Unnecessary irradiation to non-thoracic structures during pediatric chest radiography

Soboleski, Don; Theriault, Cynthia; Acker, Amy; Dagnone, Vico; Manson, David

doi:10.1007/s00247-005-0016-y

Cited by 30 publications

(21 citation statements)

References 8 publications

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“…If our results are adapted to match the only related quantitative study, craniocaudal extension to non-thoracic structures was 34 %, smaller than the previously reported 43 % [44].…”

Section: Discussionmentioning

confidence: 44%

“…In the literature, only a few studies have investigated field sizes and collimation in paediatric chest radiography, all of which reported considerable amounts of unnecessarily irradiated structures [18,[44][45][46]. If our results are adapted to match the only related quantitative study, craniocaudal extension to non-thoracic structures was 34 %, smaller than the previously reported 43 % [44].…”

Section: Discussionmentioning

confidence: 58%

See 1 more Smart Citation

European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?

et al. 2015

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“…If our results are adapted to match the only related quantitative study, craniocaudal extension to non-thoracic structures was 34 %, smaller than the previously reported 43 % [44].…”

Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 58%

European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?

et al. 2015

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“…[7][8][9] Detailed studies on the field size and body tissues included in each X-ray taken on these infants are scarce. 10 Considering the health hazards of ionizing radiation, the objective of this study was to evaluate unnecessary radiation exposure to body tissues outside the anatomical region of interest in five NICUs in Israel.…”

Section: Introductionmentioning

confidence: 99%

Unintentional exposure of neonates to conventional radiography in the Neonatal Intensive Care Units

et al. 2007

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Objective: To evaluate the extent of unintentional exposure to X-rays performed during routine diagnostic procedures in the Neonatal Intensive Care Units (NICUs).Study Design: During a 1-month period, 157 consecutive neonates from five level-III NICUs were recruited for this study. The mean birth weight was 1747±911 g (range: 564-4080 g), and gestational age was 31.6±3.6 weeks (range: 24-41 weeks). A total of 500 radiographs were performed including chest (68%), abdomen (17%) and combined chest and abdomen (15%). The average number of radiographs taken per infant was 4.2±3.6 (range: 1-21). Unintentional inclusion of body regions other than those ordered was determined by comparing the areas that should be included in the radiation field according to International recommendations, to those that appeared in the actual radiograph.Result: A comparison of the recommended borders to the actual boundaries of the radiographs taken show an additional exposure to radiation in all three procedures: 85% of chest radiographs also included the whole abdomen, 64% of abdomen radiographs included both thigh and upper chest and 62% of chest and abdomen radiograph included the thigh. (The range in all procedures was from ankle to upper head.) Between 2 and 20% of the relevant targeted body tissues were not included in the exposed fields resulting in missing data. The gonads of both sexes were exposed in 7% in all chest X-rays. Among male infants, the testes were exposed in 31% of plain abdomen radiographs and 34% of chest and abdomen radiographs. Conclusion:In the NICUs participating in the study, neonates are currently being exposed to X-ray radiation in nonrelevant body regions.Higher awareness and training of the medical teams and radiographers are required to minimize unnecessary exposure of newborns to ionizing radiation.

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“…However, radiographs take time, cost money, and expose patients to radiation [27–29]. We firmly believe that radiographs should only be performed when they are likely to alter the management of the patient.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of Paediatric Clavicle Fractures

O’Neill

Molloy

2011

International Journal of Pediatrics

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Paediatric clavicle fractures have traditionally been treated nonoperatively. Recent studies have recommended operative management for displaced midshaft fractures. We conducted a retrospective review of all clavicle fractures in children aged one to sixteen over a two-year period. We classified fractures and evaluated followup and clinical outcome. We identified 190 fractures. There were 135 boys and 55 girls. 65% of fractures were displaced and 35% undisplaced. Mean radiographic and clinical followup was 35 days and 44 days, respectively. Clavicle fractures in children heal with nonoperative management. Radiographs of clavicle fractures in children are unnecessary in the absence of clinical symptoms.

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Unnecessary irradiation to non-thoracic structures during pediatric chest radiography

Abstract: Present positioning techniques in neonatal and pediatric chest radiography result in unnecessary radiation exposure to non-thoracic structures. New landmarks for collimation should be sought to eliminate this problem.

Cited by 30 publications

References 8 publications

European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?

European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?

Unintentional exposure of neonates to conventional radiography in the Neonatal Intensive Care Units

Conservative Management of Paediatric Clavicle Fractures

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