April 18, 2018: Minor head injury not reason enough for CT scan in children
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Dr. S. Ted Treves and Dr. Fred Fahey accepted the 2017 Butterfly Award on behalf of the Image Gently Nuclear Medicine Working Group at the 2017 Image Gently Alliance Meeting in Chicago, Illinois on November 27, 2017.
A children’s book entitled, Learning about X-rays with Lula and Ethan is based on one young child, Ethan, getting a head CT after having a minor playground injury. Read more here....
A nationwide study of more than 40,000 children evaluated in hospital emergency departments for head trauma found that if children had only loss of consciousness, and no other signs or symptoms related to the head trauma, they are very unlikely to have sustained serious brain injuries. Children who have only isolated loss of consciousness after head trauma do not routinely require computed tomography (CT) scans of the head, reported researchers from UC Davis Health System and Boston Children’s Hospital.
Authors: Pamela T. Johnson, MD and Elliot K. Fishman, MD
The pillars of excellence in body CT are guided by traditional goals of quality (protocol optimization and interpretative accuracy) and safety (radiation modulation and avoiding contrast-induced nephropathy). As medicine transitions to high-value practice, excellence has evolved into providing the most diagnostically accurate information possible from each CT examination while protecting patients from unnecessary scans, radiation, and costs. Body CT is a leading source of patient radiation exposure in medical imaging [1, 2], and the Image Wisely Campaign encourages all radiology professionals to safeguard patients by pledging to optimize radiation use 3. In body CT, radiation dose is tempered by limiting the number of phases performed during each CT and modulating tube current and peak kilovoltage [4, 5]. The ACR recently released their second slate of [Read more...]
Children with complex diseases, such as congenital and acquired heart disease, frequently have complicated medical needs, sometimes requiring multiple surgeries and experiencing long hospitalizations. As a result, they are often exposed to many procedures involving ionizing radiation. Although the procedures are important for making an accurate diagnosis and planning the most effective course of treatment, ionizing radiation itself is potentially harmful and can lead to an increased risk of cancer over a patient’s... [Read more]
Children with congenital or acquired heart disease can be exposed to relatively high lifetime cumulative doses of ionizing radiation from necessary medical imaging procedures including radiography, fluoroscopic procedures including diagnostic and interventional cardiac catheterizations, electrophysiology examinations, cardiac computed tomography (CT) studies, and nuclear cardiology examinations. Despite the clinical necessity of these imaging studies, the related ionizing radiation exposure could pose an increased lifetime attributable cancer risk. The Image Gently “Have-A-Heart” campaign is promoting the appropriate use of medical imaging studies in children with congenital or acquired heart disease while minimizing radiation exposure. The focus of this manuscript is to provide a comprehensive review of radiation dose management and CT performance in children with congenital or acquired heart disease. [Read more...]
This technical innovation describes the development of a novel device to aid technologists in reducing exposure variation and repeat imaging in computed and digital radiography. The device consists of... [Read more]
Children’s (Pediatric) CT (Computed Tomography)
Pediatric computed tomography (CT) is a fast, painless exam that uses special x-ray equipment to create detailed images of your child’s internal organs, bones, soft tissues and blood vessels. It may be used to help diagnose abdominal pain or evaluate for injury after trauma.
Tell your doctor about... [Read more]
Caffey’s landmark article of 1946 noted an association between healing long-bone fractures and chronic subdural hematomas in infancy, and it was the first to [...] Read more
A proposed framework balances quality and safety of computed tomography protocols across a range of body sizes in pediatric populations. Read about it here.
Two new pediatric CT protocols have been created by the American Association of Physicists in Medicine (AAPM) Alliance for Quality Computed Tomography. There are now a total of three pediatric exam protocols available: routine head, routine chest, and routine Abdomen/pelvis. These protools account for the spectrum of pediatric patient size (from neonatal to 18yrs), and the protocols are specified for 37 common CT makes and models.
Find the protocols here: http://www.aapm.org/pubs/CTProtocols/