Medical Imaging Technology

Permanent URI for this collection

https://dspace.alquds.edu/handle/20.500.12213/7165

Browse

Browsing Medical Imaging Technology by Author "Ashraf Mohammad Harb Najajrah"

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    A Retrospective Study to Measure the Justification for CT Scans of the Abdomen and pelvis in Palestinian Public Hospitals
    (Al-Quds University, 2023-11-22) Ashraf Mohammad Harb Najajrah; أشرف محمد حرب نجاجره
    Computed axial tomography it is a noninvasive diagnostic imaging procedure that uses a combination of computer technologies and X-ray radiation to produce axial images (often called slices) of the organs of human body. CT scan is a powerful device and highly flexible diagnostic tool enable of making radical changes to the patient clinical management. The most appropriate use of CT scan depends on a lot of factors which must be considered every time a CT scan is justified. CT scan as a diagnostic modality, it delivers higher radiation doses compared to other imaging modalities, if the patient effective dose increase the risk of cancer increase. The researcher aims from this retrospective study to determine whether the abdomen and pelvis CT scan examination in the Palestinian public hospitals were justified or not. In this retrospective study, the sample size 892 referrals were included,458 female and 434 male from seven public hospitals in Palestine. Three radiologists participated in this study. Two of them separately participated to judge if the examination justified or unjustified according to five groups criteria’s of justification, and the role of third participated radiologist only to reach the consensus if there are any discrepancies between the main two separate radiologists. Chi square test, excel software and SPSS used for any analysis. There is significant difference between justified and unjustified CT examinations in public hospitals in Palestine with p value 0.00. 58.6% of the referrals were unjustified. Also, there is significant difference in the number of justified and unjustified between with contrast and without contrast with p value 0.02. Otherwise, the rest of parameters showed no significant difference. In conclusion, our present study showed high number of unjustified examinations in the Palestinian public hospitals. And the number of pediatric patients (8%) in acceptable range in compared to the number of adults patients (92%) included in the study. There is significant difference in the number of justified and unjustified between CT examinations with contrast and without contrast with p value 0.02. It’s important to introduce Palestinian indications or guidelines for CT scans attach it to the HIS. As well as increase the awareness of patient’s and his/ hers family about the radiation risks on the other hand, introduce continuous training and learning about the CT justification and risks for medical team especially physicians who responsible for referring patients to CT scan.