Determination of the adequacy of cranial ultrasound requests and reports at Charlotte Maxeke Johannesburg academic hospital and Rahima Moosa mother and child hopsital
INTRODUCTION: Cranial ultrasound is a cheap, effectiveand easy to use modality for the evaluation of cranial pathology in very sick paediatric population.It can be performed as a portable imaging investigation and repeated as many times as possible. New improvements in sonography equipment and technique make it possible for cranial ultrasound to compete with CTscanners in terms of identifying pathology. AIM: To determine the adequacy of cranial ultrasound requests and reports atCharlotte MaxekeJohannesburg Academic (CMJAH) and Rahima Moosa Mother and Child Hospitals (RMMCH) with regards to their completeness, accuracy and clinical relevance. METHOD: A retrospective review of 191 cranialultrasound requests and reportswas performed at two academic centres.A collection sheet (Appendix B)was developedby the principal investigator and supervisor guided by literature with regards to the information required within the cranial ultrasoundreport. A scoring method was then developed with a maximum score of 3 givenfor therequestadequacy and of 14for report adequacy. RESULTS: Only 49.74 % of the requests met the criteria for an adequate request.The mean report adequacy score was7.03 out of 14 withastandard deviation (2.02. Overall 50.26 % of the requests, scored average (2) and below average score. The most commonly reported variable was the presence or absence of hydrocephalus and the least reported was resistive index. vi CONCLUSIONS:Results demonstrate that requests and reportsof cranial ultrasoundare not adequateat both centres. A cranial ultrasound template was therefore developed to assist with the standardization ofreports.
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in Diagnostic Radiology
Mutshutshu, Ntebogang (2016) Determination of the adequacy of cranial ultrasound request and reports at Charlotte Maxeke Johannesburg Academic Hospital and Rahima Moosa Mother and Child Hospital, University of the Witwatersrand, Johannesburg, <http://hdl.handle.net/10539/24658>