Optimal Utilization of Pediatric Computed Tomography to Minimize Radiation Exposure: What the Clinician Must Know s

Natasha Gupta1, Lalendra Upreti

  • 1Department of Radiology and Imaging, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India. Correspondence to: Dr Natasha Gupta, Specialist, Department of Radiology and Imaging, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India. drnatashagupta@gmail.com.

Indian Pediatrics
|July 25, 2017
PubMed

Insights

Computed tomography (CT) scans for children are increasing. Pediatricians and radiologists must follow guidelines to minimize radiation exposure, utilizing proper techniques and modern scanner innovations for safer pediatric imaging.

Area of Science:

  • Medical Imaging
  • Pediatric Radiology
  • Radiation Safety

Background:

  • Computed tomography (CT) use in pediatric patients has significantly increased with Multi-Detector CT (MDCT) technology.
  • Children are uniquely vulnerable to the adverse effects of ionizing radiation from CT scans.
  • Growing utilization necessitates a focus on minimizing radiation dose in pediatric CT examinations.

Purpose of the Study:

  • To highlight the importance of radiation dose reduction in pediatric CT scans.
  • To inform pediatricians and radiologists about essential principles and guidelines for minimizing radiation exposure in children.
  • To emphasize the need for awareness of appropriate CT indications, scanning techniques, and technological advancements.

Main Methods:

  • Review of current literature and guidelines on pediatric CT radiation dose optimization.
  • Discussion of principles for justifiable CT indications in children.
  • Exploration of technical parameters and technological innovations in modern CT scanners for dose reduction.

Main Results:

  • Identification of key factors influencing radiation dose in pediatric CT.
  • Outlined strategies for selecting appropriate CT examinations for children.
  • Highlighted the role of advanced CT scanner features in dose modulation.

Conclusions:

  • Adherence to established guidelines and judicious use of CT are crucial for minimizing radiation risk in pediatric patients.
  • Understanding indications, techniques, and technology is essential for safe pediatric CT.
  • Optimizing radiation dose in pediatric CT requires a collaborative approach between referring physicians and radiologists.

Related Concept Videos

Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
9.1K
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...
1.3K
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
452
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
412
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
529
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
332