{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:06:36Z","timestamp":1787821596579,"version":"build-2784847793"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"1112","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>The Royal College of Radiologists (RCR) recommend CT of the kidneys, ureters and bladder (CTKUB) as the first-line investigation for renal colic, stating that excess scan length above the upper pole of the highest kidney should not exceed 10% of the total scan length. The project aim was to determine what proportion of CTKUB scans performed at a district general hospital (DGH) were meeting this standard and explore improvement options as necessary.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>A retrospective study was performed on 100 consecutive patients who attended a Radiology Department with renal colic. The number of CTKUB slices above the upper pole of the highest kidney, relative to scan length, was recorded. The DGH radiographers believed over scanning could be reduced by viewing image acquisition in real-time and manually stopping the scan at the top of the highest kidney. This was implemented and a re-audit of 50 patients was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Scan length exceeded the standard on 81% of scans (81\/100). Over scanning was reduced to 14% (7\/50) post-intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>This DGH was over scanning a large proportion of patients. Manually stopping the CTKUB significantly reduced over scanning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>A small change to CTKUB scanning technique can significantly improve adherence to RCR guidelines.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20200068","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T18:57:16Z","timestamp":1590605836000},"source":"Crossref","is-referenced-by-count":8,"title":["It is time to think inside the (collimation) box; a quality improvement project to reduce over-scanning in CT scanning of the kidneys, ureters and bladder"],"prefix":"10.1093","volume":"93","author":[{"given":"Tejas","family":"Netke","sequence":"first","affiliation":[{"name":"University of Bristol Medical School , Bristol , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Spurr","sequence":"additional","affiliation":[{"name":"University of Bristol Medical School , Bristol , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Vosough","sequence":"additional","affiliation":[{"name":"University of Bristol Medical School , Bristol , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,27]]},"reference":[{"key":"2024050215160861100_b1","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1111\/bju.13520","article-title":"Trends in urological stone disease: a 5-year update of hospital episode statistics","volume":"118","author":"Heers","year":"2016","journal-title":"BJU Int"},{"key":"2024050215160861100_b2","doi-asserted-by":"crossref","unstructured":"Dawson \u00a0K\n\u00a0Dawson \u00a0L\n.\nThe management of ureteric stones in the Accident and Emergency department. BMJ Quality Improvement Reports [Internet].\n.\n2013\n\u00a02(2):u615.w1458. Available from\n. Available from:\nhttps:\/\/bmjopenquality.bmj.com\/content\/2\/2\/u615.w1458\n[\ncited 4 November 2019\n].","DOI":"10.1136\/bmjquality.u615.w1458"},{"key":"2024050215160861100_b3","unstructured":"Recommendations | Renal and ureteric stones: assessment and management | Guidance | NICE [Internet]\n.\n2019\n. Available from:\nhttps:\/\/www.nice.org.uk\/guidance\/ng118\/chapter\/Recommendations#diagnostic-imaging\n[\ncited 4 November 2019\n]."},{"key":"2024050215160861100_b4","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/2051415817740492","article-title":"British association of urological surgeons standards for management of acute ureteric colic","volume":"11","author":"Tsiotras","year":"2018","journal-title":"J Clin Urol"},{"key":"2024050215160861100_b5","unstructured":"Care Quality Commission\n          \n.\nIonising Radiation (Medical Exposure) Regulations (IR(ME)R) | Care Quality Commission [Internet]\n.\n2019\n. Available from:\nhttps:\/\/www.cqc.org.uk\/guidance-providers\/ionising-radiation\/ionising-radiation-medical-exposure-regulations-irmer\n[\ncited 4 November 2019\n]."},{"key":"2024050215160861100_b6","unstructured":"Twemlow \u00a0M\n\u00a0Munjal \u00a0I\n.\nAudit to optimise CT KUB imaging in investigation of renal colic | The Royal College of Radiologists [Internet]\n.\n2019\n. Available from:\nhttps:\/\/www.rcr.ac.uk\/audit\/audit-optimise-ct-kub-imaging-investigation-renal-colic\n[\ncited 4 November 2019\n]."},{"key":"2024050215160861100_b7","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/RUQ.0b013e3182625974","article-title":"ACR Appropriateness Criteria\u00ae acute onset flank pain--suspicion of stone disease","volume":"28","author":"Coursey","year":"2012","journal-title":"Ultrasound Q"},{"key":"2024050215160861100_b8","unstructured":"National Institute for Health and Care Excellence\n          \n.\nRenal and ureteric stones: assessment and management [Internet]\n.\n2019\n. Available from:\nhttps:\/\/www.nice.org.uk\/guidance\/ng118\/evidence\/b-imaging-for-diagnosis-pdf-6653382735\n[\ncited 4 November 2019\n]."},{"key":"2024050215160861100_b9","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.jacr.2010.06.013","article-title":"Managing incidental findings on abdominal CT: white paper of the ACR incidental findings Committee","volume":"7","author":"Berland","year":"2010","journal-title":"Journal of the American College of Radiology"}],"container-title":["The British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/93\/1112\/20200068\/57377129\/bjr.20200068.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/93\/1112\/20200068\/57377129\/bjr.20200068.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T15:43:16Z","timestamp":1714664596000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/doi\/10.1259\/bjr.20200068\/7448880"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,27]]},"references-count":9,"journal-issue":{"issue":"1112","published-online":{"date-parts":[[2020,5,27]]},"published-print":{"date-parts":[[2020,8,1]]}},"URL":"https:\/\/doi.org\/10.1259\/bjr.20200068","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,8,1]]},"published":{"date-parts":[[2020,5,27]]},"article-number":"20200068"}}