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Cone-beam CT in paediatric dentistry: DIMITRA project position statement

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Abstract

DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With increasing use of cone-beam CT for dentomaxillofacial diagnostics, concern arises regarding radiation risks associated with this imaging modality, especially for children. Research evidence concerning cone-beam CT indications in children remains limited, while reports mention inconsistent recommendations for dose reduction. Furthermore, there is no paper using the combined and integrated information on the required indication-oriented image quality and the related patient dose levels. In this paper, therefore, the authors initiate an integrated approach based on current evidence regarding image quality and dose, together with the expertise of DIMITRA’s members searching for a state of the art. The aim of this DIMITRA position statement is to provide indication-oriented and patient-specific recommendations regarding the main cone-beam CT applications in the pediatric field. The authors will review this position statement document when results regarding multidisciplinary approaches evolve, in a period of 5 years or earlier.

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Acknowledgements

This work was supported by the European Atomic Energy Community’s Seventh Framework Programme FP7/2007–2011 under grant agreement No. 604984 (OPERRA: Open Project for the European Radiation Research Area).

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Authors and Affiliations

  1. EA2496, Orofacial Pathologies, Imaging and Biotherapies, Dental School Paris Descartes University, Sorbonne Paris Cité, Montrouge, France

    Anne Caroline Oenning & Benjamin Salmon

  2. Department of Odontology, AP-HP, Nord Val de Seine Hospital (Bretonneau), Paris, France

    Anne Caroline Oenning & Benjamin Salmon

  3. Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Sao Paulo, Brazil

    Anne Caroline Oenning

  4. OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium

    Reinhilde Jacobs, Ruben Pauwels & Andreas Stratis

  5. Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden

    Reinhilde Jacobs

  6. Department of Radiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

    Ruben Pauwels

  7. Department of Oral Radiology, Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

    Mihaela Hedesiu

  8. Faculté de Chirurgie Dentaire, Université Paris Descartes, 1, Rue Maurice Arnoux, 92120, Montrouge, France

    Benjamin Salmon

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  1. Anne Caroline Oenning
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  2. Reinhilde Jacobs
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  6. Benjamin Salmon
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On behalf of the DIMITRA Research Group, http://www.dimitra.be

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Correspondence to Benjamin Salmon.

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Oenning, A.C., Jacobs, R., Pauwels, R. et al. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol 48, 308–316 (2018). https://doi.org/10.1007/s00247-017-4012-9

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