The Contribution of Radiology Service Staffs in the Optimization of TAP-CT Doses for Cancer Patients: A Comparative Study of Two Hospitals in Northern Morocco
Bougana Ihsane,
Benabdelouahab Farid,
Kacemi Loubna
Issue:
Volume 9, Issue 4, December 2021
Pages:
56-62
Received:
13 March 2021
Accepted:
6 May 2021
Published:
12 October 2021
Abstract: The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer patients, the series without injection and the series with injection include arterial time, portal time, and rarely late time, lead to three to four acquisitions. Most practitioners do this routinely without considering whether these acquisitions are justified or not. This work assesses the practices carried out in the service of radiology in two hospitals in the province of Tetouan (northern Morocco). The overall purpose is to improve the radioprotection of our cancer patients. The retrospective investigation involved a total of 100 patients performed TAP examination. The PDLtotal is in the order of 500.72±15.08mGy.cm, and the effective dose (E) is of the order of 7.51±0.226mSv. Sex and ages variables did not show any significant differences according to t-test and ANOVA respectively. However, the variable "number of acquisitions" per examination showed a significant difference for PDLtotal and the Effective Dose (F=16.462; p<0.001). The MANOVA analysis showed that the variables gender and number of acquisitions showed a significant effect; (Dgender=0.748; p=0.042) and (Dnumber of acquisitions=11.888; p<0.001). By comparing the results of two hospitals, we found a large variation in the delivered doses. The radiologist himself seems to be a significant factor that can influence unnecessary acquisitions and therefore the total delivered dose. Consequently, the standardization of TAP protocols and the sharing of best practices between hospitals becomes a necessary approach towards dose optimization.
Abstract: The increasing share of Thoraco-Abdomino-Pelvic-CT scan (TAP-CT) dose delivered to cancer patients requires particular vigilance. In fact, the radioprotection practices of our cancer patients are poorly respected, especially in terms of the number of acquisitions performed by practitioners. For instance, when performing a TAP-CT scan in cancer pati...
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Controversial Role of Blood Transfusion on Outcomes of Patients with Cancer: A Focused Review
Rui Zhou,
Liehong Yang,
Ru Yu
Issue:
Volume 9, Issue 4, December 2021
Pages:
63-66
Received:
18 November 2021
Accepted:
30 November 2021
Published:
7 December 2021
Abstract: Cancer causes a great number of death every year in the world and has been destroying numerous happy families. Both the government and individuals spend vast sums of money on cancer, which makes cancer a great burden to the society. Due to its properties and therapeutic operations, patients with cancer are often accompany with anemia. Red blood cell (RBC) transfusion is a preferred symptomatic treatment strategy. But, considering side effects, optimal protocol of blood transfusion for cancer patients is still in air. Though much work has been done, there are still continuous arguments on the adverse effects of blood transfusion on cancer prognosis. By reviewing these works, we focused on the essential elements of transfusion, i.e. the time and dose of blood transfusion, as well as the type and source of blood product. Though we failed to find a definite answer, previous studies indicated some clues on the relationships between cancer prognosis and these elements. Transfusion prior to surgery and reduction of intraoperative and postoperative blood demand may be beneficial. As for RBC type, autologous leucocyte-depleted RBC might have priority. However, more high-quality randomized clinical trials are needed to settle those questions. Furtherly, this narrative review suggested some critical ideas on further studies.
Abstract: Cancer causes a great number of death every year in the world and has been destroying numerous happy families. Both the government and individuals spend vast sums of money on cancer, which makes cancer a great burden to the society. Due to its properties and therapeutic operations, patients with cancer are often accompany with anemia. Red blood cel...
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