{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T07:21:28Z","timestamp":1764314488805,"version":"3.46.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The undeniable benefits of irradiating examinations such as computed tomography (CT) scans should not overshadow their potential harmful effects, particularly late risks. Hence, it is important to justify CT scans requested for patients. The aim of this study is to analyse the justification for CT scans in all health facilities with a functional medical scanner in Togo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective descriptive study of spinal CT scans performed between 1st June and 31st August 2021 and interpreted by a radiologist in seven functional CT units in Togo. The analysis of the justification was based in particular on the formulation of the clinical indication, the consistency of the clinical indication with the requested CT scan, and the compliance of the clinical indication with the Best Practice Guidelines of the Soci\u00e9t\u00e9 Fran\u00e7aise de Radiologie (SFR) and the Soci\u00e9t\u00e9 Fran\u00e7aise de M\u00e9decine Nucl\u00e9aire (SFMN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 355 spinal CT scans included were exclusively cervical, dorsal and lumbar in 15.5%, 3.1% and 68.2% of the patients, respectively. The mean age of the patients was 48.2\u2009years, with a sex ratio of 1.1:1.0. Approximately 69% of patients had a spinal CT scan within 3\u2009days or less. Specialist (70.2%) and general practitioner (22.3%) were the most frequent requesters; 92.1% of the patients requested a non\u2010radiating or less radiating imaging test before the CT scan. Non\u2010physician staff (paramedics) accounted for 2.5% of requesters. The formulation of the clinical indication was good in 89.9%, acceptable in 7.6% and wrong in 2.5% of the patients. These indications were consistent with the examination requested in 98.9% of the cases and complied with the SFR's best practice guidelines in 72.1% of the cases. Spinal CT scans were pathological in 91% of the patients. The more clearly the clinical indications were formulated, the more significantly the results were pathological. Overall, in 34.1% of the cases, the CT scans performed were deemed not to be justified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A significant number of spinal CT scans performed in Togo were not justified. Efforts must be made by both requesters and providers of medical imaging examinations to ensure judicious medical use of irradiating examinations in Togo.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmrs.70014","type":"journal-article","created":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T00:13:30Z","timestamp":1753488810000},"page":"490-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the Justification for Spinal Computed Tomography (\n                    <scp>CT<\/scp>\n                    ) Scans Performed in Togo"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4343-2642","authenticated-orcid":false,"given":"Kokou","family":"Adambounou","sequence":"first","affiliation":[{"name":"Biophysic and Medical Imaging Department, Campus Teaching Hospital University of Lome  Lome Togo"},{"name":"Radiology Department, Campus Teaching Hospital University of Lome  Lome Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Komla Nyin\u00e8vi","family":"Anayo","sequence":"additional","affiliation":[{"name":"Department of Neurology CHU Campus of Lome  Lome Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amara","family":"Youla","sequence":"additional","affiliation":[{"name":"Radiology Department, Campus Teaching Hospital University of Lome  Lome Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kossivi Pierre","family":"Gbodjom\u00e9","sequence":"additional","affiliation":[{"name":"Radiology Department, Campus Teaching Hospital University of Lome  Lome Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akoet\u00e9 Beleave","family":"Kouevidjin","sequence":"additional","affiliation":[{"name":"Biophysic and Medical Imaging Department, Campus Teaching Hospital University of Lome  Lome Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles David","family":"Houndetoungan","sequence":"additional","affiliation":[{"name":"Biophysics and Nuclear Medicine Teaching and Research Unit, Faculty of Health Sciences University of Abomey\u2010Calavi  Cotonou Benin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"251","article-title":"Tomodensitometrie (TDM) dans la Prise en Charge M\u00e9dicale des Enfants au Togo: Profils et Conditions Techniques de Realisation","volume":"17","author":"Adambounou K.","year":"2015","journal-title":"Journal de la Recherche Scientifique de l'Universit\u00e9 de Lom\u00e9"},{"volume-title":"Radioprotection en Milieu M\u00e9dical: Principes et Mise en Pratique","year":"2023","author":"Cordoliani Y. 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