Inadequate Completion of Computed Tomography Request Forms of Patients Visiting the Department of Radiology and Imaging in a Tertiary Care Centre.

Introduction: From both medical and legal points of view, it is vital that computed tomography request forms should be adequately filled up. It is the responsibility of physicians to collect adequate clinical information that justifies the computed tomography examination and the ethical responsibility of radiological technologists and radiologists is to perform only the justified radiological examinations. Thus, a properly filled request form is crucial for understanding the clinical problem, using the proper protocol for avoiding unnecessary radiation exposure and providing concise radiological reports. The aim of this study was to find out the prevalence of inadequate completion of computed tomography request forms of patients visiting the Department of Radiology of a tertiary care centre. Methods: This descriptive study was performed in the Department of Radiology from 22 April 2021 to 21 April 2022 after receiving ethical approval from the Institutional Review Committee. Computed tomography request forms from emergency, ward and outpatient Departments were used in the study whereas that from other hospitals and clinics were excluded. A convience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 470 computed tomography examination forms, the prevalence of inadequate computed tomography request forms was 195 (41.49%) (37.03-45.94, 95% Confidence Interval). Conclusions: The prevalence of the inadequacy of completion of computed tomography examination forms was higher than other similar studies done in similar settings. Keywords: audit; computed tomography; form.

Computed Tomographic Assessment of Renal Volume and Its Associative Factors Among Adults.

BACKGROUND: Knowledge of normal renal volume is a vital parameter for clinical assessment of renal diseases because renal size is altered by various medical conditions. Variations in renal dimension in different populations and it's relation to individual's body parameters are evident. Different studies have recommended the need for measurement of renal dimension for specific population. This study assesses normal range of renal volume in the study population and measures their correlation with individual's body parameters. METHODS: This descriptive study was done in 261 adults. After renal length measurement on reformatted coronal images, renal width and renal thickness on axil images, renal volume was calculated by ellipsoidal formula. Descriptive statistics and parametric tests were used to evaluate the association between renal volume and different parameters. RESULTS: This study showed a significant difference in mean renal volume between male (right and left mean renal volume 120.52 ± 26.84 cm3 and 121.00 ± 27.23 cm3 respectively) and female (right and left mean renal volume 110.11 ± 21.79 cm3 and 111.15 ± 22.34 cm3 respectively) on each side. Similarly, a significant positive correlation was found between renal volume and body height, body weight and BMI of participant for both kidneys however a significant negative correlation was observed between renal volume and age 40 years and above for both kidneys.   Conclusions: This study provides morphometric data regarding normal kidneys and concludes that male renal volume is more than female and renal volume is correlated to individual's body parameters.