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Updated: Jun 3, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
DGN procedural guideline for bone scintigraphy with SPECT and SPECT/CT in children and adolescents
Julian M M Rogasch1, Holger Amthauer1, Regine Kluge2
1Klinik für Nuklearmedizin, Charité - Universitätsmedizin Berlin.
Abstract:
AIM: To present the updated S1 guideline recommendations on bone scintigraphy, including SPECT and SPECT/CT, in children and adolescents, with a particular focus on its positioning relative to alternative imaging modalities and on optimization of radiation protection.
Abstract:
METHODS: Narrative literature review and evaluation of interdisciplinary national and international guidelines, combined with expert consensus within the German Society of Nuclear Medicine. Indications, dosimetry and CT protocols were revised based on EANM recommendations, ICRP Publication 128 and newly established diagnostic reference levels.
Abstract:
RESULTS: Compared with the 2015 version, the clinical indications were comprehensively re-evaluated and restructured, with explicit consideration particularly of MRI and FDG-PET/CT or PET/MRI. Potential drug interactions relevant to image interpretation are listed systematically. Radiation exposure data were updated according to ICRP 128. For SPECT/CT, detailed age- and diameter-adapted recommendations for low-dose CT dose reduction were formulated. In addition, the role of [18F]NaF PET as a potential alternative to conventional bone scintigraphy in childhood is described.
Abstract:
CONCLUSIONS: The updated guideline refines and sharpens the indications for bone scintigraphy in the context of MRI and PET techniques and reinforces the use of radiation dose-optimized protocols. It supports nuclear medicine teams in evidence- and guideline-based imaging of paediatric skeletal disorders.
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