PMID- 29086381
OWN - NLM
STAT- MEDLINE
DCOM- 20180221
LR  - 20180221
IS  - 1826-6983 (Electronic)
IS  - 0033-8362 (Linking)
VI  - 123
IP  - 3
DP  - 2018 Mar
TI  - Unindicated multiphase CT scans in non-traumatic abdominal emergencies for women 
      of reproductive age: a significant source of unnecessary exposure.
PG  - 185-190
LID - 10.1007/s11547-017-0819-6 [doi]
AB  - PURPOSE: To determine the frequency of unindicated CT phases and the resultant 
      excess of absorbed radiation doses to the uterus and ovaries in women of 
      reproductive age who have undergone CT for non-traumatic abdomino-pelvic 
      emergencies. MATERIALS AND METHODS: We reviewed all abdomino-pelvic CT 
      examinations in women of reproductive age (40 years or less), between 1 June 2012 
      and 31 January 2015. We evaluated the appropriateness of each CT phase on the 
      basis of clinical indications, according to ACR appropriateness criteria and 
      evidence-based data from the literature. The doses to uterus and ovaries for each 
      phase were calculated with the CTEXPO software, taking into consideration the 
      size-specific dose estimate (SSDE) after measuring the size of every single 
      patient. RESULTS: The final cohort was composed of 76 female patients with an 
      average age of 30 (from 19 to 40 years). In total, 197 CT phases were performed 
      with an average of 2.6 phases per patient. Out of these, 93 (47%) were 
      unindicated with an average of 1.2 inappropriate phases per patient. Unindicated 
      scans were most frequent for appendicitis and unlocalized abdominal pain. The 
      excesses of mean radiation doses to the uterus and ovaries due to unindicated 
      phases were, respectively, of 38 and 33 mSv per patient. CONCLUSION: In our 
      experience, unindicated additional CT phases were numerous with a significant 
      excess radiation dose without an associated clinical benefit. This excess of 
      radiation could have been avoided by widespread adoption of the ACR 
      appropriateness criteria and evidence-based data from the literature.
FAU - Giannitto, Caterina
AU  - Giannitto C
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy. caterina.giannitto@gmail.com.
FAU - Campoleoni, Mauro
AU  - Campoleoni M
AD  - Medical Phisic Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 
      Via Francesco Sforza, 35, 20121, Milan, Italy.
FAU - Maccagnoni, Sara
AU  - Maccagnoni S
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy.
FAU - Angileri, Alessio Salvatore
AU  - Angileri AS
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy.
FAU - Grimaldi, Maria Carmela
AU  - Grimaldi MC
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy.
FAU - Giannitto, Nino
AU  - Giannitto N
AD  - Universita di Messina, Via Consolare Valeria 1, 98125, Messina, Italy.
FAU - De Piano, Francesca
AU  - De Piano F
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy.
FAU - Ancona, Eleonora
AU  - Ancona E
AD  - Postgraduation School in Radiodiagnostics, Universita degli Studi di Milano, Via 
      Festa del Perdono 7, 20122, Milan, Italy.
FAU - Biondetti, Pietro Raimondo
AU  - Biondetti PR
AD  - Department of Radiology, Foundation IRCCS Ca' Granda Ospedale Maggiore 
      Policlinico, Via Francesco Sforza, 35, 20121, Milan, Italy.
FAU - Esposito, Andrea Alessandro
AU  - Esposito AA
AD  - Department of Radiology, Foundation IRCCS Ca' Granda Ospedale Maggiore 
      Policlinico, Via Francesco Sforza, 35, 20121, Milan, Italy.
LA  - eng
PT  - Journal Article
DEP - 20171030
PL  - Italy
TA  - Radiol Med
JT  - La Radiologia medica
JID - 0177625
SB  - IM
MH  - Abdomen/*diagnostic imaging
MH  - Abdominal Pain/*diagnostic imaging
MH  - Adult
MH  - Appendicitis/*diagnostic imaging
MH  - *Emergencies
MH  - Evidence-Based Medicine
MH  - Female
MH  - Humans
MH  - Pelvis/*diagnostic imaging
MH  - Predictive Value of Tests
MH  - Radiation Dosage
MH  - Radiation Effects
MH  - Radiography, Abdominal
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Sensitivity and Specificity
MH  - Tomography, X-Ray Computed/*methods
MH  - *Unnecessary Procedures/adverse effects
OTO - NOTNLM
OT  - Computed tomography
OT  - Emergency
OT  - Radiation protection
OT  - Women
EDAT- 2017/11/01 06:00
MHDA- 2018/02/22 06:00
CRDT- 2017/11/01 06:00
PHST- 2017/05/11 00:00 [received]
PHST- 2017/09/28 00:00 [accepted]
PHST- 2017/11/01 06:00 [pubmed]
PHST- 2018/02/22 06:00 [medline]
PHST- 2017/11/01 06:00 [entrez]
AID - 10.1007/s11547-017-0819-6 [pii]
AID - 10.1007/s11547-017-0819-6 [doi]
PST - ppublish
SO  - Radiol Med. 2018 Mar;123(3):185-190. doi: 10.1007/s11547-017-0819-6. Epub 2017 
      Oct 30.