Department of Radiodiagnosis Audit 2013

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Department of Radiodiagnosis Audit 2013

  1. 1. AUDIT DEPARTMENT OF RADIODIAGNOSIS JPNA APEXTRAUMA CENTRE AIIMS,NEW DELHI
  2. 2. CASES DONE FROM JAN - DECEMBER 2013
  3. 3. XRAYS NUMBER 2012 2013 CASUALTY 44096 64362 OPD 7374 8062 WARD 3789 2763 PORTABLE 22076 22542 TOTAL 77335 97729
  4. 4. XRAYS 0.00 10000.00 20000.00 30000.00 40000.00 50000.00 60000.00 70000.00 Casualty OPD Ward Portable 2012 2013
  5. 5. FLUOROSCOPY PROCEDURES RGU + MCU + IVP GI STUDIES OTHERS (Sinogram, Fistulogram Sialogram etc) TOTAL 2012 125 64 11 200 2013 123 84 20 227
  6. 6. ULTRASOUND (2012) ROUTINE USG DOPPLER USG TOTAL CASUALTY 12301 372 12673 OPD 360 82 442 WARD 1110 187 1297 Total 13771 641 14412 GRANDTOTAL=14412
  7. 7. ULTRASOUND (2013) ROUTINE USG DOPPLER USG TOTAL CASUALT Y 16805 611 17416 OPD 277 50 327 WARD 1229 160 1389 Total 18311 821 19152 GRANDTOTAL=19152
  8. 8. B mode USG 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 Casualty OPD Ward 2012 2013
  9. 9. Doppler USG 0 100 200 300 400 500 600 700 Casualty OPD Ward 2012 2013
  10. 10. CT SCANS 2012 2013 CASUALTY 14854 14638 OPD 1052 1267 WARD 1721 1540 GRANDTOTAL 17627 17445
  11. 11. CT SCANS- 2013 Children Adults CASUALTY 17.75% 82.25% OPD 12 % 88% WARD 14.2% 85.8% GRANDTOTAL 16.8 % 83.2 %
  12. 12. Life time cancer mortality risk attributable to the radiation exposure from a single abdominal CT examination in a 1-year-old child is approximately one in 550, and approximately one in 1500 for a head CT examination. AJR:176, February 2001
  13. 13. Radiation exposure from two or three head CT scans in childhood can triple the risk of developing brain cancer, while five to 10 such scans may triple the risk of developing leukemia Lancet June , 2012
  14. 14. 17% 83% Children Adults CT scans 2013
  15. 15. CT SCANS-BODY PART BODY PART 2012 2013 HEAD 13441 13303 BODY 2934 2882 ANGIOGRAPHY 124 159 MULTIPLE/BODY 1128 1101
  16. 16. CT SCANS CASUALTY SOMATOM 40(40SL) DEFINITION AS(64 SL) 2012 2013 2012 2013 TOTAL 5738 4824 9116 9985 SOMATOM 40(40SL) DEFINITION AS(64 SL) 2012 2013 2012 2013 TOTAL 968 1138 84 129 CT SCANS OPD SOMATOM 40(40SL) DEFINITION AS(64 SL) 2012 2013 2012 2013 TOTAL 951 676 770 864 CT SCANS WARD
  17. 17. PORTABLE CT = 709 May 2013 to Dec 2013
  18. 18. MRI SCANS 2012 2013 TOTAL 1080 1022 BODY PART 2012 2013 HEAD 235 60 BODY (Spine, Joints,Abdomen) 763 960 ANGIO 82 2 TOTAL 1080 1022
  19. 19. MRI SCANS CASUALTY 2012 2013 Total 28 14 2012 2013 Total 403 493 MRI SCANS OPD MRI SCANS WARD 2012 2013 Total 291 289 MRI SCANS MAIN 2012 2013 Total 358 226
  20. 20. DIGITAL SUBTRACTION ANGIOGRAPHY (DSA) 2012 2013 SPLEEN 18 14 LIVER 25 31 MAXILLOFACIAL 13 03 PERIPHERAL 17 06 MISCELLANEOUS 30 (VASC-7, NON VASCULAR-23) 35 (VASC-12, NON VASCULAR-23) Total 103 89
  21. 21. Some facts about CT...  Average time NCCT Head & Spine = 5-7 minutes CECT s ( in addition) = 12- 15 minutes  About 25-30 CT scans per month are delayed (non-cooperative pts, unstable pts)  7 cases of on table cardiovascular events in 2013  No contrast reactions documented
  22. 22. THANK YOU

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