This document summarizes radiology procedures and statistics from 2014-2016 at a trauma center in New Delhi. It includes the following key points: - The number of x-rays increased from 77,335 in 2014 to 127,169 in 2016, with most done in the casualty department. - Fluoroscopy procedures decreased from 227 in 2014 to 100 in 2016. - Ultrasounds increased from 19,152 in 2014 to 23220 in 2016, with most routine USGs performed in casualty. - CT scans increased slightly from 17445 in 2014 to 19364 in 2016, with most done in casualty on adults focusing on the head. - MRI scans slightly increased from 10

1. AUDIT
DEPARTMENT OF RADIODIAGNOSIS
JPNA APEXTRAUMA CENTRE
AIIMS,NEW DELHI

2. CASES DONE FROM
1ST JAN, 2016 -31ST DECEMBER 2016

3. XRAYS
2016 2015 2014
CASUALTY 94205 88859 44096
OPD 10492 9865 7374
WARD 1783 2027 3789
PORTABLE 20689 19923 22076
TOTAL 127169 120377 77335

4. XRAYS
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
Casualty OPD Ward Portable
2016
2015
2014

5. FLUOROSCOPY PROCEDURES
YEAR TOTAL
2014 227
2015 145
2016 100

6. ULTRASOUND (2016)
ROUTINE
USG
DOPPLER
USG
TOTAL
CASUALTY 21985 118 22103
OPD 289 67 356
WARD 696 65 761
GRAND TOTAL=23220

7. ULTRASOUND (2015)
ROUTINE
USG
DOPPLER
USG
TOTAL
CASUALTY 18507 186 18693
OPD 324 59 383
WARD 768 86 854
GRAND TOTAL=19930

8. ULTRASOUND (2014)
ROUTINE
USG
DOPPLER
USG
TOTAL
CASUALTY 16805 611 17416
OPD 277 50 327
WARD 1229 160 1389
GRAND TOTAL=19152

9. B mode USG
0
5000
10000
15000
20000
25000
Casualty OPD WARD
2016
2015
2014

10. Doppler USG
0
100
200
300
400
500
600
700
Casualty OPD WARD
2016
2015
2014

11. CT SCANS
2016 2015 2014
CASUALTY 17553 16820 14638
OPD 1033 910 1267
WARD 778 795 1540
GRAND TOTAL 19364 18525 17445

12. CT SCANS- 2016
Children Adults
CASUALTY 2261 (12.9%) 15292 (87.1%)
OPD 83 (8%) 950 (92.0%)
WARD 40 (5.1%) 738 (94.9%)
GRAND TOTAL 2384 (12.3%) 16980 (87.7%)

13. CT SCANS- 2016
Children Adults
Head 2213 12941
Body 49 2709
Angio 9 134
Multiphase 113 1196
GRAND TOTAL 2384 16980

14. 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

15. 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

16. CT scans 2016
ADULT,
87.70%
CHILD,
12.30%

17. CT SCANS-BODY PART
BODY PART 2016 2015 2014
HEAD 15154 14315 13303
BODY 2758 2824 2882
ANGIOGRAPHY 143 132 159
MULTIPLE/BODY 1309 1254 1101

18. CT SCANS CASUALTY
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2016 2015 2014 2016 2015 2014
HEAD 5058 4135 3546 8992 9118 7806
BODY 993 871 793 1134 1353 1306
ANGIOGRAPHY 44 25 29 45 79 84
MULTIPLE/BODY 420 349 285 867 890 789
TOTAL 6515 5380 4824 11038 11440 9985

19. CT SCANS OPD
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2016 2015 2014 2016 2015 2014
HEAD 608 527 720 62 71 87
BODY 316 267 400 22 33 39
ANGIOGRAPHY 14 9 9 1 0 3
MULTIPLE/BODY 9 2 9 1 1 0
TOTAL 947 805 1138 86 105 129

20. CT SCANS WARD
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2016 2015 2014 2016 2015 2014
HEAD 178 164 423 256 300 721
BODY 207 194 220 86 110 124
ANGIOGRAPHY 24 14 24 15 5 10
MULTIPLE/BODY 8 7 9 4 5 9
TOTAL 417 379 676 361 420 864

21. MRI SCANS
2016 2015 2014
CASUALTY 2 04 14
OPD 666 608 493
WARD 222 240 289
MAIN 106 266 226
TOTAL 996 1118 1022

22. MRI SCANS-BODY PART
BODY PART 2016 2015 2014
HEAD 72 71 60
BODY (Spine,
Joints, Abdomen)
924 1046 960
ANGIO 0 1 2
TOTAL 996 1118 1022

23. MRI SCANS CASUALTY
PART EXAMINED 2016 2015 2014
HEAD 1 0 NIL
BODY 1 4 14
ANGIOGRAPHY 0 0 NIL
TOTAL 2 4 14

24. MRI SCANS OPD
PART EXAMINED 2016 2015 2014
HEAD 33 40 34
BODY 633 568 458
ANGIOGRAPHY 0 0 1
Total 666 608 493

25. MRI SCANS WARD
PART EXAMINED 2016 2015 2014
HEAD 37 18 19
BODY 185 222 270
ANGIOGRAPHY 0 0 NIL
TOTAL 222 240 289

26. MRI SCANS MAIN
PART EXAMINED 2016 2015 2014
HEAD 1 13 07
BODY 105 252 218
ANGIOGRAPHY 0 01 01
Total 106 266 226

27. DIGITAL SUBTRACTION ANGIOGRAPHY (DSA)
Year 2016 2015 2014
Total 98 104 89

28. DSA and miscellaneous interventions: Body parts
Organ Number
Spleen 28
Liver 26
Pelvis 4
Renal 2
IVC filter 2
Maxillofacial 3
PCN 3
PTBD 2
Arthrogram 9
Others (PEG, thrombin injection) 19

29. PORTABLE CT = 845
Jan 1, 2016 to Dec 31, 2016

30. THANK YOU