Higher Institute of Nursing Professions and Health Techniques, Agadir, Morocco.
Faculty of Medicine and Pharmacy, Ibn Zohr University of Agadir, Agadir, Morocco.
Pan Afr Med J. 2022 Apr 11;41:290. doi: 10.11604/pamj.2022.41.290.25090. eCollection 2022.
the aim of this study was to establish local Diagnostic Reference Levels (DRLs) for four adult Computed Tomography (CT) examinations in the radiology department, Hassan II hospital of Agadir.
during this survey, we have examined the data of 200 patients at an average of 50 per localization. A General Electric 16 CT with automatic exposure control system was used to perform all CT examinations. Scanner acquisition parameters, number of series, contrast medium use, rotation time plus slice thickness, the displayed Computed Tomography Dose Index (CTDI), and the Dose Length Product (DLP) were among the data collected for each diagnostic exam chosen. To evaluate the DRL and effective dose, the conversion factor and formalism of the International Commission on Radiological Protection (ICRP) were utilized.
the average effective dose (Eeff), the displayed CT dose index (CTDI), dose length product (DLP) were (7.28±2.35) mSv, (10.80±3.80) mGy and (428.35±138.26) mGy.cm respectively at chest CT. For abdomen-pelvis CT scan, there were (12.48±5.58) mSv, (9.30±2.99) mGy and (805.43±359.98) mGy. Those at chest abdomen-pelvic CT scan were (11.72±3.98) mSv, (10.82±2.53) mGy and (755.97±251.52) mGy.cm respectively. For lumbar CT, there were (12.12±2.32) mSv, (26.46±5.24) mGy and (787.00±149.37) mGy.cm respectively.
the findings of this study shows that our values are slightly higher than those of developed countries. This first-ever CT practice evaluation at Agadir's Hassan II Hospital reinforced the need for further radiology training for computed tomography practitioners on parameters influencing image quality, dose, and protocols improvement.
本研究旨在为阿加迪尔哈桑二世医院放射科的四项成人 CT 检查建立当地诊断参考水平(DRL)。
在这项调查中,我们对 200 名平均每个部位 50 名患者的数据进行了检查。使用具有自动曝光控制系统的通用电气 16 CT 对所有 CT 检查进行了检查。收集的每个诊断检查数据包括扫描采集参数、序列数量、造影剂使用、旋转时间加切片厚度、显示的 CT 剂量指数(CTDI)和剂量长度乘积(DLP)。为了评估 DRL 和有效剂量,使用了国际辐射防护委员会(ICRP)的转换因子和形式。
胸部 CT 的平均有效剂量(Eeff)、显示的 CT 剂量指数(CTDI)和剂量长度乘积(DLP)分别为(7.28±2.35)mSv、(10.80±3.80)mGy 和(428.35±138.26)mGy·cm。腹部-骨盆 CT 扫描的分别为(12.48±5.58)mSv、(9.30±2.99)mGy 和(805.43±359.98)mGy·cm。胸部-腹部-骨盆 CT 扫描的分别为(11.72±3.98)mSv、(10.82±2.53)mGy 和(755.97±251.52)mGy·cm。腰椎 CT 的分别为(12.12±2.32)mSv、(26.46±5.24)mGy 和(787.00±149.37)mGy·cm。
本研究的结果表明,我们的数值略高于发达国家。这是阿加迪尔哈桑二世医院首次对 CT 实践进行评估,这加强了对 CT 从业人员进行影响图像质量、剂量和协议改进的参数进一步培训的必要性。