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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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Emergent pediatric US: what every radiologist should know.

Jonathan R Cogley1, Stephen C O'Connor, Roozbeh Houshyar

  • 1Department of Radiology, Baystate Medical Center and Children's Hospital, Western Campus of Tufts University School of Medicine, 759 Chestnut St, Springfield, MA 01199, USA. jcogley625@gmail.com

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|May 15, 2012
PubMed
Summary

Ultrasonography (US) is a valuable tool for diagnosing common pediatric abdominal conditions like appendicitis. It avoids ionizing radiation risks associated with CT scans and is more practical than MRI for children.

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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Area of Science:

  • Pediatric Radiology
  • Abdominal Imaging
  • Medical Diagnostics

Background:

  • Appendicitis, intussusception, and hypertrophic pyloric stenosis (HPS) are frequent pediatric emergencies requiring abdominal imaging.
  • Computed tomography (CT) use has increased, but carries risks of ionizing radiation exposure in children, increasing cancer risk.
  • Magnetic resonance (MR) imaging is often impractical for pediatric abdominal pain due to cost, availability, and sedation needs.

Purpose of the Study:

  • To highlight the benefits of ultrasonography (US) as a primary imaging modality for pediatric abdominal emergencies.
  • To emphasize the advantages of US over CT and MR imaging in the pediatric population.
  • To advocate for the integration of US skills in pediatric radiology practices.

Main Methods:

  • Review of common pediatric abdominal conditions necessitating emergent imaging.
  • Comparison of imaging modalities: ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging.
  • Analysis of radiation exposure, cost, availability, and patient factors (e.g., sedation) for each modality.

Main Results:

  • Ultrasonography (US) offers a radiation-free alternative to CT for pediatric abdominal imaging.
  • US is more accessible, less expensive, and does not require sedation compared to MR imaging.
  • US provides dynamic assessment of bowel peristalsis and compressibility, crucial for diagnosing conditions like appendicitis and intussusception.

Conclusions:

  • Ultrasonography (US) is a safe, effective, and practical primary imaging modality for common pediatric abdominal emergencies.
  • The benefits of US, including no ionizing radiation and dynamic assessment capabilities, make it superior to CT and MR in many pediatric cases.
  • Proficiency in US for diagnosing conditions such as appendicitis, intussusception, and HPS should be a core skill for pediatric radiologists.