1. AUDIT
DEPARTMENT OF RADIODIAGNOSIS
JPNA APEXTRAUMA CENTRE
AIIMS,NEW DELHI

2. CASES DONE FROM
JAN - DECEMBER 2013

3. XRAYS
NUMBER
2012 2013
CASUALTY 44096 64362
OPD 7374 8062
WARD 3789 2763
PORTABLE 22076 22542
TOTAL 77335 97729

4. XRAYS
0.00
10000.00
20000.00
30000.00
40000.00
50000.00
60000.00
70000.00
Casualty OPD Ward Portable
2012
2013

5. FLUOROSCOPY PROCEDURES
RGU + MCU +
IVP
GI
STUDIES
OTHERS
(Sinogram,
Fistulogram
Sialogram
etc)
TOTAL
2012 125 64 11 200
2013 123 84 20 227

6. ULTRASOUND (2012)
ROUTINE
USG
DOPPLER
USG
TOTAL
CASUALTY 12301 372 12673
OPD 360 82 442
WARD 1110 187 1297
Total 13771 641 14412
GRANDTOTAL=14412

7. ULTRASOUND (2013)
ROUTINE
USG
DOPPLER
USG
TOTAL
CASUALT
Y
16805 611 17416
OPD 277 50 327
WARD 1229 160 1389
Total 18311 821 19152
GRANDTOTAL=19152

8. B mode USG
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
Casualty OPD Ward
2012
2013

9. Doppler USG
0
100
200
300
400
500
600
700
Casualty OPD Ward
2012
2013

10. CT SCANS
2012 2013
CASUALTY 14854 14638
OPD 1052 1267
WARD 1721 1540
GRANDTOTAL 17627 17445

11. CT SCANS- 2013
Children Adults
CASUALTY 17.75% 82.25%
OPD 12 % 88%
WARD 14.2% 85.8%
GRANDTOTAL 16.8 % 83.2 %

12. Life time cancer mortality risk attributable to
the radiation exposure from a single
abdominal CT examination in a 1-year-old
child is approximately one in 550, and
approximately one in 1500 for a head CT
examination.
AJR:176, February 2001

13. Radiation exposure from two or three head
CT scans in childhood can triple the risk of
developing brain cancer, while five to 10 such
scans may triple the risk of developing
leukemia
Lancet June , 2012

14. 17%
83%
Children
Adults
CT scans 2013

15. CT SCANS-BODY PART
BODY PART 2012 2013
HEAD 13441 13303
BODY 2934 2882
ANGIOGRAPHY 124 159
MULTIPLE/BODY 1128 1101

16. CT SCANS CASUALTY
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2012 2013 2012 2013
TOTAL 5738 4824 9116 9985
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2012 2013 2012 2013
TOTAL 968 1138 84 129
CT SCANS OPD
SOMATOM 40(40SL) DEFINITION AS(64 SL)
2012 2013 2012 2013
TOTAL 951 676 770 864
CT SCANS WARD

17. PORTABLE CT = 709
May 2013 to Dec 2013

18. MRI SCANS
2012 2013
TOTAL 1080 1022
BODY PART 2012 2013
HEAD 235 60
BODY (Spine,
Joints,Abdomen)
763 960
ANGIO 82 2
TOTAL 1080 1022

19. MRI SCANS CASUALTY
2012 2013
Total 28 14
2012 2013
Total 403 493
MRI SCANS OPD
MRI SCANS WARD
2012 2013
Total 291 289
MRI SCANS MAIN
2012 2013
Total 358 226

20. DIGITAL SUBTRACTION ANGIOGRAPHY (DSA)
2012 2013
SPLEEN 18 14
LIVER 25 31
MAXILLOFACIAL 13 03
PERIPHERAL 17 06
MISCELLANEOUS 30 (VASC-7,
NON VASCULAR-23)
35 (VASC-12,
NON VASCULAR-23)
Total 103 89

21. Some facts about CT...
 Average time
NCCT Head & Spine = 5-7 minutes
CECT s ( in addition) = 12- 15 minutes
 About 25-30 CT scans per month are delayed
(non-cooperative pts, unstable pts)
 7 cases of on table cardiovascular events in
2013
 No contrast reactions documented

22. THANK YOU