Pre-procedural scout radiographs are unnecessary for routine pediatric fluoroscopic examinations

Creeden, Sean; Rao, Anil G.; Eklund, Meryle J.; Hill, Jeanne G.; Thacker, Paul G.

doi:10.1007/s00247-016-3754-0

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Given these costs and risks, we believe our findings further support recent research that a scout radiograph is not always necessary in pediatric fluoroscopic examinations (4,10,11). Although the single case of moderate stool burden resulting in laxative treatment is relevant, we recommend that if an evaluation of stool burden is clinically warranted, then a scout radiograph may be requested or substituted with the last image hold function on a case by case basis.…”

Section: Discussionsupporting

confidence: 87%

“…In this review, the effective dose of scout radiographs ranged from 0.09 to 0.18 mSv (10). A more recent study looked at the scout contribution of multiple fluoroscopic examinations including contrast enema, upper GI series, and voiding cystourethrograms (11). In this review, there were no new clinically significant findings in 99.4% of cases, and new but clinically insignificant findings in 0.6%.…”

Section: Discussionmentioning

confidence: 99%

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Is the Scout Out? The Utility of Scout Radiographs in the Pediatric Upper Gastrointestinal Examination

Abdullah¹,

Shet²,

Watkins

et al. 2018

J. pediatr. gastroenterol. nutr.

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In our review, there was only 1 case in which the scout radiograph changed patient GI management, with moderate stool burden leading to a miralax cleanout, although there were no cases, which altered the planning of the procedure or contributed to the interpretation of the study. The scout radiograph can be omitted and/or substituted with the last image hold function to decrease radiation exposure.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Is the Scout Out? The Utility of Scout Radiographs in the Pediatric Upper Gastrointestinal Examination

Abdullah¹,

Shet²,

Watkins

et al. 2018

J. pediatr. gastroenterol. nutr.

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Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

et al. 2022

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Background Inappropriate and wasteful use of health care resources is a common problem, constituting 10–34% of health services spending in the western world. Even though diagnostic imaging is vital for identifying correct diagnoses and administrating the right treatment, low-value imaging—in which the diagnostic test confers little to no clinical benefit—is common and contributes to inappropriate and wasteful use of health care resources. There is a lack of knowledge on the types and extent of low-value imaging. Accordingly, the objective of this study was to identify, characterize, and quantify the extent of low-value diagnostic imaging examinations for adults and children. Methods A scoping review of the published literature was performed. Medline-Ovid, Embase-Ovid, Scopus, and Cochrane Library were searched for studies published from 2010 to September 2020. The search strategy was built from medical subject headings (Mesh) for Diagnostic imaging/Radiology OR Health service misuse/Medical overuse OR Procedures and Techniques Utilization/Facilities and Services Utilization. Articles in English, German, Dutch, Swedish, Danish, or Norwegian were included. Results A total of 39,986 records were identified and, of these, 370 studies were included in the final synthesis. Eighty-four low-value imaging examinations were identified. Imaging of atraumatic pain, routine imaging in minor head injury, trauma, thrombosis, urolithiasis, after thoracic interventions, fracture follow-up and cancer staging/follow-up were the most frequently identified low-value imaging examinations. The proportion of low-value imaging varied between 2 and 100% inappropriate or unnecessary examinations. Conclusions A comprehensive list of identified low-value radiological examinations for both adults and children are presented. Future research should focus on reasons for low-value imaging utilization and interventions to reduce the use of low-value imaging internationally. Systematic review registration: PROSPERO: CRD42020208072.

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Pre-procedural scout radiographs are unnecessary for routine pediatric fluoroscopic examinations

Abstract: Pre-procedural scout abdomen radiographs are unnecessary in routine barium and water-soluble enema, upper GI series, and voiding cystourethrogram pediatric fluoroscopic procedures and can be substituted with a spot fluoroscopic last-image hold.

Cited by 2 publications

References 11 publications

Is the Scout Out? The Utility of Scout Radiographs in the Pediatric Upper Gastrointestinal Examination

Is the Scout Out? The Utility of Scout Radiographs in the Pediatric Upper Gastrointestinal Examination

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

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