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Pediatric Patient

  • “ Children are more sensitive to radiation-induced risks and need special attention. Therefore while designing CT protocols it is crucial to keep clinical indications, weight, and prior available imaging in mind to optimize radiation dose.”
    Pointers for Optimizing Radiation Dose in Pediatric CT Protocols
    Singh S et al.
    JACR 2011; 77-80
  • “ There was more than a 10-fold variation in estimated median effective dose for a baby within level 4 trauma center facilities (3.5±0.84 mSv, range 0.60 vs 9.60 mSv).”
    Variation in Pediatric Head CT Imaging Protocols in Washington State
    Kanal KM et al.
    J Am Coll Radiol 2011;8:242-250
  • “ However, compared to levels 1 and 2 trauma centers together, a greater proportion of levels 3,4, and 5 trauma center facilities collectively lack dose reduction strategies (0% vs 25-57%), tended to have higher mAs (169 ± 113 vs 110 ± 36) and were later adopters of dose reduction strategies on the CT scanners.”
    Variation in Pediatric Head CT Imaging Protocols in Washington State
    Kanal KM et al.
    J Am Coll Radiol 2011;8:242-250
  • “ There is both within and between trauma center level variation in pediatric head CT imaging protocols and radiation dose in Washington state.”
    Variation in Pediatric Head CT Imaging Protocols in Washington State
    Kanal KM et al.
    J Am Coll Radiol 2011;8:242-250

     

  • "Substantial dose reduction and high compliance can be obtained with pediatric CT protocols tailored to clinical indications, patient weight, and number of prior studies."

    Dose Reduction and Compliance with Pediatric CT Protocols Adapted to Patient Size, Clinical Indication, and Number of Prior Studies
    Singh S et al
    Radiology 2009; 252:200-208

     

  • "Medical physicists currently use two standardized phantoms to estimate CT patient radiation dose. This "one size fits all" adult model results in underestimates of displayed pediatric CT radiation dose on the console of current CT scanners. The purpose of this article is to discuss the Alliance for Radiation Safety in Pediatric Imaging Vendor Summit."

    Image Gently Vendor Summit; Working Together for Better Estimates of Pediatric Radiation Dose from CT
    Strauss KJ et al.
    AJR 2009; 192:1169-1175

     

  • "When performing CT, one needs to maintain a balanced perspective between the equally important risks of excessive radiation and the consequence of erroneous diagnosis."

    Pediatric CT Radiation Dose: How Low Can You Go?
    Cohen MD
    AJR 2009; 192:1292-1303

  • "There are two risks of radiation. The first, which is well recognized and very much talked about, is the cumulative risk of increased incidence of cancer secondary to radiation exposure. The second, little discussed risk is that of missing a diagnosis because of suboptimal image quality as a consequence of radiation exposure settings that are too low."

    Pediatric CT Radiation Dose: How Low Can You Go?
    Cohen MD
    AJR 2009; 192:1292-1303

  • "When performing CT, adequate radiation dose must be used to make a confident and accurate diagnosis. The total population radiation exposure can be reduced effectively by numerous other means, including aggressively reducing the number of CT examinations performed for poor clinical indications, scanning only the anatomic area of interest, and not performing both unenhanced and contrast enhanced scanning unless absolutely necessary."

    Pediatric CT Radiation Dose: How Low Can You Go?
    Cohen MD
    AJR 2009; 192:1292-1303

  • "When performing CT, adequate radiation dose must be used to make a confident and accurate diagnosis."

    Pediatric CT Radiation Dose: How Low Can You Go?
    Cohen MD
    AJR 2009; 192:1292-1303

     

  • "The objective of this article is to answer the following question regarding CT: Is there a risk of lowering the radiation exposure so low that the risk of missing a diagnosis from excessive noise in the image begins to exceed the risk of the radiation itself."

    Pediatric CT Radiation Dose: How Low Can You Go?
    Cohen MD
    AJR 2009; 192:1292-1303