{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:06:35Z","timestamp":1787821595817,"version":"build-2784847793"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"1164","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To perform audit of imaging practice in different hospitals to assess their adherence to guidelines on optimizing computerized tomography of kidneys, ureter, and bladder (CT KUB) technique in order to reduce unnecessary scan length. To assess improvement in adherence to guidelines after intervention, following education of the technologists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Material and methods<\/jats:title>\n                  <jats:p>There were 12 participant radiology departments in 8 cities of Islamic Republic of Pakistan. Findings of first audit round were presented in respective departmental meetings, and technologists were educated. Second round was performed after 12\u2009weeks. Our target was to achieve 100% compliance to standards. Comparison of adherence to guidelines before and after intervention was done. Total number of axial slices of KUB CT scan, images above upper pole of highest kidney (overscan\/unnecessary slices), and percentage of unnecessary images were recorded. To calculate statistical significance of difference, Fischer exact and Chi-square tests were applied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Percentage of patients with appropriate CT KUB technique according to RCR guidelines was far less in first round (0%-64%). It significantly improved after educating the technologists (35.57%-90.90%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>By following standard practice of CT KUB scan, significant radiation dose reduction is achievable without compromising diagnostic details.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Standardization of CT KUB examination technique can valuably contribute to reduction in unessential radiation exposure<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqae172","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T14:03:50Z","timestamp":1724681030000},"page":"1946-1949","source":"Crossref","is-referenced-by-count":3,"title":["Striving for excellence: multicentre quality improvement project to optimize CT KUB technique in renal colic patients"],"prefix":"10.1093","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1344-2540","authenticated-orcid":false,"given":"Aasma Nudrat","family":"Zafar","sequence":"first","affiliation":[{"name":"Department of Radiology, Foundation University , Islamabad, 46000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamza","family":"Rehman","sequence":"additional","affiliation":[{"name":"Department of Radiology, Foundation University , Islamabad, 46000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6077-9528","authenticated-orcid":false,"given":"Khalid Shakeel","family":"Babar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Khyber Medical university , Peshawar, 25120,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4747-6180","authenticated-orcid":false,"given":"Humaira","family":"Anjum","sequence":"additional","affiliation":[{"name":"Department of Radiology, Khyber Medical university , Peshawar, 25120,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqra","family":"Saeed","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Diagnostic Centre , Lahore, 54000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasrullah","family":"Yaqoob","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baluchistan Institute of Nephrourology , Quetta, 2023,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8447-1907","authenticated-orcid":false,"given":"Farzana","family":"Rahim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baluchistan Institute of Nephrourology , Quetta, 2023,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1649-4524","authenticated-orcid":false,"given":"Ijaz","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baluchistan Institute of Nephrourology , Quetta, 2023,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahjabeen Mehmood","family":"Kamal","sequence":"additional","affiliation":[{"name":"Department of Radiology, KRL General Hospital , Islamabad, 87300,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naila","family":"Usmani","sequence":"additional","affiliation":[{"name":"Department of Radiology, KRL General Hospital , Islamabad, 87300,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha Sharif","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Islamabad Medical Complex, NESCOM , Islamabad, 87300,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9897-6129","authenticated-orcid":false,"given":"Saerah Iffat","family":"Zafar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Combined Military Hospital , Abbottabad, 22020,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maaz","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Combined Military Hospital , Abbottabad, 22020,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihsan","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Radiology, Combined Military Hospital , Abbottabad, 22020,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8092-1253","authenticated-orcid":false,"given":"Shumaila","family":"Arooj","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jinnah Postgraduate Medical Centre , Karachi, 75510,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehwish Zahra","family":"Alavi","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Child Health Sciences & The Children Hospital , Lahore, 54000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Goraya","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Child Health Sciences & The Children Hospital , Lahore, 54000,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazish","family":"Irfan","sequence":"additional","affiliation":[{"name":"Department of Radiology, District Headquarters Teaching Hospital , Sargodha, 40100,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Awais","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gajju Khan Medical College, Bacha Khan Medical Complex , Swabi, 23430,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8419-1179","authenticated-orcid":false,"given":"Uzma","family":"Azmat","sequence":"additional","affiliation":[{"name":"Department of Radiology, Memon Medical Institute Hospital , Karachi, 75510,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,26]]},"reference":[{"issue":"1","key":"2024111820251407100_tqae172-B1","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.juro.2012.02.2568","article-title":"Ureteral calculi detection using low dose computerized tomography protocols is compromised in overweight and underweight patients","volume":"188","author":"Heldt","year":"2012","journal-title":"J Urol"},{"issue":"11","key":"2024111820251407100_tqae172-B2","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1038\/nrurol.2016.154","article-title":"An overview of 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Sciences"},{"issue":"4","key":"2024111820251407100_tqae172-B9","first-page":"300","article-title":"Audit of CT kidney ureter and bladder (CT KUB): An effort to minimize unnecessary radiation exposure","volume":"28","author":"Sarfraz","year":"2018","journal-title":"PJR"},{"issue":"1","key":"2024111820251407100_tqae172-B10","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/jmrs.451","article-title":"The proportion of computed tomography kidneys, ureters and bladder (CTKUB) scans that comply with scan extent protocol in an emergency department: a clinical audit and dose ramification study","volume":"68","author":"Kasi","year":"2021","journal-title":"J of Medical Radiation Sci"},{"issue":"1110","key":"2024111820251407100_tqae172-B11","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20190771","article-title":"Using the T11 vertebra to minimise the CT-KUB scan field","volume":"93","author":"Uldin","year":"2020","journal-title":"Br J 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