ACR适宜性标准® 摄入或吸入的外体-儿童
, Mariana L Meyers1, Michael M Moore2
1Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Journal of the American College of Radiology : JACR
|January 6, 2026
概括
儿科外体 (FB) 摄入或吸入需要特定的成像指南. 放射性图像是典型的初步步骤,CT扫描或超声波用于根据疑似FB类型和位置进行进一步评估.
科学领域:
- 儿科放射学 儿科放射学
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
背景情况:
- 外体 (FB) 摄入或吸入是儿童急诊室访问的常见原因.
- 及时和准确的诊断对于适当的管理和预防并发症至关重要.
研究的目的:
- 概述基于证据的成像指南,用于儿科外体摄入或吸收.
- 根据临床怀疑和先前的成像结果,为选择适当的成像研究提供结构化的方法.
主要方法:
- 基于临床情景的成像建议的三种变体的开发 (初始成像,消化FB的负初始放射,吸入FB的负初始放射).
- 利用美国放射学学院的适当性标准方法,包括系统的文献审查和专家共识 (RAND/UCLA适当性方法).
主要成果:
- 变种1 (初始成像):部,胸部,腹部和骨盆的X射线是标准的;低剂量非对比的胸部CT适用于放射性FB的怀疑.
- 选项2 (摄入FB,负射线):通常是没有对比度的胸部CT;可以考虑光镜食道图,CT腹部/骨盆或腹部超声波 (对于水珠).
- 变种3 (吸收FB,负射线):CT胸部没有对比度是常见的;胸部射线和光镜通常不合适.
结论:
- 这些指导方针提供了一种系统的方法,用于对疑似外体摄入或吸入的儿科患者进行成像.
- 这些建议旨在优化诊断成像的使用,确保为有效的诊断和管理进行适当的研究选择.
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