Now showing 1 - 5 of 5
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    Item type:Publication,
    Availability of technology for managing cancer patients in the Southeast European (SEE) region
    (Elsevier BV, 2022-03)
    Dosanjh, Manjit
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    Georgieva, Petya
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    Balin Kovacevic, Marijana
    Background: The Southeast European (SEE) region of 10 countries and about 43 million people differs from Western Europe in that most SEE countries lack active cancer registries and have fewer diagnostic imaging devices and radiotherapy (RT) units. The main objective of this research is to initiate a common platform for gathering SEE regional cancer data from the ground up to help these countries develop common cancer management strategies. Methods: To obtain detailed on-the-ground information, we developed separate questionnaires for two SEE groups: a) ONCO - oncologists regarding cancer treatment modalities and the availability of diagnostic imaging and radiotherapy equipment; and b) REG - national radiation protection and safety regulatory bodies regarding diagnostic imaging and radiotherapy equipment in SEE facilities. Results: Based on responses from 13/17 ONCO participants (at least one from each country) and from 9/10 REG participants (all countries but Albania), cancer incidence rates are higher in those SEE countries that have greater access to diagnostic imaging equipment while cancer mortality-to-incidence (MIR) ratios are higher in countries that lack radiotherapy equipment. Conclusion: By combining unique SEE region information with data available from major global databases, we demonstrated that the availability of diagnostic imaging and radiotherapy equipment in the SEE countries is related to their economic development. While immediate diagnostic imaging and radiation therapy capacity building is necessary, it is also essential to develop both national and SEE-regional cancer registries in order to understand the heterogeneity of each country’s needs and to establish regional collaborative strategies for combating cancer.
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    Item type:Publication,
    Use of Multiphase CT Protocols in 18 Countries: Appropriateness and Radiation Doses
    (SAGE Publications, 2020-01-27)
    Rastogi, Shivam
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    Singh, Ramandeep
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    Borse, Riddhi
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    Zujic, Petra Valkovic
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    Segota, Doris
    Purpose: To assess the frequency, appropriateness, and radiation doses associated with multiphase computed tomography (CT) protocols for routine chest and abdomen–pelvis examinations in 18 countries. Materials and Methods: In collaboration with the International Atomic Energy Agency, multi-institutional data on clinical indications, number of scan phases, scan parameters, and radiation dose descriptors (CT dose–index volume; dose–length product [DLP]) were collected for routine chest (n = 1706 patients) and abdomen–pelvis (n = 426 patients) CT from 18 institutions in Asia, Africa, and Europe. Two radiologists scored the need for each phase based on clinical indications (1 = not indicated, 2 = probably indicated, 3 = indicated). We surveyed 11 institutions for their practice regarding single-phase and multiphase CT examinations. Data were analyzed with the Student t test. Results: Most institutions use multiphase protocols for routine chest (10/18 institutions) and routine abdomen–pelvis (10/11 institutions that supplied data for abdomen–pelvis) CT examinations. Most institutions (10/11) do not modify scan parameters between different scan phases. Respective total DLP for 1-, 2-, and 3-phase routine chest CT was 272, 518, and 820 mGy·cm, respectively. Corresponding values for 1- to 5-phase routine abdomen–pelvis CT were 400, 726, 1218, 1214, and 1458 mGy cm, respectively. For multiphase CT protocols, there were no differences in scan parameters and radiation doses between different phases for either chest or abdomen–pelvis CT (P = 0.40-0.99). Multiphase CT examinations were unnecessary in 100% of routine chest CT and in 63% of routine abdomen–pelvis CT examinations. Conclusions: Multiphase scan protocols for the routine chest and abdomen–pelvis CT examinations are unnecessary, and their use increases radiation dose.
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    Item type:Publication,
    CT protocols and radiation doses for hematuria and urinary stones: Comparing practices in 20 countries
    (Elsevier BV, 2020-05)
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    Homayounieh, Fatemeh
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    Singh, Ramandeep
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    Avramova-Cholakova, Simona
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    Faj, Dario
    Patients with hematuria and renal colic often undergo CT scanning. The purpose of our study was to assess variations in CT protocols and radiation doses for evaluation of hematuria and urinary stones in 20 countries.
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    Item type:Publication,
    Improvement of early detection of breast cancer through collaborative multi-country efforts: Observational clinical study
    (Elsevier BV, 2019-06)
    Aribal, Erkin
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    Mora, Patricia
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    Chaturvedi, Arvind K
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    Hertl, Kristijana
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    Davidović, Jasna
    The aim of this paper is to present baseline imaging data and the improvement that was achieved by the participating centers after applying practice-specific interventions that were identified during the course of a multicentric multinational research coordinated project.
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    Item type:Publication,
    IAEA survey of dental cone beam computed tomography practice and related patient exposure in nine Central and Eastern European countries
    (British Institute of Radiology, 2019-12)
    Beganović, Adnan
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    Ciraj-Bjelac, Olivera
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    Dyakov, Iliya
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    Kralik, Ivana
    Cone beam CT (CBCT) in dentistry and maxillofacial surgery is a widely used imaging method for the assessment of various maxillofacial and dental pathological conditions. The objective of this study was to summarize the results of a multinational retrospective-prospective study that focused on patient exposure in this modality.