Computed Tomography and Radiation Risks: What Pediatric Health Care Providers Should Know
Computed tomography (CT) is an extremely valuable diagnostic tool. Recent advances, particularly multidetector technology, have provided increased and more diverse applications. However, there is also the potential for inappropriate use and unnecessary radiation dose. Because some data indicate that...
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| Veröffentlicht in: | Pediatrics (Evanston) 2003-10, Vol.112 (4), p.951-957 |
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| creator | Frush, Donald P Donnelly, Lane F Rosen, Nancy S |
| description | Computed tomography (CT) is an extremely valuable diagnostic tool. Recent advances, particularly multidetector technology, have provided increased and more diverse applications. However, there is also the potential for inappropriate use and unnecessary radiation dose. Because some data indicate that low-dose radiation (such as that in CT) may have a significant risk of cancer, especially in young children, it is important to limit CT radiation by following the ALARA (as low as reasonably achievable) principle. There is a variety of strategies to limit radiation dose, including performing only necessary examinations, limiting the region of coverage, and adjusting individual CT settings based on indication, region imaged, and size of the child. The pediatric health care provider has a pivotal role in the performance of CT and may be the only individual who discusses these important CT radiation issues with the child and family. For this reason, this article will summarize the issues with CT patterns of use and radiation risk, and provide dose reduction strategies pertinent to pediatric health care providers. |
| doi_str_mv | 10.1542/peds.112.4.951 |
| format | Article |
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Recent advances, particularly multidetector technology, have provided increased and more diverse applications. However, there is also the potential for inappropriate use and unnecessary radiation dose. Because some data indicate that low-dose radiation (such as that in CT) may have a significant risk of cancer, especially in young children, it is important to limit CT radiation by following the ALARA (as low as reasonably achievable) principle. There is a variety of strategies to limit radiation dose, including performing only necessary examinations, limiting the region of coverage, and adjusting individual CT settings based on indication, region imaged, and size of the child. The pediatric health care provider has a pivotal role in the performance of CT and may be the only individual who discusses these important CT radiation issues with the child and family. 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Recent advances, particularly multidetector technology, have provided increased and more diverse applications. However, there is also the potential for inappropriate use and unnecessary radiation dose. Because some data indicate that low-dose radiation (such as that in CT) may have a significant risk of cancer, especially in young children, it is important to limit CT radiation by following the ALARA (as low as reasonably achievable) principle. There is a variety of strategies to limit radiation dose, including performing only necessary examinations, limiting the region of coverage, and adjusting individual CT settings based on indication, region imaged, and size of the child. The pediatric health care provider has a pivotal role in the performance of CT and may be the only individual who discusses these important CT radiation issues with the child and family. For this reason, this article will summarize the issues with CT patterns of use and radiation risk, and provide dose reduction strategies pertinent to pediatric health care providers.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Cancer in children</subject><subject>Care and treatment</subject><subject>CAT scans</subject><subject>Causes of</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood cancer</subject><subject>Children & youth</subject><subject>Complications and side effects</subject><subject>CT imaging</subject><subject>Dose-Response Relationship, Radiation</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infant</subject><subject>Life Expectancy</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Pediatrics</subject><subject>Prevention</subject><subject>Radiation</subject><subject>Radiation Dosage</subject><subject>Radiation exposure</subject><subject>Radiation Injuries - epidemiology</subject><subject>Radiation Injuries - etiology</subject><subject>Radiation Injuries - prevention & control</subject><subject>Radiation Protection</subject><subject>Radiation Tolerance</subject><subject>Risk</subject><subject>Sick children</subject><subject>Tomography</subject><subject>Tomography, Spiral Computed - adverse effects</subject><subject>Tomography, Spiral Computed - statistics & numerical data</subject><subject>Tomography, X-Ray Computed - adverse effects</subject><subject>Tomography, X-Ray Computed - statistics & numerical data</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkkFr3DAQhU1paTZprz0W0VsPdjWSvLZ7C6ZNShcS0pTSk5Dtka3UthzJbpJ_Xy27sA0sAkkM37wZZl4UvQOaQCrYpwkbnwCwRCRFCi-iFdAijwXL0pfRilIOsaA0PYlOvb-jlIo0Y6-jExAp41DAKvpd2mFaZmzIrR1s69TUPRE1NuRGNUbNxo7kxvg__jP51amZXOM26kxNLlH1c0dK5ZBcO_vXNOg8-dHZpW_I99E-vIleadV7fLt_z6KfX7_clpfx5uriW3m-ievQyxwjB6o0B05RC10JyETBREZ1wQvBdF1nUK25zivMKVQNrTQw4OschcIiXPws-rDTnZy9X9DP8s4ubgwlJWM5TyFlNEDxDmpVj9KM2s5O1S2O6FRvR9QmhM8BKGMZXeeBT47w4TQ4mPpowsdnCYGZ8XFu1eK9zC82z9n4GFvbvscWZZhOeXW0mdpZ7x1qOTkzKPckgcqtC-TWBTK4QAoZXBAS3u9HslQDNgd8v_aDYmfa7sE43CrsFuv_-x4U_wHZ8bq1</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>Frush, Donald P</creator><creator>Donnelly, Lane F</creator><creator>Rosen, Nancy S</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>20031001</creationdate><title>Computed Tomography and Radiation Risks: What Pediatric Health Care Providers Should Know</title><author>Frush, Donald P ; Donnelly, Lane F ; Rosen, Nancy S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-e310af3130ef4fb417492470f93942fcc71b63f8be801bd0bf121368e4ae9e4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Cancer in children</topic><topic>Care and treatment</topic><topic>CAT scans</topic><topic>Causes of</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood cancer</topic><topic>Children & youth</topic><topic>Complications and side effects</topic><topic>CT imaging</topic><topic>Dose-Response Relationship, Radiation</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Infant</topic><topic>Life Expectancy</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Pediatrics</topic><topic>Prevention</topic><topic>Radiation</topic><topic>Radiation Dosage</topic><topic>Radiation exposure</topic><topic>Radiation Injuries - epidemiology</topic><topic>Radiation Injuries - etiology</topic><topic>Radiation Injuries - prevention & control</topic><topic>Radiation Protection</topic><topic>Radiation Tolerance</topic><topic>Risk</topic><topic>Sick children</topic><topic>Tomography</topic><topic>Tomography, Spiral Computed - adverse effects</topic><topic>Tomography, Spiral Computed - statistics & numerical data</topic><topic>Tomography, X-Ray Computed - adverse effects</topic><topic>Tomography, X-Ray Computed - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frush, Donald P</creatorcontrib><creatorcontrib>Donnelly, Lane F</creatorcontrib><creatorcontrib>Rosen, Nancy S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frush, Donald P</au><au>Donnelly, Lane F</au><au>Rosen, Nancy S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computed Tomography and Radiation Risks: What Pediatric Health Care Providers Should Know</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>112</volume><issue>4</issue><spage>951</spage><epage>957</epage><pages>951-957</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Computed tomography (CT) is an extremely valuable diagnostic tool. Recent advances, particularly multidetector technology, have provided increased and more diverse applications. However, there is also the potential for inappropriate use and unnecessary radiation dose. Because some data indicate that low-dose radiation (such as that in CT) may have a significant risk of cancer, especially in young children, it is important to limit CT radiation by following the ALARA (as low as reasonably achievable) principle. There is a variety of strategies to limit radiation dose, including performing only necessary examinations, limiting the region of coverage, and adjusting individual CT settings based on indication, region imaged, and size of the child. The pediatric health care provider has a pivotal role in the performance of CT and may be the only individual who discusses these important CT radiation issues with the child and family. For this reason, this article will summarize the issues with CT patterns of use and radiation risk, and provide dose reduction strategies pertinent to pediatric health care providers.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>14523191</pmid><doi>10.1542/peds.112.4.951</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Cancer in children Care and treatment CAT scans Causes of Child Child, Preschool Childhood cancer Children & youth Complications and side effects CT imaging Dose-Response Relationship, Radiation Female Health aspects Health care Health risk assessment Humans Infant Life Expectancy Male Medical diagnosis Pediatrics Prevention Radiation Radiation Dosage Radiation exposure Radiation Injuries - epidemiology Radiation Injuries - etiology Radiation Injuries - prevention & control Radiation Protection Radiation Tolerance Risk Sick children Tomography Tomography, Spiral Computed - adverse effects Tomography, Spiral Computed - statistics & numerical data Tomography, X-Ray Computed - adverse effects Tomography, X-Ray Computed - statistics & numerical data |
| title | Computed Tomography and Radiation Risks: What Pediatric Health Care Providers Should Know |
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