Advantages of The New European Guidelines Applying in VUL SK for Adrenal CT Exams

Congress:

EuroSafe Imaging 2019

Poster Number:

ESI-0014

Type:

EuroSafe Imaging

Keywords:

Workforce, Economics, Cost-effectiveness, Contrast agent-intravenous, Audit and standards, CT, Radioprotection / Radiation dose, Oncology, Abdomen, Action 5 - Performance indicators for radiation protection management

Authors:

L. Krynke, B. Rimkus, B. Griciene, J. Dementaviciene

DOI:

10.26044/esi2019/ESI-0014

DOI-Link:

https://dx.doi.org/10.26044/esi2019/ESI-0014

Fig. 1: Pilot protocol applied in VUL SK for adrenal CT exams in accordance with 2016...

Fig. 2: Primary and repetitive non-contrast vs pilot primary and repetitive ...

Fig. 3: Primary and repetitive contrast enhanced vs pilot primary and repetitive...

Background/introduction

To analyse all adrenal CT exams performed in 2017 for outpatients and to compare it with the latest guidelines in the literature. To set a new pilot protocol in VULSK for patients with adrenal incidentalomas. In April of 2018, the new protocol has been applied in a clinical practice for a trial period.

Description of activity and work performed

All patients’ data from 2017 was collected retrospectively. All prospectively performed CT scans in April of 2018 were performed using the new-dedicated scan protocols with additionally reduced field of view. Both, retrospective and prospective, CT exams were performed with the same GE Healthcare Discovery CT750 HD CT scanner. Working radiologist assessed prospectively performed adrenal CT scans on site.

Conclusion and recommendations

Combining the latest European guidelines with the VULSK data analysis and adjusting the newest prospective adrenal CT examination protocols for outpatients, we can significantly reduce scanning phases for adrenal CT exams. First group patients, who were undergoing primary adrenal CT exam, we have performed 72 percent more of non-contrast enhanced exams than in 2017. Second group patients, who were undergoing repetitive adrenal CT exam, we have performed 17 percent more of non-contrast enhanced exams than in 2017. In our third and fourth group of patients,...

Personal/organisational information

L. Krynke1, B. Rimkus1, B. Griciene2, J. Dementaviciene2 1Vilnius University Hospital Santaros Klinikos (VUL SK), Vilnius, Lithuania Vilnius/LT, 2Department of Radiology, Nuclear Medicine and Medical Physics, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University Vilnius/LT The authors submitting thisabstract have nothing to disclose.

References

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