Computed Tomography Radiation Exposure Among Urinary Tract Stone Patients At Tikuranbessa Specialized Hospital A Retrospective Study

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Background: Urinary tract stone is increasing dramatically in recent years so is the diagnosticrncapability especially after the employment of abdominopelvic CT. The wide use of rnabdominopelvic CT in the diagnosis, treatment planning, and follow-up of these patients raisedrnthe issue of radiation exposure. For this reason, CT protocols that decrease the radiation dosernwithout decreasing the sensitivity and specificity of depicting stone have been implemented. Therncommon of these protocols is low dose CT despite its wide advocation there is wide variation inrnCT protocols in different institutions. The CT protocol used in our country is not known and therernis no national guideline or recommendation for these types of patients, therefore, a wide variety ofrnprotocols in different institutions is expected of which some may expose patients to unnecessaryrnradiation. rnObjectives: To study the amount of radiation dose patients at tikuranbessa specialized hospitalrnpatients with urinary tract stone disease receive in being evaluated by abdomen/pelvic CT rnMethods: a retrospective cross-sectional was done February 1to august 31, 2021, at TASH inrnpatients who had their scan for urolithiasis or symptoms related to urolithiasis 1/07/202031/10/2020rnG.Crnarernincludedrnuntilrnthernsamplernsizernisrnattained.rnDatarnwererncollectedrnbyrnthernprincipalrnrninvestigator with a structured questioner that evaluates the number of CT they had The CTrncharacteristics like DLP CTDvol, date, and place the CT was taken. These data were analyzed byrnstatistical software SPSS version 22 rnResults: None of our patients have exposure more than 50msv per year or 100msv over 5 years.rn3.6% of our patients have radiation exposure of more than 4msv, which is the standard for lowdosernCT.rnThernmedianrnradiationrnexposurernisrn1.27mSvrnperrnscan.rnExposurernfactorsrnlikerntuberncurrent,rnrntube current product, dose length product, scan range all have similar values with almost nullrninterquartile range.Tube current product was found to have a statistically significant positive correlation with effective dose.All the scans that overpassed the low dose threshold(4msv) wererndone outside TASH. rnConclusion: Our study showed that TASH’s low dose CT protocol for patients with urolithiasisrnis well optimized and patients are not being overexposed but even with the limited data we have rnnon-TASH institutions are likely using non-optimized CT scans and patients may be a victim ofrnradiation overexposure for either diagnosis or follow of urolithiasis.

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Computed Tomography Radiation Exposure Among Urinary Tract Stone Patients At Tikuranbessa Specialized Hospital A Retrospective Study

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