The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco

Bougana Ihsane; Benabdelouahab Farid; Kacemi Loubna

doi:doi:10.11648/j.jctr.20210904.11

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The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco

Bougana Ihsane, Benabdelouahab Farid, Kacemi Loubna

Published in Journal of Cancer Treatment and Research (Volume 9, Issue 4)

Received: 13 March 2021 Accepted: 6 May 2021 Published: 12 October 2021

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Abstract

The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer patients, the series without injection and the series with injection include arterial time, portal time, and rarely late time, lead to three to four acquisitions. Most practitioners do this routinely without considering whether these acquisitions are justified or not. This work assesses the practices carried out in the service of radiology in two hospitals in the province of Tetouan (northern Morocco). The overall purpose is to improve the radioprotection of our cancer patients. The retrospective investigation involved a total of 100 patients performed TAP examination. The PDL_total is in the order of 500.72±15.08mGy.cm, and the effective dose (E) is of the order of 7.51±0.226mSv. Sex and ages variables did not show any significant differences according to t-test and ANOVA respectively. However, the variable "number of acquisitions" per examination showed a significant difference for PDL_total and the Effective Dose (F=16.462; p<0.001). The MANOVA analysis showed that the variables gender and number of acquisitions showed a significant effect; (D_gender=0.748; p=0.042) and (D_{number of acquisitions}=11.888; p<0.001). By comparing the results of two hospitals, we found a large variation in the delivered doses. The radiologist himself seems to be a significant factor that can influence unnecessary acquisitions and therefore the total delivered dose. Consequently, the standardization of TAP protocols and the sharing of best practices between hospitals becomes a necessary approach towards dose optimization.

Published in	Journal of Cancer Treatment and Research (Volume 9, Issue 4)
DOI	10.11648/j.jctr.20210904.11
Page(s)	56-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cancer Patient, Dose, TAP-CT Scan, Dosimetry, Optimization

References

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APA Style

Bougana Ihsane, Benabdelouahab Farid, Kacemi Loubna. (2021). The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. Journal of Cancer Treatment and Research, 9(4), 56-62. https://doi.org/10.11648/j.jctr.20210904.11

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ACS Style

Bougana Ihsane; Benabdelouahab Farid; Kacemi Loubna. The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. J. Cancer Treat. Res. 2021, 9(4), 56-62. doi: 10.11648/j.jctr.20210904.11

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AMA Style

Bougana Ihsane, Benabdelouahab Farid, Kacemi Loubna. The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. J Cancer Treat Res. 2021;9(4):56-62. doi: 10.11648/j.jctr.20210904.11

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@article{10.11648/j.jctr.20210904.11,
  author = {Bougana Ihsane and Benabdelouahab Farid and Kacemi Loubna},
  title = {The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco},
  journal = {Journal of Cancer Treatment and Research},
  volume = {9},
  number = {4},
  pages = {56-62},
  doi = {10.11648/j.jctr.20210904.11},
  url = {https://doi.org/10.11648/j.jctr.20210904.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20210904.11},
  abstract = {The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer patients, the series without injection and the series with injection include arterial time, portal time, and rarely late time, lead to three to four acquisitions. Most practitioners do this routinely without considering whether these acquisitions are justified or not. This work assesses the practices carried out in the service of radiology in two hospitals in the province of Tetouan (northern Morocco). The overall purpose is to improve the radioprotection of our cancer patients. The retrospective investigation involved a total of 100 patients performed TAP examination. The PDLtotal is in the order of 500.72±15.08mGy.cm, and the effective dose (E) is of the order of 7.51±0.226mSv. Sex and ages variables did not show any significant differences according to t-test and ANOVA respectively. However, the variable "number of acquisitions" per examination showed a significant difference for PDLtotal and the Effective Dose (F=16.462; pgender=0.748; p=0.042) and (Dnumber of acquisitions=11.888; p<0.001). By comparing the results of two hospitals, we found a large variation in the delivered doses. The radiologist himself seems to be a significant factor that can influence unnecessary acquisitions and therefore the total delivered dose. Consequently, the standardization of TAP protocols and the sharing of best practices between hospitals becomes a necessary approach towards dose optimization.},
 year = {2021}
}

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TY - JOUR
T1 - The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco
AU - Bougana Ihsane
AU - Benabdelouahab Farid
AU - Kacemi Loubna
Y1 - 2021/10/12
PY - 2021
N1 - https://doi.org/10.11648/j.jctr.20210904.11
DO - 10.11648/j.jctr.20210904.11
T2 - Journal of Cancer Treatment and Research
JF - Journal of Cancer Treatment and Research
JO - Journal of Cancer Treatment and Research
SP - 56
EP - 62
PB - Science Publishing Group
SN - 2376-7790
UR - https://doi.org/10.11648/j.jctr.20210904.11
AB - The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer patients, the series without injection and the series with injection include arterial time, portal time, and rarely late time, lead to three to four acquisitions. Most practitioners do this routinely without considering whether these acquisitions are justified or not. This work assesses the practices carried out in the service of radiology in two hospitals in the province of Tetouan (northern Morocco). The overall purpose is to improve the radioprotection of our cancer patients. The retrospective investigation involved a total of 100 patients performed TAP examination. The PDLtotal is in the order of 500.72±15.08mGy.cm, and the effective dose (E) is of the order of 7.51±0.226mSv. Sex and ages variables did not show any significant differences according to t-test and ANOVA respectively. However, the variable "number of acquisitions" per examination showed a significant difference for PDLtotal and the Effective Dose (F=16.462; pgender=0.748; p=0.042) and (Dnumber of acquisitions=11.888; p<0.001). By comparing the results of two hospitals, we found a large variation in the delivered doses. The radiologist himself seems to be a significant factor that can influence unnecessary acquisitions and therefore the total delivered dose. Consequently, the standardization of TAP protocols and the sharing of best practices between hospitals becomes a necessary approach towards dose optimization.
VL - 9
IS - 4
ER -

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Author Information

Bougana Ihsane

Laboratory of Materials and Radiations Physics, Department of Physics, Faculty of Sciences, University Abdelmalek Essaadi, Tetouan, Morocco
Benabdelouahab Farid

Laboratory of Materials and Radiations Physics, Department of Physics, Faculty of Sciences, University Abdelmalek Essaadi, Tetouan, Morocco
Kacemi Loubna

Division of Radiology and Medical Imagery, Hospital Mohammed VI, M’diq, Morocco

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APA Style

Bougana Ihsane, Benabdelouahab Farid, Kacemi Loubna. (2021). The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. Journal of Cancer Treatment and Research, 9(4), 56-62. https://doi.org/10.11648/j.jctr.20210904.11

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Bougana Ihsane; Benabdelouahab Farid; Kacemi Loubna. The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. J. Cancer Treat. Res. 2021, 9(4), 56-62. doi: 10.11648/j.jctr.20210904.11

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AMA Style

Bougana Ihsane, Benabdelouahab Farid, Kacemi Loubna. The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco. J Cancer Treat Res. 2021;9(4):56-62. doi: 10.11648/j.jctr.20210904.11

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@article{10.11648/j.jctr.20210904.11,
  author = {Bougana Ihsane and Benabdelouahab Farid and Kacemi Loubna},
  title = {The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco},
  journal = {Journal of Cancer Treatment and Research},
  volume = {9},
  number = {4},
  pages = {56-62},
  doi = {10.11648/j.jctr.20210904.11},
  url = {https://doi.org/10.11648/j.jctr.20210904.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20210904.11},
  abstract = {The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer patients, the series without injection and the series with injection include arterial time, portal time, and rarely late time, lead to three to four acquisitions. Most practitioners do this routinely without considering whether these acquisitions are justified or not. This work assesses the practices carried out in the service of radiology in two hospitals in the province of Tetouan (northern Morocco). The overall purpose is to improve the radioprotection of our cancer patients. The retrospective investigation involved a total of 100 patients performed TAP examination. The PDLtotal is in the order of 500.72±15.08mGy.cm, and the effective dose (E) is of the order of 7.51±0.226mSv. Sex and ages variables did not show any significant differences according to t-test and ANOVA respectively. However, the variable "number of acquisitions" per examination showed a significant difference for PDLtotal and the Effective Dose (F=16.462; pgender=0.748; p=0.042) and (Dnumber of acquisitions=11.888; p<0.001). By comparing the results of two hospitals, we found a large variation in the delivered doses. The radiologist himself seems to be a significant factor that can influence unnecessary acquisitions and therefore the total delivered dose. Consequently, the standardization of TAP protocols and the sharing of best practices between hospitals becomes a necessary approach towards dose optimization.},
 year = {2021}
}

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