Radiation dose from multidetector CT studies in children: results from the first Italian nationwide survey

Abstract

This study reviewed practice in Italian centres performing paediatric imaging with MDCT scanners. The variability of doses among centres suggests that the use of standardised CT protocols should be encouraged.

Diagnostic value of CT compared to ultrasound in the evaluation of acute abdominal pain in children younger than 10 years old

“…Of these, 3920 children (97 %) had US only (2352 males/1700 females, mean age 68 months, median 70 months), and 132 patients (3 %, 74 males/58 females; mean age 76 months, median 78 months) had both US and CT performed within 24 h. CT radiation dose ranged between 0.67 and 4.2 mGy. CT radiation doses in our study population are comparable to doses reported in several published national surveys [15,16].…”

Hyaline fibromatosis syndrome (juvenile hyaline fibromatosis): whole-body MR findings in two siblings with different subcutaneous nodules distribution

“…WBMR due to its high soft tissue resolution, its multiplanarity and the lack of ionising radiation exposure, should be considered the imaging modality of choice in these classes of patients, since it provides a safe assessment of the typical features of HFS, the localization of nodules, and affords to rule out or detect visceral involvement. WBMR should be preferred in paediatric patients follow up due to the possible frequent evaluation of disease activity during therapy or after surgical resection, in these cases a radiation free technique becomes mandatory [22][23][24].…”

Imaging Assessment of Paediatric Crohn’s Disease: a Literature Review

“…47 When possible, CT should be avoided in children, because they have a longer remaining life expectancy than adults and intrinsic higher vulnerability to the effects of ionising radiation, and because the chronic course of CD requires repeated lifelong examinations. [20][21][22]51 Use of CT should be limited to acute situations and not in lifetime follow-up. [20][21][22]46,47,51…”

“…[20][21][22]51 Use of CT should be limited to acute situations and not in lifetime follow-up. [20][21][22]46,47,51…”

“…In paediatric patients and their relatives, it is also important to consider the anxiety level and stress induced by radiological examinations. [19][20][21][22][23] Moreover, because of the lifetime course of the disease and the need to evaluate medical therapy response, patients frequently require repeated imaging, resulting in greater cumulative lifetime radiation dose. 3,10,24 Radiologists play a pivotal role in the early diagnosis and management of CD.…”