Radiation dose management for pediatric cardiac computed tomography: a report from the Image Gently 'Have-A-Heart' campaign

被引：40

作者：

Rigsby, Cynthia K. ^{[1
,2
]}

McKenney, Sarah E. ^{[3
]}

Hill, Kevin D. ^{[4
]}

Chelliah, Anjali ^{[5
,6
]}

Einstein, Andrew J. ^{[6
,7
,8
]}

Han, B. Kelly ^{[9
]}

Robinson, Joshua D. ^{[10
,11
]}

Sammet, Christina L. ^{[1
,2
]}

Slesnick, Timothy C. ^{[12
]}

Frush, Donald P. ^{[13
]}

机构：

[1] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Dept Radiol,Dept Med Imaging 9, 225 E Chicago Ave, Chicago, IL 60611 USA

[2] Northwestern Univ, Dept Pediat, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med,Dept Med Imaging 9, 225 E Chicago Ave, Chicago, IL 60611 USA

[3] Childrens Natl Med Ctr, Div Diagnost Imaging & Radiol, Washington, DC 20010 USA

[4] Duke Univ, Med Ctr, Dept Pediat, Durham, NC 27710 USA

[5] Columbia Univ, Med Ctr, Div Pediat Cardiol, New York, NY USA

[6] New York Presbyterian Hosp, New York, NY USA

[7] Columbia Univ, Dept Med, Div Cardiol, New York, NY USA

[8] Columbia Univ, Dept Radiol, Div Cardiol, New York, NY USA

[9] Childrens Hosp & Clin Minnesota, Childrens Heart Clin, Dept Pediat, Minneapolis, MN USA

[10] Northwestern Univ, Dept Pediat, Ann & Robert H Lurie Childrens Hosp Chicago, Div Pediat Cardiol,Feinberg Sch Med, Chicago, IL 60611 USA

[11] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Div Pediat Cardiol,Dept Radiol, Chicago, IL 60611 USA

[12] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA

[13] Duke Univ, Med Ctr, Dept Radiol, Durham, NC 27710 USA

来源：

PEDIATRIC RADIOLOGY | 2018年 / 48卷 / 01期

关键词：

Computed tomography; Children; Congenital heart disease; Heart; Radiation safety; CORONARY CT ANGIOGRAPHY; DUAL-SOURCE CT; CARDIOVASCULAR MAGNETIC-RESONANCE; EXPERT CONSENSUS DOCUMENT; POTENTIAL CANCER-RISKS; ITERATIVE RECONSTRUCTION; YOUNG-CHILDREN; CONTRAST-ENHANCEMENT; EMERGENCY-DEPARTMENT; DIAGNOSTIC-ACCURACY;

D O I：

10.1007/s00247-017-3991-x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Children with congenital or acquired heart disease can be exposed to relatively high lifetime cumulative doses of ionizing radiation from necessary medical imaging procedures including radiography, fluoroscopic procedures including diagnostic and interventional cardiac catheterizations, electrophysiology examinations, cardiac computed tomography (CT) studies, and nuclear cardiology examinations. Despite the clinical necessity of these imaging studies, the related ionizing radiation exposure could pose an increased lifetime attributable cancer risk. The Image Gently "Have-A-Heart" campaign is promoting the appropriate use of medical imaging studies in children with congenital or acquired heart disease while minimizing radiation exposure. The focus of this manuscript is to provide a comprehensive review of radiation dose management and CT performance in children with congenital or acquired heart disease.

引用

页码：5 / 20

页数：16

共 161 条

[1] Influence of heart rate and phase of the cardiac cycle on the occurrence of motion artifact in dual-source CT angiography of the coronary arteries [J].

Achenbach, Stephan ;

Manolopoulos, Michael ;

Schuhbaeck, Annika ;

Ropers, Dieter ;

Rixe, Johannes ;

Schneider, Christian ;

Krombach, Gabriele A. ;

Uder, Michael ;

Hamm, Christian ;

Daniel, Werner G. ;

Lell, Michael .

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, 2012, 6 (02) :91-98

[2]

American Association of Physicists in Medicine, 2011, Size--Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations (Task Group 204.

[3] Anesthesia and Developing Brains - Implications of the FDA Warning [J].