Changing the practice of routine gonadal shielding during radiography: ‘Y’?

Frush, Donald P.; Strauss, Keith J.

doi:10.1007/s00247-021-05230-5

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Die Ovarien bei Mädchen werden wegen der variablen anatomischen Lage häufig nicht geschützt oder abgedeckt. Zudem verdeckt der Gonadenschutz manchmal wesentliche Pathologien, Frakturen oder Entzündungen des Beckenringes und des Sakrums [ 6 , 7 ]. Zudem wird der Wichtungsfaktor für Gonaden nicht mehr so hoch eingestuft wie früher, sodass die neuesten europäischen und amerikanischen Empfehlungen auf einen Gonadenschutz bei Kindern gänzlich verzichten.…”

Section: Strahlenschutzunclassified

Bildgebung in der Kindertraumatologie/Kinderorthopädie

Slongo,

Stranzinger

2024

Oper Orthop Traumatol

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ZusammenfassungNach wie vor ist das konventionelle bzw. das digitale Röntgenbild die Grundlage der bildgebenden Diagnostik des Skelettsystems im Kindesalter. Es gilt als „Goldstandard“ in der Diagnostik, bei der Durchführung von Therapien sowie für Verlaufskontrollen. Ergänzend dazu sollen und können Verfahren wie Ultraschall, Computertomographie (CT), Magnetresonanztomographie (MRT), aber auch nuklearmedizinische Techniken eingesetzt werden. Es ist von Vorteil, dass in der Röntgendiagnostik von Kindern geschulte Radiologiefachpersonen eingesetzt werden. Im Falle von nicht spezifisch eingerichteten Kinderradiologien sollen zumindest die von Fachgesellschaften („as low as reasonable achievable“ [ALARA]) und Strahlenschutzkommissionen empfohlenen Richtlinien eingehalten werden. Es wird dargestellt, wie modernste Hilfsmittel wie Dosisüberwachungssysteme und Software-gesteuerte Bildbearbeitung und auch Nachbearbeitung sowie die verschiedenen Modalitäten optimal eingesetzt werden können, um mit möglichst geringem Aufwand und möglichst geringer Belastung für das Kind ein optimales Resultat, sprich Diagnostik, zu erreichen.

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Section: Strahlenschutzunclassified

Bildgebung in der Kindertraumatologie/Kinderorthopädie

Slongo,

Stranzinger

2024

Oper Orthop Traumatol

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“…Advances in detector efficiency continue, and radiography currently has a 95% dose reduction compared with technology in the 1950s. 1 There are, as with most all imaging, unique challenges (including gaps) and special considerations for pediatric fluoroscopy. 2,3 More familiar advancements in fluoroscopy include improved system efficiency, low frame rates (e.g., 2 fps vs. continuous or 30 fps), and last image store (allowing for prolonged assessment when fluoro is off).…”

Section: Radiography and Fluoroscopymentioning

confidence: 99%

“…Moreover, the ability to manipulate the digital information obviates in almost all circumstances the retakes that were not infrequent with prior technology. Advances in detector efficiency continue, and radiography currently has a 95% dose reduction compared with technology in the 1950s 1 . There are, as with most all imaging, unique challenges (including gaps) and special considerations for pediatric fluoroscopy 2,3 .…”

Section: Radiography and Fluoroscopymentioning

confidence: 99%

Comparison of the different imaging modalities used to image pediatric oncology patients: A COG diagnostic imaging committee/SPR oncology committee white paper

Frush

Callahan

Coley

et al. 2023

Pediatric Blood & Cancer

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Diagnostic imaging is essential in the diagnosis and management, including surveillance, of known or suspected cancer in children. The independent and combined roles of the various modalities, consisting of radiography, fluoroscopy, ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine (NM), are both prescribed through protocols but also function in caring for complications that may occur during or subsequent to treatment such as infection, bleeding, or organ compromise. Use of a specific imaging modality may be based on situational circumstances such as a brain CT or MR for a new onset seizure, chest CT for respiratory signs or symptoms, or US for gross hematuria. However, in many situations, there are competing choices that do not easily lend themselves to a formulaic approach as options; these situations depend on the contributions of a variety of factors based on a combination of the clinical scenario and the strengths and limitations of the imaging modalities. Therefore, an improved understanding of the potential influence of the imaging decision pathways in pediatric cancer care can come from comparison among the individual diagnostic imaging modalities. The purpose of the following material to is to provide such a comparison. To do this, pediatric imaging content experts for the individual modalities of radiography and fluoroscopy, US, CT, MRI, and NM will discuss the individual modality strengths and limitations.

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