Anthropometric and computed tomography scan exposure measurements among adult patients, a hospital-based study

Geoffrey Erem, S. Bugeza, F. Ameda, Caroline Otike, William K Olwit, A. Mubuuke, Cyril Scandhorf, Akisophel Kisolo, M. Kawooya
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Abstract

Abstract Medical exposures to ionizing radiation constitute nearly half of the total radiation exposures from all sources. The higher utilization of imaging services is happening all over the world, Uganda inclusive. We sought to establish the relationship between adult patient anthropometric measurements and computed tomography scan exposure variables. This was a hospital-based cross-sectional study conducted in three selected hospitals performing adult CT scan examinations. A total of 176 adult patients who presented for head, abdominal, cardiac CT—calcium score and cardiac angiogram were recruited in the study. Data was collected using a piloted standardized research protocol for establishing diagnostic reference values. The data collected were weight, height, age and sex with CT scan variables. Data were analyzed using Spearman’s rank correlation coefficient and Wilcoxon rank-sum tests. This study was also approved by the ethics committee. The key findings showed that the examination, reference and total mAs were associated with significant positive associations with the anthropometric characteristics namely; weight, height and BMI as opposed to sex and age. The findings also revealed that males were generally exposed to higher doses for Head and Cardiac CT studies with females receiving higher doses for abdominal examinations only.
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成人患者的人体测量和计算机断层扫描暴露测量,一项基于医院的研究
医疗电离辐射照射占所有源辐射照射总量的近一半。世界各地都在提高成像服务的利用率,包括乌干达。我们试图建立成人患者人体测量和计算机断层扫描暴露变量之间的关系。这是一项以医院为基础的横断面研究,在三家选定的医院进行成人CT扫描检查。研究共招募了176名进行头部、腹部、心脏ct -钙评分和心脏血管造影的成年患者。数据收集使用试点标准化研究方案,以建立诊断参考值。收集的数据包括体重、身高、年龄、性别和CT扫描变量。采用Spearman秩相关系数和Wilcoxon秩和检验对数据进行分析。本研究也得到了伦理委员会的批准。主要研究结果显示,检查、参考和总mAs与人体测量特征显著正相关,即;体重,身高和身体质量指数,而不是性别和年龄研究结果还显示,在头部和心脏CT检查中,男性通常接受较高剂量的辐射,而女性仅在腹部检查中接受较高剂量的辐射。
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