，进行胸部 X 线摄影（CXR）以筛查胸部，在 28%的国家仅进行胸部 CT，在 34%的国家两者都进行。在不同国家之间，关于死亡器官供体放射学筛查的政策存在很大差异。对于应该应用哪种成像方法缺乏共识。统一的方法将有助于保证质量和安全，从而证明（国际）器官交换是合理的。
