Mammographic Breast Density and Other Factors Associated with Breast Cancer in the City of Ouagadougou (Burkina Faso)
Ouedraogo Nina Astrid,
Bambara Augustin Tozoula,
Ouedraogo Pakisba Ali,
Sawadoa Edithgo Wendtebd,
Some Judicael Melchisedeck,
Diallo Ousseini,
Cisse Rabiou
Issue:
Volume 11, Issue 3, September 2023
Pages:
46-51
Received:
23 July 2023
Accepted:
10 August 2023
Published:
28 August 2023
Abstract: Objectives: to study the categorization of breast density in mammography and factors associated with breast cancer in women of the city of Ouagadougou. Materials and Methods. It was a descriptive cross-sectional study. The sample consisted of mammography reports. The variables analyzed were socio-demographic, anamnestic and radiological data. Breast density was categorized according to the 5th edition of the American College of Radiology (ACR) Breast Imaging Report And Data System (BIRADS), as well as the results of the mammo ultrasound scans, and then with classification into dense breasts and sparsely dense breasts. We compared two groups (< 40 years and 40 years) based on age, parity, estrogen and mammography results based on breast density. The analyses were carried out using the chi-square test. The significance threshold was p < 0.05. Results. One thousand two hundred and thirty-six mammography reports were analyzed out of a total of 1423 mammograms completed during the study period. The average age of patients was 46.7 years with extremes of 20 and 82 years. Breast density was significantly associated with age, parity greater than four, menopause, normal results and benign breast abnormalities. There was no significant association noted between breast density, malignant lesions, and oral contraception. Conclusion. The breasts of women in the city of Ouagadougou were generally sparse. Breast density in mammography was inversely associated with age, parity greater than four, absence of visible abnormalities or presence of benign abnormalities in mammography and breast ultrasound.
Abstract: Objectives: to study the categorization of breast density in mammography and factors associated with breast cancer in women of the city of Ouagadougou. Materials and Methods. It was a descriptive cross-sectional study. The sample consisted of mammography reports. The variables analyzed were socio-demographic, anamnestic and radiological data. Breas...
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Review Article
Status Report on Radiation Protection in Radiology Departments in the Kindia Region, Guinea
Ousmane Aminata Bah*,
Siré Nabe,
Sékou Traore,
Bamikole Ola Guenolé,
Kaba Mohamed Douty,
Aboubacar Toure
Issue:
Volume 11, Issue 3, September 2023
Pages:
52-56
Received:
9 November 2023
Accepted:
24 November 2023
Published:
8 December 2023
Abstract: Objectives: To take stock of staff, premises and personal protective equipment in radiology departments in the Kindia region. Methodology: Cross-sectional, descriptive study conducted in March 2023, including all radiology departments and cabinets in the Kindia region. We reported on the characteristics of working conditions for the staff directly involved in radiation work (age, sex, qualifications, radiation protection training, duration of working under radiation, number of examinations per year), radiology rooms and equipment (room surface area, door manufacturing materials, building construction materials, illuminated signage at hall entrances, leaded shield), the use of personal radiation protection equipment (leaded apron, cap, thyroid protector, leaded goggles and gloves), the availability of dosimetric monitoring resources and the type of radiology equipment available. Results: 8 radiology departments and practices were surveyed, including 5 public (62.5%) and 3 private (35.5%). 21 medical and paramedical staff working directly under ionizing radiation, including 16 manipulators (76%), 2 physicians acting as radiologists (9.5%), one senior radiology technician (4.8%) and no radiology physicians. The average age of the staff was 32 (28-45), of whom 86% were male. The average number of years working with radiation was 4 years (2-7 years). 57% of staff had received radiation protection training, including 42.9% on the Internet, 9.5% post-graduate training and 4.8% initial training. 50% of the halls had a surface area of 30m2, 25% had a surface area of 24 m2 and 25% had a surface area of 18m2. 62.25% of the doors were made of wood with lead and 62.5% of the walls were solid brick with concrete lining. There were no illuminated signs at the entrance to the halls. All departments had lead aprons, only one had a thyroid protector, and none had a dosimeter. The lead apron was the most commonly used personal protective equipment (86%), followed by leaded gloves (29%) and thyroid protectors (4.8%). 37.5% of departments had a bone-lung x-ray table only, 37.5% a bone-lung x-ray table and a mobile radio, and 25% a mobile radio only. Conclusion: The practice of radiation protection in health facilities in the Kindia region suffers from a number of shortcomings, including non-compliance with construction standards, the virtual absence of qualified radiology staff and a very low level of training in radiation protection. The use of personal protective equipment against X-rays is very limited, consisting mainly of leaded aprons.
Abstract: Objectives: To take stock of staff, premises and personal protective equipment in radiology departments in the Kindia region. Methodology: Cross-sectional, descriptive study conducted in March 2023, including all radiology departments and cabinets in the Kindia region. We reported on the characteristics of working conditions for the staff directly ...
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