Untersuchungstechnik und Röntgenanatomie der Thoraxorgane

Performing Chest X-Rays at Inspiration in Uncooperative Children: The Effect of Exercises with a Training Program for Radiology Technicians

“…Conventional chest X-rays are commonly used in children, especially in the neonatal and pediatric intensive care units. Since conventional X-ray diagnosis provides valuable information with minimal radiation exposure and relatively low costs, it is the foundation for further imaging methods such as fluoroscopy, MRI, or CT [ 6 , 7 ]. Deep inspiration results in a better chest X-ray, with a better evaluation of the lung parenchyma [ 2 ].…”

“…While adults take a deep breath on demand and stop breathing when the chest X-ray is taken, this is not the case in small children and babies. Nearly half of the children requiring a chest X-ray are of an uncooperative age [ 6 ]. Radiology technicians have to estimate when the child will reach the moment of maximal inspiration during the respiration cycle.…”

“…The diaphragm passes through the whole respiration cycle in 1.5 seconds or less if the respiration frequency reaches 60 breaths per minute or higher. In a crying child a diaphragm speed up to 100 mm/s is possible [ 6 ]. The radiology technician has a very limited opportunity to correctly estimate the optimal moment for a chest X-ray [ 2 ].…”