Abstract：
BACKGROUND:Medical examination is the main source of artificial radiation exposure. Because children present an increased sensitivity to ionising radiation, radiology practices at a national level in paediatrics should be monitored. OBJECTIVE:This study describes the ionising radiation exposure from diagnostic medical examinations of the French paediatric population in 2010. MATERIALS AND METHODS:Data on frequency of examinations were provided by the French National Health Insurance through a representative sample including 107,627 children ages 0-15 years. Effective doses for each type of procedure were obtained from the published French literature. Median and mean effective doses were calculated for the studied population. RESULTS:About a third of the children were exposed to at least one examination using ionising radiation in 2010. Conventional radiology, dental exams, CT scans and nuclear medicine and interventional radiology represent respectively 55.3%, 42.3%, 2.1% and 0.3% of the procedures. Children 10-15 years old and babies from birth to 1 year are the most exposed populations, with respectively 1,098 and 734 examinations per 1,000 children per year. Before 1 year of age, chest and pelvis radiographs are the most common imaging tests, 54% and 32%, respectively. Only 1% of the studied population is exposed to CT scan, with 62% of these children exposed to a head-and-neck procedure. The annual median and mean effective doses were respectively 0.03 mSv and 0.7 mSv for the exposed children. CONCLUSION:This study gives updated reference data on French paediatric exposure to medical ionising radiation that can be used for public health or epidemiological purposes. Paediatric diagnostic use appears much lower than that of the whole French population as estimated in a previous study.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Etard C,Aubert B,Mezzarobba M,Bernier MOdoi
10.1007/s00247-014-3065-2subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1588-94issue
12eissn
0301-0449issn
1432-1998journal_volume
44pub_type
杂志文章abstract：BACKGROUND:Chronic lung disease (CLD) in premature infants shows a variable clinical course with different radiological manifestations. OBJECTIVE:To evaluate the correlation between parameters of trans-membrane permeability [albumin/secretory component (SC)] and oxidative stress [malondialdehyde (MDA)/SC] in tracheal ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470100444
更新日期：2001-05-01 00:00:00
abstract：PURPOSE:The Haller index is an accepted CT method for evaluating thoracic dimensions in patients with pectus excavatum. The purpose of this study is to establish age- and gender-related norms for the Haller index in childhood. MATERIALS AND METHODS:We retrospectively reviewed 574 consecutive chest CT examinations (M=2...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-1116-1
更新日期：2004-04-01 00:00:00
abstract：:The incidental detection of small lung nodules in children is a vexing consequence of an increased reliance on CT. We present an algorithm for the management of lung nodules detected on CT in children, based on the presence or absence of symptoms, the presence or absence of elements in the clinical history that might ...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-014-3269-5
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Magnetic resonance imaging (MRI) usage has anecdotally increased due to the principles of ALARA and the desire to Image Gently. Aside from a single abstract in the emergency medicine literature, pediatric emergency department MRI usage has not been described. OBJECIVE:Our objective was to determine whether ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-016-3764-y
更新日期：2017-03-01 00:00:00
abstract：:malrotation and Hirschsprung's disease are common gastrointestinal abnormalities in neonates and infants. Four patients with the association of malrotation and Hirschsprung's disease are reported. A delay in diagnosis may be complicated by midgut volvulus or enterocolitis. The diagnostic and therapeutic implications o...
journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1982-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-011-2336-4
更新日期：2012-05-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-017-4066-8
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Optic pathway gliomas (OPGs) are common pediatric brain tumors that pose significant clinical challenges with regard to predicting which tumors are likely to become symptomatic and require treatment. These tumors can arise sporadically or in the context of the inherited cancer predisposition syndrome neurofi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-1003-x
更新日期：2008-12-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02010628
更新日期：1989-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：1997-02-01 00:00:00
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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：:We report a case of hairy polyp of the pharynx diagnosed on brain MRI in order to stress the need to examine carefully all tissues included on an imaging study, even those outside the clinically stated region of interest, and to remind practitioners to consider unusual as well as common etiologies for neonatal respira...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-005-1500-0
更新日期：2005-11-01 00:00:00
abstract：:Imaging is a crucial part of the evaluation of children with primary liver malignancies. In addition to staging the intrahepatic extent of the tumour, the 2005 revision of the PRETEXT system specifies certain criteria for assessment of extrahepatic disease. This article reviews the imaging findings of two of these cri...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-007-0513-2
更新日期：2007-11-01 00:00:00
abstract：:The safety and diagnostic efficacy of the new non-ionic, monomeric contrast medium iopentol (Imagopaque) were evaluated and compared with those of the ionic medium metrizoate (Isopaque), in urography in children in a randomized, double-blind, parallel study. The trial comprised 59 children aged from 3 months to 8 year...
journal_title：Pediatric radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF02020165
更新日期：1994-01-01 00:00:00
abstract：:Ultrasound is a remarkably powerful and versatile modality for pediatric imaging, without requiring exposure to radiation or sedatives. By providing information on blood flow, Doppler sonography can reveal details about normal physiology and disease processes not discernable from gray-scale anatomic images alone. Howe...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-004-1228-2
更新日期：2004-10-01 00:00:00
abstract：:About one-half of patients with meconium ileus (MI) present with a complication such as volvulus, atresia, meconium peritonitis or giant cystic meconium peritonitis. The treatment of these complications requires surgery. However, the preoperative diagnosis of complicated MI is difficult. We describe two neonates with ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1294-5
更新日期：2004-12-01 00:00:00
abstract：:Congenital neutropenia is an uncommon entity which may be familial and has a wide spectrum of clinical expression. Three sisters with the severe form of the disease, that suffered from recurrent infections which lead to their demise, are described. Review of their radiographs revealed the presence of cortical thickeni...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388088
更新日期：1987-01-01 00:00:00
abstract：:Twenty patients with massive trichuriasis were studied with double contrast barium enema. The following changes were observed: 1) Impregnation defects of the colonic wall probably due to abundant mucous secretions. 2) Granular features. 3) Pear-shaped caecum. 4) Radiolucid ringlike images with some contrast material i...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973995
更新日期：1979-04-19 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470000298
更新日期：2000-10-01 00:00:00
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
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02386591
更新日期：1987-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-0881-2
更新日期：2008-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-014-3192-9
更新日期：2014-12-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02386638
更新日期：1986-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02010311
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-006-0166-6
更新日期：2006-10-01 00:00:00
abstract：:The prevalence of Inferior Right Hepatic Veins (IRHVs) in 82 children who had magnetic resonance imaging (MRI) of the abdomen was assessed. IRHVs larger than or equal in size to the Superior Right Hepatic Vein were found in 23% (19/82). In two patients with radiological evidence of Superior Hepatic Venous occlusion an...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02129069
更新日期：1990-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050299
更新日期：1998-02-01 00:00:00
abstract：:Retirement can be defined as a new stage of an active lifestyle. It is a unique chapter in life that can be fun and rewarding, if steps are taken to plan the process. Key factors to take into consideration during this process are family, friends, finances, and professional interests. With proper planning, rather than ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-009-1523-z
更新日期：2010-04-01 00:00:00
abstract：:This is the first clinical and angiographic description of congenital subclavian steal in a patient with left aortic arch, isolation of the right subclavian artery, and an aortic diverticulum. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01092954
更新日期：1980-07-01 00:00:00
