Abstract:
:Recently, the state of California enacted a law requiring radiologists to record the radiation dose that each patient receives for a CT scan. Failure to do so is penalized by law. This law becomes effective in July 2012. By July 2013, every facility that performs CT scans must become accredited by one of three professional groups. This report discusses the role that legislation is playing in the practice of medicine in regard to CT practice. Inherent in this discussion is the assumption that pediatric radiologists know the right dose that a child should receive for a specific clinical indication. But do we really know the answer to this? Compared to the European radiology community, the United States radiology community lags in this regard. This paper defines diagnostic reference levels (DRL) and reviews the history of DRL in the United States compared to that in the European community and the progress by the American College of Radiology's National Radiology Data Registry (NRDR) to establish national registries. The establishment of the first pediatric Quality Improvement Registry in CT Scans in Children (QuIRCC) and its progress to date will be discussed.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Goske MJdoi
10.1007/s00247-011-2105-4subject
Has Abstractpub_date
2011-09-01 00:00:00pages
567-70eissn
0301-0449issn
1432-1998journal_volume
41 Suppl 2pub_type
杂志文章,评审abstract::We report an 8-month-old girl with portal hypertension secondary to biliary atresia. The decision to treat with TIPS was made at the age of 8 months due to recurrent variceal bleeding. The procedure was carried out with a 6-mm bare stent due to her small size. Radiological follow-up with Doppler US showed gradual sten...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1211-z
更新日期:2009-07-01 00:00:00
abstract::In children, primary neoplasms of the tracheobronchial tree and lungs are rare; most are malignant. Of the primary malignant pulmonary neoplasms arising in childhood, mucoepidermoid carcinoma accounts for approximately 10%. Due to its well-confined local growth within the airway, mucoepidermoid carcinoma commonly prod...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0607-x
更新日期:2007-12-01 00:00:00
abstract::We report a case of perforation, fistula formation, and small bowel obstruction in a 2-year-old child who had ingested 32 small magnets. Multiple magnets will attract one another through the bowel wall and lead to pressure necrosis with complications. We recommend early surgical intervention before the onset of gastro...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-0056-3
更新日期:2006-03-01 00:00:00
abstract::In a group of 70 premature and newborn infants, treated with artificial ventilation, 24.3% developed bronchopulmonary dysplasia (BPD). Only in a very few cases did the typical radiological stages, as described by Northway, succeed each other in a chronological order. It is impossible to differentiate BPD stage I or II...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973978
更新日期:1977-03-17 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::A patient with the characteristic changes of Sturge-Weber syndrome on the right side was found to have a large arteriovenous malformation on the left side which involved the superior ophthalmic vein. This association, although previously reported, is extremely rare. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015455
更新日期:1994-01-01 00:00:00
abstract::A new task force dedicated to prenatal imaging was created in 2018 by the European Society of Pediatric Radiology. In order to establish a network of European prenatal imaging practice, we sent a questionnaire to radiologists practicing prenatal imaging in Europe. The questions were related to the type of institution,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04710-4
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Gaining access into non-dilated renal collecting systems for percutaneous nephrolithotripsy, particularly in patients with prohibitive body habitus and/or scoliosis, is often challenging using conventional techniques. OBJECTIVE:To evaluate the feasibility of cone-beam CT for percutaneous nephrostomy placeme...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-015-3499-1
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:The unicameral bone cyst (UBC) is a common cystic bone lesion seen in children. We review and summarize its MR findings, focusing on their appearance following contrast enhancement, and correlating them to known histologic features of UBC. SUBJECTS AND METHODS:A retrospective review of 20 cases (13 boys, 7 g...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000258
更新日期:2000-08-01 00:00:00
abstract::An otherwise healthy 11-month-old boy presented with bilateral abdominal masses. Imaging findings, differential diagnosis, histological findings, and pertinent discussion are presented. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050197
更新日期:1997-07-01 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::Four patients between the ages of 2 and 20 years with malignant brain tumors were given several sonographic examinations, using an operative calvarial defect or sutural diastasis as an acoustic window. Three of our cases and 86% of cases with malignant brain tumors reported in the literature are echogenic, making poss...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388756
更新日期:1985-01-01 00:00:00
abstract::We present a rare case of a broken umbilical artery catheter retrieved via a transumbilical approach with biopsy forceps. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::Radiographic examinations of the paranasal sinuses and chests of 187 patients with C.F. from five months to 27 years of age were reviewed. One hundred eight-five patients consistently had opaque maxillary and ethmoidal sinuses. Forty-five patients had normal chest radiographs. These observations show that the paranasa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00977665
更新日期:1980-02-01 00:00:00
abstract::Pediatric blunt scrotal trauma is most often the consequence of sports injury and presents a diagnostic challenge because swelling and pain make a scrotal physical exam difficult. US with color flow and duplex Doppler is the first-line imaging modality with the goal of accurate and timely diagnosis of injury requiring...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-016-3600-4
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Fluoroscopically guided air reduction of intussusception is a well-accepted technique. There are only two previous reports in which US has been used to monitor pneumatic reduction. OBJECTIVE:To assess the ability of US to monitor the success of air reduction of intussusception. MATERIALS AND METHODS:Sonogr...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002470050754
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Fetal MRI at 3 T is associated with increased acoustic noise relative to 1.5 T. OBJECTIVE:The goal of this study is to determine if there is an increased prevalence of congenital hearing loss in neonates who had a 3-T prenatal MR vs. those who had it at 1.5 T. MATERIALS AND METHODS:We retrospectively ident...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4261-2
更新日期:2019-01-01 00:00:00
abstract::A 1-year-old girl with unilateral proptosis was found to have primary orbital lymphomatoid granulomatosis - a condition rarely occurring in children. This multisystem angiocentric, angiodestructive, lymphoproliferative disease typically involves the lungs, with ocular involvement being extremely uncommon. Our case ser...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3206-7
更新日期:2015-07-01 00:00:00
abstract::We report an MR imaging phenomenon that can lead to misinterpretation. The unique appearance of the soft tissues and bone marrow in a 19-year-old severely malnourished woman with anorexia nervosa raised concerns about technical failure or systemic pathology. Due to extreme fat depletion, the T1-weighted images appeare...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3145-3
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Neurosonography can assist clinicians and can provide researchers with documentation of brain lesions. Unfortunately, we know little about the reliability of sonographically derived diagnoses. OBJECTIVE:We sought to evaluate observer variability among experienced neurosonologists. MATERIALS AND METHODS:We ...
journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00247-007-0605-z
更新日期:2007-12-01 00:00:00
abstract::In a 12 years, 10 months-old-girl with severe nanism we observed bone changes of unusual spondylo-epi-metaphyseal dysplasia (S.E.M.D.). The metaphyseal and epiphyseal changes in the long bones were symmetrical and mostly rhizomelic - with the involvement of the iliac bones, tarsal bones with irregular lesions and disp...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010826
更新日期:1990-01-01 00:00:00
abstract::Congenital cardiac malformations (CCM) are the commonest congenital anomalies. Using ultrasonography (US), the incidence of CCM in a selected group of fetuses and the impact of CCM on perinatal and postnatal care was evaluated. The indication for fetal echocardiography (F-ECHO) in 152 pregnancies was a positive family...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387894
更新日期:1989-01-01 00:00:00
abstract::A 3-year-old Algerian boy with unusual facies, mesomelic dysplasia of the upper extremities, meta-epiphyseal changes in the lower extremities and skin dimples is reported. The authors are not able to classify the child's syndrome nosologically. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012398
更新日期:1993-01-01 00:00:00
abstract::Deep venous thrombosis (DVT) is being increasingly recognized as a significant issue in children. Despite the low incidence of DVT, the risks of pulmonary embolism and death in children are significant. Post-thrombotic syndrome, a syndrome of chronic venous insufficiency, can have long-term adverse consequences in chi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2634-0
更新日期:2013-08-01 00:00:00
abstract::We report a case of completely isolated enteric duplication in an 18-month-old boy in whom US revealed a reniform abdominal mass with a pseudokidney sign that had no connection to adjacent organs. Distinctive histopathological changes of the duplication account for these unusual imaging features. Our case represents a...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2380-8
更新日期:2012-09-01 00:00:00
abstract::We report our observations made by conventional radiography, ultrasound, computerized tomography (CT), and magnetic resonance imaging (MRI) on a 3 1/2-year-old girl with Gaucher's disease. The interest of the case consists in the exceptional lungs involvement, the demonstration by MRI of the bone marrow involvement an...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011620
更新日期:1992-01-01 00:00:00
abstract::Twenty-six children who underwent an arterial switch operation for transposition of the great arteries were examined with MRI and Doppler ultrasound (US). The aim was to determine the capability of MRI for detecting a possible stenosis of the pulmonary arteries. In 10 children angiocardiography (ACG) was done after th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011950
更新日期:1993-01-01 00:00:00
abstract::The case of a 12 year old girl with a hamartoma of the liver is reported. A preoperative liver scan showed accumulation of technetium-99m sulfur colloid in the tumor with isotopic and contrast arteriography demonstration of a hypervascular intrahepatic mass. Although these diagnostic findings are not pathognomonic of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975347
更新日期:1976-04-14 00:00:00
abstract:BACKGROUND:Demand for pediatric cardiac computed tomography (CT) angiography is increasing due to recent advances that reduce the need for sedation and radiation exposure while enhancing diagnostic accuracy. This has resulted in the increasing use of cardiac CT angiography emergently during weekends and after hours. Th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04659-4
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:Questionnaires (984) were submitted to pediatric radiologists to determine how often odontoid fractures were missed on lateral views and detected on open-mouth odontoid views in children under 5 years. Other questions relating to imaging protocols of the odontoid also were included, and there were 432 respon...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050043
更新日期:2000-03-01 00:00:00