Determination of the adequacy of cranial ultrasound requests and reports at Charlotte Maxeke Johannesburg academic hospital and Rahima Moosa mother and child hopsital
Date
2017
Authors
Mutshutshu, NJ
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
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.
Description
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
Keywords
Citation
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>