AUDIT

DEPARTMENT OF RADIODIAGNOSIS

JPNA APEX TRAUMA CENTRE

AIIMS,NEW DELHI

CASES DONE FROM

JAN - DECEMBER 2013

XRAYSNUMBER

2012 2013

CASUALTY 44096 64362

OPD 7374 8062

WARD 3789 2763

PORTABLE 22076 22542

TOTAL 77335 97729

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Casualty OPD Ward Portable

2012

2013

FLUOROSCOPY PROCEDURES

RGU + MCU + IVP

GISTUDIES

OTHERS(Sinogram,FistulogramSialogrametc)

TOTAL

2012 125 64 11 200

2013 123 84 20 227

ULTRASOUND (2012)

ROUTINE USG

DOPPLER USG

TOTAL

CASUALTY 12301 372 12673

OPD 360 82 442

WARD 1110 187 1297

Total 13771 641 14412

GRAND TOTAL=14412

ULTRASOUND (2013) ROUTINE USG

DOPPLER USG

TOTAL

CASUALTY

16805 611 17416

OPD 277 50 327

WARD 1229 160 1389

Total 18311 821 19152

GRAND TOTAL=19152

B mode USG

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Casualty OPD Ward

2012

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Doppler USG

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Casualty OPD Ward

2012

2013

CT SCANS2012 2013

CASUALTY 14854 14638

OPD 1052 1267

WARD 1721 1540

GRAND TOTAL 17627 17445

CT SCANS- 2013Children Adults

CASUALTY 17.75% 82.25%

OPD 12 % 88%

WARD 14.2% 85.8%

GRAND TOTAL 16.8 % 83.2 %

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

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

17%

83%Children

Adults

CT scans 2013

CT SCANS-BODY PART

BODY PART 2012 2013

HEAD 13441 13303

BODY 2934 2882

ANGIOGRAPHY 124 159

MULTIPLE/BODY 1128 1101

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

PORTABLE CT = 709

May 2013 to Dec 2013

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

MRI SCANS CASUALTY

2012 2013

Total 28 14

2012 2013

Total 403 493

MRI SCANS OPD

MRI SCANS WARD2012 2013

Total 291 289

MRI SCANS MAIN2012 2013

Total 358 226

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

Some facts about CT...

Average timeNCCT 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

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