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Radiation In Pediatric Imaging

Year 2025, Volume: 20 Issue: 3, 237 - 240
https://doi.org/10.17517/ksutfd.1705201

Abstract

Diagnostic and interventional imaging in children uses ionising radiation, including direct radiography, computed tomography, and fluoroscopy. Technological advances have led to wider use of ionising radiation in diagnosis and treatment. While radiation doses per scan have decreased, the rise in medical imaging has significantly increased overall radiation exposure. The use of computed tomography in children has risen rapidly. Radiological procedures involving ionising radiation must be clearly justified, and non-ionising imaging options should always be considered. Medical imaging using ionising radiation should apply the lowest effective dose for diagnostic quality. Non-ionising modalities should be the primary choice for imaging children.

References

  • International Commission on Radiological Protection (2020) Full membership list. ICRP website. http://www.icrp.org/icrp_ membership.asp. Accessed 5 Aug 2019
  • ICRP Publication 121 Radiological Protection in Paediatric Diagnostic and Interventional Radiology. Ann ICRP 2013:42(2).
  • ICRP Publication 105 Radiological Protection in Medicine. Ann. ICRP 2007:37(6).
  • ICRP Publication 135 Diagnostic Reference Levels in Medical Imaging. Ann. ICRP 2017;46(1).
  • Gilbert ES. Ionizing radiation and cancer risks: what have we learned from epidemiology? Int J Radiat Biol. 2009;85(6):467–82.
  • Smith A, Gruskin K , Monuteaux M.C , Stack A.M, Sundberg M , Yim R et all. Reducing the Cranial CT Rate for Pediatric Minor Head Trauma at Three Community Hospitals. Pediatr Qual Saf 2019 ;4(2):e147
  • Mastrangelo M, Midulla F. Minor Head Trauma in the Pediatric Emergency Department: Decision Making Nodes. Curr Pediatr Rev. 2017;13(2):92-99.
  • Medina SL, Applegate KE, Blackmore CC. Evidence-based imaging in pediatrics. New York, NY: Springer; 2010
  • National Research Council. Health risks from exposure to low levels of ionizing radiation. BEIR VII Phase 2. Washington, DC: National Academies Press; 2006.
  • Huang WY, Muo CH, Lin CY, Jen YM , Yang MH, Lin JC et al. Paediatric head CT scan and subsequent risk of malignancy and benign brain tumour: A nation-wide populationbased cohort study. Br J Cancer. 2014;110(9):2354–2360
  • Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP et alL. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380(9840):499-505
  • Donald P. F,Erich Sorantin. Radiation use in diagnostic imaging in children: approaching the value of the pediatric radiology community. Pediatric Radiolog.2021;51:532–543.
  • Amis ES Jr, Butler PF, Applegate KE, Birnbaum SB, Brateman LF, Hevezi MJ et all.American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007;4:272–284
  • Mettler FA, Mahesh M, Chatfield MB, Elee J, Vetter RJ. medical exposures of patients in the United States. National Council on Radiation Protection and Measurements (NCRP) website. https:// ncrponline.org/program-areas/sc-4-9/. Accessed 31 Aug 2020)
  • European Society of Radiology (2018) The ESR and EuroSafe Imaging are proud to announce the publication of the European guidelines on diagnostic reference levels for paediatric imaging in the European Commission’s radiation protection series. ESR website. https://www.myesr.org/article/1869. Accessed 6 Aug 2019
  • Kaya T. Radyobiyoloji ,Rardyasyondan korunma ve yasal mevzuat. Gelal F. Radyoloji Fiziği.1.baskı,İstanbul, Nobel tıp kitabevleri, 2019;101-107
  • Öztürk E. Radyasyonun biyolojik etkileri. Sancak İ.T .Temel Radyoloji 1.baskı ,Ankara, Güneş tıp kitabevleri, 2015;48-57
  • Hryhorczuk AL, Restrepo R, Lee EY. Pediatric Musculoskeletal Ultrasound: Practical Imaging Approach . AJR Am J Roentgenol. 2016 May;206(5):W62-72
  • Alan J Quigley 1, Samuel Stafrace. Ultrasound assessment of acute appendicitis in paediatric patients: methodology and pictorial overview of findings seen. Insights Imaging. 2013 Dec;4(6):741-51.
  • Stokowski LA. Ensuring safety for infants undergoing magnetic resonance imaging. Adv Neonatal Care 2005;5:14 –27
  • Macgregor DM, McKie L. CT or not CT--that is the question. Whether 'tis better to evaluate clinically and x ray than to undertake a CT head scan! Emerg Med J 2005 Aug;22(8):541-3

Pediatrik Görüntülemede Radyasyon

Year 2025, Volume: 20 Issue: 3, 237 - 240
https://doi.org/10.17517/ksutfd.1705201

Abstract

Çocuklarda tanısal ve girişimsel görüntüleme yöntemlerinde kullanılan iyonlaştırıcı radyasyon direk radyografi, bilgisayarlı tomografi ve floroskopidir. Teknolojinin hızlı bir şekilde gelişmesi ile birlikte hastaların tanı ve tedavisinde iyolaştırıcı radyasyon kullanımı teknolojik gelişmelere paralel olarak artış göstermiştir. Bireysel taramalarla ilişkili radyasyon dozundaki kayda değer düşüşlere rağmen, tıbbi görüntülemenin artan kullanımı radyasyona maruz kalmaya önemli bir katkıda bulunmaktadır. Çocuklarda bilgisayarlı tomografi kullanımları son yıllarda hızlı bir artış göstermiştir. İyonlaştırıcı radyasyon içeren her prosedür için radyolojik prosedürlerin titiz bir şekilde gerekçelendirilmeli ve iyonlaştırıcı olmayan görüntüleme yöntemlerinin kullanımı her zaman düşünülmelidir. İyonize radyasyon ile tıbbı görüntüleme esnasında tanı konabilecek görüntü oluşturan en düşük doz ile görüntüleme yapılmalıdır. Görüntüleme işleminde çocuklarda ilk tercih noniyonizan radyolojik modaliteler kullanılmalıdır.

References

  • International Commission on Radiological Protection (2020) Full membership list. ICRP website. http://www.icrp.org/icrp_ membership.asp. Accessed 5 Aug 2019
  • ICRP Publication 121 Radiological Protection in Paediatric Diagnostic and Interventional Radiology. Ann ICRP 2013:42(2).
  • ICRP Publication 105 Radiological Protection in Medicine. Ann. ICRP 2007:37(6).
  • ICRP Publication 135 Diagnostic Reference Levels in Medical Imaging. Ann. ICRP 2017;46(1).
  • Gilbert ES. Ionizing radiation and cancer risks: what have we learned from epidemiology? Int J Radiat Biol. 2009;85(6):467–82.
  • Smith A, Gruskin K , Monuteaux M.C , Stack A.M, Sundberg M , Yim R et all. Reducing the Cranial CT Rate for Pediatric Minor Head Trauma at Three Community Hospitals. Pediatr Qual Saf 2019 ;4(2):e147
  • Mastrangelo M, Midulla F. Minor Head Trauma in the Pediatric Emergency Department: Decision Making Nodes. Curr Pediatr Rev. 2017;13(2):92-99.
  • Medina SL, Applegate KE, Blackmore CC. Evidence-based imaging in pediatrics. New York, NY: Springer; 2010
  • National Research Council. Health risks from exposure to low levels of ionizing radiation. BEIR VII Phase 2. Washington, DC: National Academies Press; 2006.
  • Huang WY, Muo CH, Lin CY, Jen YM , Yang MH, Lin JC et al. Paediatric head CT scan and subsequent risk of malignancy and benign brain tumour: A nation-wide populationbased cohort study. Br J Cancer. 2014;110(9):2354–2360
  • Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP et alL. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380(9840):499-505
  • Donald P. F,Erich Sorantin. Radiation use in diagnostic imaging in children: approaching the value of the pediatric radiology community. Pediatric Radiolog.2021;51:532–543.
  • Amis ES Jr, Butler PF, Applegate KE, Birnbaum SB, Brateman LF, Hevezi MJ et all.American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007;4:272–284
  • Mettler FA, Mahesh M, Chatfield MB, Elee J, Vetter RJ. medical exposures of patients in the United States. National Council on Radiation Protection and Measurements (NCRP) website. https:// ncrponline.org/program-areas/sc-4-9/. Accessed 31 Aug 2020)
  • European Society of Radiology (2018) The ESR and EuroSafe Imaging are proud to announce the publication of the European guidelines on diagnostic reference levels for paediatric imaging in the European Commission’s radiation protection series. ESR website. https://www.myesr.org/article/1869. Accessed 6 Aug 2019
  • Kaya T. Radyobiyoloji ,Rardyasyondan korunma ve yasal mevzuat. Gelal F. Radyoloji Fiziği.1.baskı,İstanbul, Nobel tıp kitabevleri, 2019;101-107
  • Öztürk E. Radyasyonun biyolojik etkileri. Sancak İ.T .Temel Radyoloji 1.baskı ,Ankara, Güneş tıp kitabevleri, 2015;48-57
  • Hryhorczuk AL, Restrepo R, Lee EY. Pediatric Musculoskeletal Ultrasound: Practical Imaging Approach . AJR Am J Roentgenol. 2016 May;206(5):W62-72
  • Alan J Quigley 1, Samuel Stafrace. Ultrasound assessment of acute appendicitis in paediatric patients: methodology and pictorial overview of findings seen. Insights Imaging. 2013 Dec;4(6):741-51.
  • Stokowski LA. Ensuring safety for infants undergoing magnetic resonance imaging. Adv Neonatal Care 2005;5:14 –27
  • Macgregor DM, McKie L. CT or not CT--that is the question. Whether 'tis better to evaluate clinically and x ray than to undertake a CT head scan! Emerg Med J 2005 Aug;22(8):541-3
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Derlemeler
Authors

Adil Doğan 0000-0002-2501-1852

Early Pub Date November 22, 2025
Publication Date November 26, 2025
Submission Date May 26, 2025
Acceptance Date June 10, 2025
Published in Issue Year 2025 Volume: 20 Issue: 3

Cite

AMA Doğan A. Pediatrik Görüntülemede Radyasyon. KSU Medical Journal. November 2025;20(3):237-240. doi:10.17517/ksutfd.1705201