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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
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Multi-detector CT in the paediatric urinary tract

M B Damasio1, K Darge, M Riccabona

  • 1Paediatric Radiology, Giannina Gaslini Institute, Genoa, Italy. mariabdamasio@ospedale-gaslini.ge.it

European Journal of Radiology
|July 6, 2012
PubMed

Insights

Paediatric multi-slice CT (MSCT) use is rising, necessitating radiation dose control. This paper offers guidelines for appropriate paediatric urinary tract CT (uro-CT) use, emphasizing selected indications and protocol optimization.

Area of Science:

  • Radiology
  • Paediatric Imaging
  • Urogenital Imaging

Background:

  • Paediatric multi-slice CT (MSCT) utilization is increasing globally.
  • There is a growing need for radiation dose control and appropriate application of CT in children.
  • Standardized recommendations for paediatric urinary tract CT (uro-CT) are essential.

Purpose of the Study:

  • To provide detailed recommendations for paediatric uro-CT.
  • To discuss clinical indications and optimization strategies for paediatric CT examinations.
  • To highlight age-specific considerations for uro-CT in children compared to adults.

Main Methods:

  • Review and synthesis of current practices and guidelines.
  • Incorporation of principles from the European Society of Paediatric Radiology (ESPR) and European Society of Urogenital Radiology (ESUR).
  • Emphasis on the ALARA (As Low As Reasonably Achievable) principle.

Main Results:

  • Paediatric uro-CT should be reserved for specific indications when ultrasound is inconclusive and MRI is unavailable or unsuitable.
  • Protocol optimization, including age-adapted kV and mAs, is crucial.
  • Minimizing the number of acquisition phases and series is recommended.

Conclusions:

  • Paediatric uro-CT requires careful patient selection and protocol optimization.
  • Adherence to ALARA principles ensures radiation safety in paediatric imaging.
  • Tailored approaches are necessary for effective uro-CT in the paediatric population.

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