تبرير إحالات التصوير المقطعي للأطفال في سورية

Abstract EN

There was an increase in the number of pediatric CT examinations in 2009 compared with 2007 by 36.5%.

The information about justification of CT examinations was collected from 12 CT facilities in Syria and compared with the study of the International Atomic Energy Agency (IAEA), which included 146 CT's distributed in 40 countries around the world, and discussed the justification cases with the European Commission’s referral guidelines.

It was found that 50% of radiologists were involved in the justification process with the referral doctors.

The recommendations of ACR are to involve the radiologist in all the justification of all referrals paediatric CT examinations.

It was found also that 67% of CT facilities do not have written referral guidelines for imaging.

All CT facilities do not archive patients CT doses, and in 83% of paediatric CT examinations the previous images are required when referring for CT.

Head CT is required in all cases for a paediatric patient with an accidental head trauma to assure that child is in good health.

While the European commission’s referral guidelines for imaging do not recommend CT for patients with a low risk of intracranial injury, or without clinical signs, in 58.3% of cases of child with persistent headache the first choice diagnoses is CT scan.

The European Commission’s referral guidelines for imaging recommend Magnetic Resonance Imaging (MRI) in preference to CT to avoid the exposure to ionizing radiation