Radiology Knowledge and Attitudes towards CT Radiation Dose and Exposure: A Survey Study
Main Article Content
Keywords
computed tomography, radiologist, ALARA principle, paediatric, CT radiation risk
Abstract
Computed tomography (CT) is a crucial imaging technique in diagnostic radiology, offering highly sensitive and specific information. However, the increased use of CT scans raises concerns about radiation quantity and associated risks, especially in paediatrics. The principle of radiation protection emphasizes keeping radiation doses as low as reasonably achievable (ALARA), necessitating justified CT use, particularly in paediatric cases. Knowledge about CT radiation is essential for optimizing radiation dose and minimizing risks. This study aims to assess the knowledge, expertise, and competency of Radiology technician regarding CT radiation dose and hazards in paediatrics. A self-administered multiple-choice questionnaire was used to evaluate the attitudes and opinions of Radiology technician involved in ionizing radiation imaging studies. Results showed that 65% ± 13.5% of respondents had a good understanding of the carcinogenic risks associated with CT scans, with 80% acknowledging elevated cancer risks. However, awareness of specific radiation risks in head, chest, and abdominal paediatric examinations was lower, with only 48.5%, 56.5%, and 65% of respondents aware, respectively. The study recommends regular and specific training courses to enhance Radiology technician ' fundamental knowledge of CT radiation and improve radiation safety practices.
References
2. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and Effects of Ionizing Radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2008 Report to the General Assembly, with Scientific Annexes. United Nations; New York, NY, USA: 2008.
3. Portelli JL, McNulty JP, Bezzina P, Rainford L. Paediatric imaging radiation dose awareness and use of referral guidelines amongst radiology practitioners and radiographers. Insights Imaging. 2016;7:145–153. doi: 10.1007/s13244-015-0449-2.
4. Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, Howe NL, Ronckers CM, Rajaraman P, Craft AW, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: A retrospective cohort study. Lancet. 2012;380:199–205. doi: 10.1016/S0140-6736(12)60815-0.
5. Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, Giles GG, Wallace AB, Anderson PR, Guiver TA, et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: Data linkage study of 11 million Australians. BMJ. 2013;346:f2360:1–f2360:18. doi: 10.1136/bmj.f2360.
6. AL-Rammah TY. CT radiation dose awareness among paediatricians. Ital J Pediatr. 2016;42:77:1–77:6. doi: 10.1186/s13052-016-0290-3.
7. International Commission on Radiation Protection (ICRP) Publication 60: Recommendations of the international commission on radiological protection. Ann ICRP. 1991;21:1–3.
8. American College of Radiology ACR Appropriateness Criteria® radiation Dose Assessment Introduction. Subcommittee on Appropriateness Criteria Radiation Exposure. 2007.
9. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) Sources and Effects of Ionizing Radiation. United Nations; New York, NY, USA: 2010.
10. European Commission Council Directive 2013/59/Euratom of 5 December 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation and repealing Directives 89/618/Euratom, 90/641/Euratom, 96/29/Euratom, 97/43/Euratom and 2003/122/Euratom.
11. Alreshidi MN, Alshubrmi D, Alreshidi F, Soliman K, Alrashidi I. Knowledge about imaging modalities, risks, and protection in radiology among medical students at the University of Hail. Avicenna J Med. 2020;10:15–21. doi: 10.4103/ajm.ajm_49_19.
12. Medical Exposure (Ionising Radiation) Regulations Public Health Act (Cap. 465); the Department of Information, Government of Malta, Legal Notice 353 of 2012.
13. Malone JF. Report of a consultation on justification of patient exposures in medical imaging. Radiat Prot Dosim. 2009;135:137–144. doi: 10.1093/rpd/ncp107.
14. Frush DP. Justification and optimization of CT in children: How are we performing? Pediatr Radiol. 2011;41(Suppl. 2):467–471. doi: 10.1007/s00247-011-2097-0.
15. Mahmoudi F, Naserpour M, Farzanegan Z, Talab AD. Evaluation of radiographers’ and CT technologists’ knowledge regarding CT exposure parameters. Pol J Med Phys Eng. 2019;25:43–50. doi: 10.2478/pjmpe-2019-0007.
16. Bellolio MF, Bellew SD, Sangaralingham LR, Campbell RL, Cabrera D, Jeffery MM, Shah ND, Hess EP. Access to primary care and computed tomography use in the emergency department. BMC Health Serv Res. 2018;18:154:1–154:10. doi: 10.1186/s12913-018-2958-4.
17. Peng W, Li Z, Xia C, Gio Y, Zhang J, Zhang K, Li L, Zhao F. A CONSORT-compliant prospective randomized controlled trial: Radiation dose reducing in computed tomography using an additional lateral scout view combined with automatic tube current modulation: Phantom and patient study. Medicine. 2017;96:e7324. doi: 10.1097/MD.0000000000007324.
18. Goske M, Applegate K, Boylan J. The image gently campaign: Working together to change practice. Am J Roentgenol. 2008;190:273–274. doi: 10.2214/AJR.07.3526.