{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:32:03Z","timestamp":1793331123727,"version":"4.5.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to assess scan parameters and to propose strategies to optimize the examinations of children (from 0 to 15\u00a0years old) on adult scanners in developing countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A study was done in 2015 and 2018 on 312 pediatric patients to verify improved practices. The study of 2015 ended with proposed strategies. Dose and scan parameters were available for prospective dose analysis. These strategies were implemented in a study of 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Amount the CT examinations study in this paper, the common was head trauma (90\u2009%). For every pediatric CT scan in 2015, a kV of 120 was used in the various hospitals. The mAs ranged from 57.75 to 283.33, slice thicknesses from 1.25 to 2.5\u00a0mm and pitch from 0.525 to 1.375\u00a0mm. In the study of 2018, implementing the strategy defined in the methodology and proposed in 2015: CTDI<jats:sub>Vol<\/jats:sub>decreased by 21.27\u2009% for children\u2009&lt;\u20091 year, 31.97\u2009% for children 1\u20134 years, 17\u2009% for children 5\u20139\u00a0years. DLP also decreased by 25.14\u2009%, 36.29\u2009% and 19.85\u2009% for children\u2009&lt;\u20091 year, 1\u20134\u00a0years and 5\u20139\u00a0years respectively. Children were exposed to ionizing radiation on machines designed for adults, but now the doses received by children are reduced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The reduction of doses during the pediatric CT examination is possible with the introduction of new optimization protocols or the acquisition of a new machine with a pediatric protocol.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12887-021-02498-2","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T05:03:52Z","timestamp":1611119032000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Optimization of pediatric CT scans in a developing country"],"prefix":"10.1186","volume":"21","author":[{"given":"Fotso Eddy","family":"Kamdem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samba Odette","family":"Ngano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemence","family":"Alla Takam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain Jerv\u00e9","family":"Fotue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Abogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornellius Lukong","family":"Fai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,20]]},"reference":[{"key":"2498_CR1","unstructured":"Kaddour R. 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The committee\u2019s reference number was not applicable in this study in 2015.Verbal consent was obtained by all parents in this study. We ask parents for their consent before the start of the exam. They accept because they know that we are doing research to improve the exams. For this research, only verbal consent was approved by the ethics committee.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"44"}}