Abstract:
In diagnostic radiology, the images pattern employ an interaction of many factors
and the ideal balance is to obtain an image, which is adequate for the clinical
purpose with the minimum radiation dose. To guarantee adherence to preference
standards of quality, image quality criteria recommended by the Commission of
European Communities (CEC, 1996) have been used for good radiography practice
and the assessment of images globally. The aim of this study was to address the
insufficiencies outlined by exploring the level of image quality variation across a
number of hospitals in Sudan for a variety of common specific radiologic
examinations to experience the level of matching to CEC guidelines in Sudan
hospitals, analyze the image quality of special radiologic procedures and to
compare the findings with worldwide standards.
This study was carried out in nine major hospitals radiology department in
Khartoum between 2012 and 2015. A subjective evaluation of 1183 Images
reproduction out of 363 special radiologic procedures including Intravenous
Urography (IVU), Hysterosalpingography (HSG), GIT Barium Studies and Voiding
cystourethrography ( MCUG). For each procedure, ESAK values were recorded.
The researcher set image quality criteria scoring system for each projection, where
two assessors reviewed the films in terms of compliance with the CEC
recommendations, they were asked to give a graded response of the quality of the
imaged structures mentioned in the criteria.
The patients involved in this study distributed 99 (27.2%) patient for IVU, 47
(12.9%) patients for MCUG, 95 (26.1%) patients for Barium Studies and 122
(33.6%) patients for HSG. The frequent of cases between hospitals were 23 (6.3%)
cases for Khartoum hospital, 31 (8.5%) cases for Omdurman hospital, 9 (2.5%)
cases for Bahry hospital, 35 (9.6%) cases for Souba hospital, 61 (16.8%) cases for
Ribat hospital, 70 (19.3%) cases for Military hospital, 53 (14.6%) cases for Fedail
hospital, 56 (15.4%) cases for Royal Care hospital and 25 (6.9%) cases for Sudan
Diagnostic Centre (SDC) hospital. The films were distributed as 354 (29.9%) films
