Abstract
Most pediatric CT examinations (as many as 85%) are performed at non-pediatric-focused facilities. In contrast to children’s hospitals and pediatric emergency departments, the number of CT examinations is increasing at these non-pediatric facilities. Compliance with diagnostic reference levels (DRLs) for dose has been shown to be poor at several metropolitan centers. Several high-yield interventions are worth exploring in an effort to achieve more optimal imaging care of children, such as electronic transfer of images to prevent duplication of examinations as well as personal feedback to referring institutions on dose, indications and quality by the pediatric referral center.
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References
Menoch MJA, Hirsh DA, Khan NS et al (2012) Trends in computed tomography utilization in the pediatric emergency department. Pediatrics 129:e690–e697
Brenner DJ, Hricak H (2010) Radiation exposure from medical imaging: time to regulate? JAMA 304:208–209
Thomas KE (2011) CT utilization — trends and developments beyond the United State’s borders. Pediatr Radiol 41:S562–S566
Townsend BA, Callahan MJ, Zurakowski D et al (2010) Has pediatric CT at children's hospitals reached its peak? AJR Am J Roentgenol 194:1194–1196
Arch ME, Frush DP (2008) Pediatric body MDDCT: a 5-year follow-up survey of scanning parameters used by pediatric radiologists. AJR Am J Roentgenol 191:611–621
Larson DB, Johnson LW, Schnell BM et al (2011) Rising use of CT in child visits to the emergency department in the United States, 1995–2008. Radiology 259:793–801
Miglioretti DL, Johnson E, Williams A et al (2013) The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatrics 167:700–707
Calvert C, Strauss KJ, Mooney DP (2012) Variation in computed tomography radiation dose in community hospitals. J Pediatr Surg 47:1167–1169
Nosek AE, Hartin CW Jr, Bass KD et al (2013) Are facilities following best practices of pediatric abdominal CT scans? J Surg Res 181:11–15
Goske MJ, Strauss KJ, Coombs LP et al (2013) Diagnostic reference ranges for pediatric abdominal CT. Radiology 268:208–218
Goske MJ, Applegate KE, Bulas D et al (2011) Image Gently: process and challenges in CT education and advocacy. Pediatr Radiol 41:S461–466
Paterson A, Frush DP, Donnelly LF (2001) Helical CT of the body: are settings adjusted for pediatric patients? AJR Am J Roentgenol 176:297–301
Tepper B, Brice JH, Hobgood CD (2013) Evaluation of radiation exposure to pediatric trauma patients. J Emerg Med 44:646–652
Moore HB, Loomis SB, Destigter KK et al (2013) Airway, breathing, computed tomographic scanning: duplicate computed tomographic imaging after transfer to trauma center. J Trauma Acute Care Surg 74:813–817
Hartin CW Jr, Jordan JM, Gemme S et al (2013) Computed tomography scanning in pediatric trauma: opportunities for performance improvement and radiation safety. J Surg Res 180:226–231
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Slovis, T.L. Boots on the ground: how to influence your local radiology departments to use appropriate CT dose. Pediatr Radiol 44 (Suppl 3), 492–494 (2014). https://doi.org/10.1007/s00247-014-3031-z
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DOI: https://doi.org/10.1007/s00247-014-3031-z