Objectives: The aim of
this study was to assess scanning activities at Yopougon University Hospital through its
most common application that is the cranio-encephalic CT in order to make
proposals for the improvement of its use. Patients and Methods: This was a
three-year-cross-sectional study based on cranio-encephalic CT scans performed
at Yopougon University Hospital from January 2011 to December 2013. All CT
scans were performed on a TOSHIBA 64-bar scanner with or without injection of iodinated
contrast agent. The variables studied were the epidemiological-clinical
elements (age, gender and indications), the exploration technique, the overall
results and the various pathologies discovered. Results: The mean age of our
patients was 35.4 years with a predominance of children (age group of 0 and 14
years). The sex ratio was 1.38. Motor deficits (19.3%) and head trauma (17.5%) was the main indication of cranio-encephalic
scanners. We performed 221 examinations without injection of iodinated contrast
agent (36.8%) and 379 examinations with injection of iodinated contrast agent
(63.2%). We recorded 298 normal findings and 302 pathological findings that are 49.7% and 50.3%
respectively. Strokes were the predominant pathology found on the
cranio-encephalic scanners (43.7%) followed by traumatic pathology (20.9%). Conclusion: The rate of
normal findings for cranio-encephalic scanners was very high (49.7%).
Pathological findings were dominated by strokes (43.7%) and traumatic pathology
(20.9%). Infectious pathology was paradoxically rare (3%). A more rigorous
prescription of cranio-encephalic scanners based on a well-conducted clinical
examination and the guides of good use of imaging examinations (guidelines)
could help to reduce the rate of normal scanner at Yopougon University
Hospital.
Cite this paper
Kouamé, N. , Manewa, S. F. , N’goan-Domoua, A. M. and N’gbesso, R. D. (2017). The Practice of Cerebral CT at Abidjan: Advocacy for the Implementation of Guidelines. Open Access Library Journal, 4, e3569. doi: http://dx.doi.org/10.4236/oalib.1103569.
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