Abstract:
:Image quality takes on different perspectives and meanings when associated with the concept of as low as reasonably achievable (ALARA), which is chiefly focused on radiation dose delivered as a result of a medical imaging procedure. ALARA is important because of the increased radiosensitivity of children to ionizing radiation and the desire to keep the radiation dose low. By the same token, however, image quality is also important because of the need to provide the necessary information in a radiograph in order to make an accurate diagnosis. Thus, there are tradeoffs to be considered between image quality and radiation dose, which is the main topic of this article. ALARA does not necessarily mean the lowest radiation dose, nor, when implemented, does it result in the least desirable radiographic images. With the recent widespread implementation of digital radiographic detectors and displays, a new level of flexibility and complexity confronts the technologist, physicist, and radiologist in optimizing the pediatric radiography exam. This is due to the separation of the acquisition, display, and archiving events that were previously combined by the screen-film detector, which allows for compensation for under- and overexposures, image processing, and on-line image manipulation. As explained in the article, different concepts must be introduced for a better understanding of the tradeoffs encountered when dealing with digital radiography and ALARA. In addition, there are many instances during the image acquisition/display/interpretation process in which image quality and associated dose can be compromised. This requires continuous diligence to quality control and feedback mechanisms to verify that the goals of image quality, dose and ALARA are achieved.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Seibert JAdoi
10.1007/s00247-004-1268-7keywords:
subject
Has Abstractpub_date
2004-10-01 00:00:00pages
S183-95; discussion S234-41eissn
0301-0449issn
1432-1998journal_volume
34 Suppl 3pub_type
杂志文章,评审abstract::Pectus excavatum, the most common congenital deformity of the anterior chest wall, is both a cosmetic and functional abnormality. The degree of abnormal chest wall deformity determines its functional effect, particularly its cardiac and pulmonary impact. Although CT scanning is the most widely used cross-sectional ima...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2031-5
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was fo...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0739-y
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Adrenocortical carcinoma (ACC), a tumor that is rare among children, causes clinically evident hormonal disturbances. Imaging methods are used to stage disease and to plan surgical resection. OBJECTIVE:To describe the findings of the various imaging methods used to evaluate ACC. MATERIALS AND METHODS:We re...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050013
更新日期:2000-01-01 00:00:00
abstract::A seven month old female having a single arterial trunk arising from the aortic arch is presented. The baby also had severe coarctation of the aorta and a patent ductus arteriosus. This anomaly cannot be explained by Edwards' embryonic double aortic arch model. However, it can be explained by persistence of the fifth ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011729
更新日期:1991-01-01 00:00:00
abstract::Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availabilit...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-017-3910-1
更新日期:2017-10-01 00:00:00
abstract::Three-dimensional printing called rapid prototyping, a technology that is used to create physical models based on a 3-D computer representation, is now commercially available and can be created from CT or MRI datasets. This technical innovation paper reviews the specific requirements and steps necessary to apply biome...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2788-9
更新日期:2014-02-01 00:00:00
abstract::We present a 16-year-old boy with autoimmune liver disease and longstanding portal hypertension in whom a CT arteriogram demonstrated a large aneurysm arising from the distal, extra-parenchymal portion of the splenic artery. Because of its location adjacent to multiple venous collaterals, the aneurysm was indistinguis...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1493-1
更新日期:2010-07-01 00:00:00
abstract::Our aim in this study was to determine whether delaying the initial screening cranial ultrasound on infants of low birth weight until the 2nd week of life affects clinical diagnosis and cost of patient care. Data were reviewed on all premature infants of less than 33 weeks gestation or less than 1500 g birth weight ad...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02019054
更新日期:1995-01-01 00:00:00
abstract::We report the MRI findings in a 3-month-old boy with isolated left ventricular apical hypoplasia. This is a recently described congenital abnormality that consists of an odd, spherically shaped left ventricle due to absence of the ventricular apex. To our knowledge, isolated left ventricular apical hypoplasia has not ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0459-4
更新日期:2007-07-01 00:00:00
abstract::The clinical and radiological features of Trisomy of the short arm of the ninth chromosome and of the Nail Patella Syndrome, both of which conditions are related to abnormalities of the ninth chromosome, are compared. Dislocation of the head of radius is seen in both conditions, as is a diminished patello condylar rat...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975540
更新日期:1978-02-28 00:00:00
abstract::This multicenter collaborative study was undertaken to review the types and complications of femoral neck fractures in children. It is a retrospective clinical and radiological review of 108 femoral neck fractures. Cases originated from four different pediatric hospitals. All the patients had plain radiographs. Fractu...
journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/BF02012436
更新日期:1993-01-01 00:00:00
abstract::Classic metaphyseal lesions associated with childbirth are rare. We report a distal tibial metaphyseal fracture following a difficult breech delivery. Classic metaphyseal fractures are considered highly specific injuries associated with non-accidental trauma. This case depicts a classic metaphyseal lesion sustained du...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04490-6
更新日期:2019-12-01 00:00:00
abstract::Testicular teratoma is a rare tumor in children. We recently encountered two boys, aged 18 months and 2 years respectively, with this tumor. Sonography revealed an intratesticular mass in both. The first revealed a predominantly cystic lesion with echogenic components along its wall. The second showed a complex mass o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011304
更新日期:1992-01-01 00:00:00
abstract::A rare, elusive, mobile, pedunculated nasopharyngeal tumor in a neonate is described. The child was only intermittently symptomatic and the diagnosis was not made until 1 month of age. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02389013
更新日期:1988-01-01 00:00:00
abstract::In 3 (9 %) of 34 children with biliary atresia, US revealed gallbladder contraction following an oral feed, given on admission, but not with subsequent feeds. Surgery revealed a Kasai type IIIa biliary atresia with a patent communication between the gallbladder and duodenum. We propose that the bile ducts may initiall...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050380
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Artificial intelligence models have been successful in analyzing ordinary photographic images. One type of artificial intelligence model is object detection, where a labeled bounding box is drawn around an area of interest. Object detection can be applied to medical imaging tasks. OBJECTIVE:To demonstrate o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04895-8
更新日期:2021-01-05 00:00:00
abstract::The pituitary gland can demonstrate a variety of pathologies with different clinical presentations. Amongst them, pituitary abscess is a rare infectious disease for which contrast-enhanced MRI aids the diagnostic pathway. We present a 16-year-old girl with imaging and surgical findings consistent with primary pituitar...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-009-1435-y
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Intestinal blood-flow changes after birth. Objective. To elucidate the factors influencing intestinal blood-flow velocity in preterm infants during the early neonatal period. MATERIALS AND METHODS:We measured blood-flow velocity in the superior mesenteric artery by pulsed Doppler US in 44 uncomplicated infa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050621
更新日期:1999-06-01 00:00:00
abstract::Treatment-related neurotoxicity is a potentially life-threatening clinical condition that can represent a diagnostic challenge. Differentiating diagnoses between therapy-associated brain injury and recurrent disease can be difficult, and the immediate recognition of neurotoxicity is crucial to providing correct therap...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-016-3750-4
更新日期:2017-05-01 00:00:00
abstract::Seventy-five premature infants weighing between 600 and 3200 g were studied over a period of 1 year. All of the infants received surfactant therapy for hyaline membrane disease immediately after birth and, thereafter, up to four doses every 6 h. The roentgenographic findings in all patients were documented at birth an...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01372230
更新日期:1996-01-01 00:00:00
abstract::The analytical sensitivity of radionuclide 'milk' scans for detecting gastro-oesophageal reflux (GOR) has been assessed using an in vitro simulation test. Five factors were found to affect the ability to detect simulated reflux: isotope concentration, absolute gamma camera sensitivity, absorber thickness overlying the...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388354
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:The number of multislice CT (MSCT) scans performed in polytraumatized children has increased rapidly. There is growing concern regarding the radiation dose in MSCT and its long-term consequences, especially in children. OBJECTIVE:To determine the effective dose to polytraumatized children who undergo whole-...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-1091-7
更新日期:2009-03-01 00:00:00
abstract::The case of a young boy with primary hyperparathyroidism due to an adenoma is reported. The tumor was localized by ultrasonography, and a close correlation between the image and the surgical findings was found. Since primary hyperparathyroidism in children under 15 years of age is frequently due to adenomata larger th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386732
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:While several studies have investigated the dose from scattered radiation from X-ray procedures in a pediatric nursery, they examined scatter from chest procedures only, or the types of examination were not specified. OBJECTIVE:The aim of this study was to collect scatter and transmission data from several ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0999-1
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Pleural effusion at presentation in Hodgkin lymphoma has been associated with inferior outcome but has not been systematically evaluated. OBJECTIVE:To determine whether pleural effusion at presentation in children with Hodgkin lymphoma is a primary indicator of poor prognosis or secondary to associated fact...
journal_title:Pediatric radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00247-018-4197-6
更新日期:2018-11-01 00:00:00
abstract::Abdominal trauma is a leading cause of death in children older than 1 year of age. The spleen is the most common organ injured following blunt abdominal trauma. Pediatric trauma patients present unique clinical challenges as compared to adults, including different mechanisms of injury, physiologic responses, and indic...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-009-1336-0
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Newborns and small infants have shallow breathing. OBJECTIVE:To suggest criteria for when respiratory gating is necessary during cardiac MRI in newborns and infants. MATERIALS AND METHODS:One-hundred ten data sets of newborns and infants with (n = 92, mean age: 1.9 ± 1.7 [SD] years) and without (n = 18, me...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3346-4
更新日期:2015-09-01 00:00:00
abstract::Atlas anomalies in terms of clefts and aplasia are rare. They can sometimes simulate fractures and need further evaluation. Imaging in terms of CT and MR can help resolve diagnostic confusion and also outline associated neurological involvement. A rare anomaly of anterior and posterior atlas arch, previously unclassif...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100542
更新日期:2001-11-01 00:00:00
abstract::A solitary hamartomatous polyp of the colon in a four year old boy was diagnosed by colonic sonography while barium enema and colonoscopy were non-diagnostic. Colonic sonography provides an additional simple, relatively non-invasive modality for evaluation of the colon. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011322
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:The volume of CT examinations has increased with resultant increases in collective dose values over the last decade. OBJECTIVE:To analyze the impact of the tube current and voltage modulation for dose values and image quality of pediatric head CT examinations. MATERIALS AND METHODS:Head CT examinations wer...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3398-5
更新日期:2015-11-01 00:00:00