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Whole-body PET/MRI of Pediatric Patients: The Details That Matter
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Pediatric interventional radiology - does it add value?

Derek J Roebuck1,2, Clare A McLaren3,4

  • 1Department of Medical Imaging, Perth Children's Hospital, Locked Bag 2010, Nedlands, 6009, Australia. derek.roebuck@health.wa.gov.au.

Pediatric Radiology
|March 20, 2021
PubMed
Summary
This summary is machine-generated.

Demonstrating the value of pediatric interventional radiology (PIR) in children's hospitals remains challenging. Current evidence is largely anecdotal, with the strongest justification being the potential negative outcomes if PIR expertise is absent.

Keywords:
ChildrenDiagnostic valueInterventional radiologyReviewTherapeutic value

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Area of Science:

  • Pediatric Interventional Radiology
  • Health Services Research
  • Medical Value Analysis

Background:

  • Establishing the precise value of pediatric interventional radiology (PIR) in children's hospitals has proven difficult.
  • Existing studies face challenges in controlling for healthcare system variations and generalizing single-center findings.

Purpose of the Study:

  • To critically evaluate the evidence supporting the value of pediatric interventional radiology.
  • To identify the most robust justifications for PIR services in pediatric healthcare settings.

Main Methods:

  • Review of existing literature on the value of pediatric interventional radiology procedures.
  • Analysis of methodological challenges in cost-effectiveness and outcome studies for PIR.
  • Exploration of anecdotal evidence and the 'counterfactual' argument for PIR necessity.

Main Results:

  • No persuasive studies definitively demonstrate the added value of PIR in children's hospitals.
  • Randomized controlled trials comparing PIR with surgical alternatives are largely absent and potentially infeasible.
  • Anecdotal evidence and the 'what if' scenario (counterfactual) are currently the primary justifications for PIR.

Conclusions:

  • The quantifiable value of pediatric interventional radiology requires further investigation.
  • The absence of PIR services poses potential risks, serving as a critical, albeit indirect, justification for its provision.
  • Future research should aim to overcome methodological hurdles in assessing PIR's impact.