Computed Tomography Radiation Exposure among Urinary Tract Stone Patients at Tikur Anbessa Specialized Hospital: A Retrospective Study

Ethiop J Health Sci. 2022 Oct;32(Spec Iss 1):33-40. doi: 10.4314/ejhs.v32i1.6S.

Abstract

Background: National and multinational surveys indicate large variability of Computed Tomography urinary tract Stone doses. The wide use of abdominopelvic Computed Tomography in the diagnosis, raised the issue of radiation exposure. Hence, this study was conducted to assess Computed Tomography radiation exposure of urinary tract Stone Patients there by, to compare the results from established reference values and other published studies.

Methods: A retrospective cross-sectional was done on 100 urinary tract Stone patients who have at least one computed tomography scan as part of their follow-up or for diagnosis purposes from February 1 to May 31, 2021, at Tikur Anbesa Specialized Hospital. Data were collected using a structured questionnaire format that evaluates the number of Computed Tomography they had, scan parameters, dose indicators, and socio-demographic characteristics. Finally, the collected data were analyzed using statistical software SPSS version 22.

Results: Out of 100 patients 3.6%of our patients have radiation exposure of more than 4mSv, which is the standard for low-dose Computed Tomography. The median radiation exposure is 1.27mSv per scan. Exposure factors like tube current, tube current products, dose length product, and scan range all have similar values with an almost null interquartile range. All the scans that overpassed the low dose threshold(4mSv) were done outside Tikur Anbesa Specialized Hospital.

Conclusion: Our study showed that Tikur Anbesa Specialized Hospital's low-dose CT protocol for patients with urinary tract Stone is well optimized as opposed to non- Tikur Anbesa Specialized Hospital.

Keywords: Computed Tomography dose index volume; Urolithiasis; dose length product; effective dose.

MeSH terms

  • Cross-Sectional Studies
  • Hospitals
  • Humans
  • Radiation Exposure* / adverse effects
  • Retrospective Studies
  • Tomography, X-Ray Computed / methods
  • Urinary Calculi* / diagnostic imaging
  • Urinary Calculi* / etiology