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Article

Diagnostic Reference Level for CT Examinations in Hospitals in the Republic of Congo

1University of Abomey Calavi, Doctoral School of Engineering Sciences, Department of Radiobiology, BP2009. Cotonou, Benin

2Marien Ngouabi University, Faculty of Health Sciences, PO BOX 69. Brazzaville Congo

3Marien Ngouabi University, Faculty of Science and Techniques, PO BOX 69. Brazzaville, Congo

4Hospital center universal of Brazzaville and Imagery medical service

5Laboratoire de Zootechnie et Faune, Faculté des Sciences, Arts et Lettres du Bénin, Université d'Abomey-Calavi, 01 B.P. 2359 Recette Principale, Cotonou


American Journal of Pharmacological Sciences. 2024, Vol. 12 No. 1, 8-16
DOI: 10.12691/ajps-12-1-2
Copyright © 2024 Science and Education Publishing

Cite this paper:
Francis Akiana, Olivia Firmine Galiba Atipo Tsiba, Joel Bazoma, Abraham Mayoke, Régis Moyikoua, Guy Apollinaire Mensah, Daton Medenou. Diagnostic Reference Level for CT Examinations in Hospitals in the Republic of Congo. American Journal of Pharmacological Sciences. 2024; 12(1):8-16. doi: 10.12691/ajps-12-1-2.

Correspondence to: Francis  Akiana, University of Abomey Calavi, Doctoral School of Engineering Sciences, Department of Radiobiology, BP2009. Cotonou, Benin. Email: akianaf1876@gmail.com

Abstract

Ionizing irradiations doses were delivered to paediatric and adults patients during CT scans examinations are caused various effects on tissues organs exposed. This can be induced various risks consequences including cancers if overdosed. Administered doses are regulated compared to international standards worldwide. The aim of this study was to evaluate dose delivered to patients during CT scans in four hospitals in the republic Congo. A total of 350 adult and 76 paediatric patients were surveyed especially cerebral chest, Pelvis-abdominal and thoracic abdomino-pelvis. We were obtained adult DPL mean values in adults ranging from 1896.04 ± 57.08 mGy.cm to 3018.45 ± 1917.13 mGy.cm with contrast product. Whereas, without a contrast product, value is varied from 1244.01 ± 694.18 mGy.cm when the highest in the skull is 1943.86 ± 72.05 mGy.cm. We were accessed high effective doses compared to ICPR 60 (4.08 ± 1.62 - 42.88 ± 25.53) and ICPR 103 (03.69 ± 1.47 - 40.02 ± 23.83). Paediatric patients were received doses ranging between 193.00 to 347.55mG.cm in the skull in hospital A. In the age-group of < 1- 15 years, all centers were received from 6.46 to 19.84 mGy.cm. The highest is meant for adults in the cerebral were 133.35 mSv whereas others organs were received between 39.58 to 73.81 mSv with contrast. The paediatric patients are reached 347.55 mSv in the cerebral with contrast product and other organs were received up to 19.84 mSv. Our studies were revealed that doses were delivered to patients during CT scans in the republic of the Congo are all higher than the standard. This is due to be unregulated, administered to patients, the vestuosity of the equipment used, and the lack of technical training for technician’s radiologists’ on dose reduction. These results were raised an alarm to establish a dose level reduction and national regulatory body to be convened international standards on doses reduction countrywide.

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