# Computed Tomography Dose Level in Selected Five Principal Hospitals in Ethiopia

## TL;DR

This study compares CT scan radiation doses in five Ethiopian hospitals and finds some exceed recommended levels, especially for pelvis scans.

## Contribution

The study provides empirical data on CT dose levels in Ethiopia, highlighting discrepancies and suggesting optimization for pelvis and abdomen scans.

## Key findings

- Pelvis DLP at Black Lion Hospital (593.37 mGy-cm) exceeds ICRP standards.
- Effective doses for pelvis and abdomen scans at some hospitals are above recommended values.
- Head and chest scans generally comply with radiation dose guidelines.

## Abstract

X-ray Computed Tomography dose levels have been varying among modalities and scanning body regions due to the absence of incessant routine follow-up. Thus, the study aimed to compute the dose index discrepancies in Ethiopia for the most recurring scan protocols (head, chest, abdomen, and pelvis).

A purposive sampling method was employed to select the hospitals due to the rare existence of functional CT scanners in Ethiopia. From the selected hospitals, a total of 1,385 (249 heads, 804 chests, 132 abdomens, and 200 pelvis) were collected in terms of standard dose metric values in the period of December 2019-March 2020. Patients' DLP was computed into mean value using IBM SPSS Statistics 20 software. From the mean DLP, we can compute the effective dose.

Patients' dose level disparity was observed in this study though it is below the ICRP standard level for all body regions except for pelvis DLP (593.37 mGy-cm) at Black Lion. The dose level for the head and chest are computed within the recommended level at all hospitals. Effective doses for the pelvis at four hospitals (Teklehaimanot, Black Lion, ALERT, Paul's, and Ayder hospitals) were computed as 6.45, 8.90, 5.08, 6.54, and 6.84 mSv respectively, and the effective doses for abdomen at Ayder Hospital was obtained to be 8.90 mSv, which is above the recommended value.

X-ray CT scanners are somewhat properly functioning although some sort of justification and optimization for pelvis and abdomen examinations are strongly recommended to implement as low as reasonably achievable principle.