Radiological Justification Criteria of Pediatric Computed Tomography in Kenya

Computed tomography is acknowledged as the most widely used imaging technique in both adults and children. Although computed tomography offers valuable diagnostic information, it contributes to a high radiation dose and poses relatively high risks of stochastic effects to patients. Stochastic risks are of special concern in pediatric imaging since children are more vulnerable to effects of ionizing radiation than adults. Therefore, the justification of pediatric computed tomography examinations is of paramount importance to critically weigh the benefits of computed tomography against the individual detriment. This study evaluates the current radiological justification for pediatric computed tomography in Kenya and propose strategies to enhance justification. An extensive literature review on pediatric computed tomography justification was explored based on the international guidelines of ICRP and IAEA and individual publications. The foundation of the review focused on the 3 A's: awareness, appropriateness, and audits as tools to ensure proper justification. The recommendations and guidelines proposed in this study can guide in the implementation of the 3 A's in the country.