Pediatric Radiology

, Volume 44, Supplement 3, pp 519–524 | Cite as

Pediatric CT quality management and improvement program

  • David B. Larson
  • Lior Z. Molvin
  • Jia Wang
  • Frandics P. Chan
  • Beverley Newman
  • Dominik Fleischmann
Image Gently ALARA CT summit: How to Use New CT Technologies for Children


Modern CT is a powerful yet increasingly complex technology that continues to rapidly evolve; optimal clinical implementation as well as appropriate quality management and improvement in CT are challenging but attainable. This article outlines the organizational structure on which a CT quality management and improvement program can be built, followed by a discussion of common as well as pediatric-specific challenges. Organizational elements of a CT quality management and improvement program include the formulation of clear objectives; definition of the roles and responsibilities of key personnel; implementation of a technologist training, coaching and feedback program; and use of an efficient and accurate monitoring system. Key personnel and roles include a radiologist as the CT director, a qualified CT medical physicist, as well as technologists with specific responsibilities and adequate time dedicated to operation management, CT protocol management and CT technologist education. Common challenges in managing a clinical CT operation are related to the complexity of newly introduced technology, of training and communication and of performance monitoring. Challenges specific to pediatric patients include the importance of including patient size in protocol and dose considerations, a lower tolerance for error in these patients, and a smaller sample size from which to learn and improve.


Computed tomography Quality management Quality improvement Pediatric, personnel 


Conflicts of interest

Dr. Larson discloses a commercial interest in Radimetrics and has no investigational or off-label uses to disclose. Drs. Molvin, Wang, Chan, Newman and Fleischmann have no financial interests, investigational or off-label uses to disclose.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • David B. Larson
    • 1
  • Lior Z. Molvin
    • 2
  • Jia Wang
    • 3
  • Frandics P. Chan
    • 1
  • Beverley Newman
    • 1
  • Dominik Fleischmann
    • 1
  1. 1.Department of RadiologyStanford University School of MedicineStanfordUSA
  2. 2.Stanford Hospital and ClinicsStanfordUSA
  3. 3.Environmental Health and SafetyStanford UniversityStanfordUSA

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