Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit

Abstract To propose a new method of reducing the scan length of head trauma while keeping the diagnostic efficiency of the examination in order to develop DRL in an African context. This is a retrospective single-center study including 145 patients who had cranial examinations on a 64-barettes scann...

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Autores principales:	Fotso Kamdem Eddy, Samba Odette Ngano, Fotue Alain Jervé, Abogo Serge
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b7234ff98328409ca5fd081aa4040a22
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spelling	oai:doaj.org-article:b7234ff98328409ca5fd081aa4040a222021-12-02T14:42:00ZOptimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit10.1038/s41598-021-90529-42045-2322https://doaj.org/article/b7234ff98328409ca5fd081aa4040a222021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90529-4https://doaj.org/toc/2045-2322Abstract To propose a new method of reducing the scan length of head trauma while keeping the diagnostic efficiency of the examination in order to develop DRL in an African context. This is a retrospective single-center study including 145 patients who had cranial examinations on a 64-barettes scanner. All head trauma cases were selected. The interpretations of these CT scanners by the three radiologists of the service were noted to determine the acquisition limit. All patient acquisition lengths have been recorded. The acquisition limit for head trauma ended in clinical routine at cervical spine 4 (C4). The average scan length was 23.03 cm. Out of the CT scan results for 145 patients, only 2 (1.37%) had a C3 level cervical spine fracture and 2 (1.37%) at C4. By respecting the principles of radiation protection, this result has shown us that it is possible to limit the acquisition length of the CT scanners indicated for head trauma. The limit of the optimized scan length that we proposed is at cervical spine 2 (98.62%). Now, all head trauma are limited on cervical vertebra 2 in our hospital. The use of this new method is beneficial when the clinical indication of the examination and the type of trauma (multi-trauma) are taken into account. Based on the principles of radiation protection and the clinical indication for the examination, reducing the scan length from C4 to C2 is an effective way to reduce the dose absorbed by the patient.Fotso Kamdem EddySamba Odette NganoFotue Alain JervéAbogo SergeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fotso Kamdem Eddy Samba Odette Ngano Fotue Alain Jervé Abogo Serge Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
description	Abstract To propose a new method of reducing the scan length of head trauma while keeping the diagnostic efficiency of the examination in order to develop DRL in an African context. This is a retrospective single-center study including 145 patients who had cranial examinations on a 64-barettes scanner. All head trauma cases were selected. The interpretations of these CT scanners by the three radiologists of the service were noted to determine the acquisition limit. All patient acquisition lengths have been recorded. The acquisition limit for head trauma ended in clinical routine at cervical spine 4 (C4). The average scan length was 23.03 cm. Out of the CT scan results for 145 patients, only 2 (1.37%) had a C3 level cervical spine fracture and 2 (1.37%) at C4. By respecting the principles of radiation protection, this result has shown us that it is possible to limit the acquisition length of the CT scanners indicated for head trauma. The limit of the optimized scan length that we proposed is at cervical spine 2 (98.62%). Now, all head trauma are limited on cervical vertebra 2 in our hospital. The use of this new method is beneficial when the clinical indication of the examination and the type of trauma (multi-trauma) are taken into account. Based on the principles of radiation protection and the clinical indication for the examination, reducing the scan length from C4 to C2 is an effective way to reduce the dose absorbed by the patient.
format	article
author	Fotso Kamdem Eddy Samba Odette Ngano Fotue Alain Jervé Abogo Serge
author_facet	Fotso Kamdem Eddy Samba Odette Ngano Fotue Alain Jervé Abogo Serge
author_sort	Fotso Kamdem Eddy
title	Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
title_short	Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
title_full	Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
title_fullStr	Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
title_full_unstemmed	Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit
title_sort	optimization of the scan length of head traumas on the pediatric and adult ct scan and proposition of a new acquisition limit
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b7234ff98328409ca5fd081aa4040a22
work_keys_str_mv	AT fotsokamdemeddy optimizationofthescanlengthofheadtraumasonthepediatricandadultctscanandpropositionofanewacquisitionlimit AT sambaodettengano optimizationofthescanlengthofheadtraumasonthepediatricandadultctscanandpropositionofanewacquisitionlimit AT fotuealainjerve optimizationofthescanlengthofheadtraumasonthepediatricandadultctscanandpropositionofanewacquisitionlimit AT abogoserge optimizationofthescanlengthofheadtraumasonthepediatricandadultctscanandpropositionofanewacquisitionlimit
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Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit

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