Araştırma Makalesi

Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients

Cilt: 18 Sayı: 3 20 Kasım 2023
PDF İndir
EN TR

Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients

Öz

Objective: The present study aims to evaluate radiation exposure in cranial computed tomography (CT) scans of children who were admitted to an emergency service due to minor cranial trauma. Material and Methods: Radiation exposure doses of 1199 patients with CT scans due to minor cranial trauma in an emergency service were calculated. Results: It was found that children aged 0 to 5 were exposed to a significantly higher radiation dose compared to those aged 5 to 16. (p<0.001). However, no significant differences were observed among children with cervical and abdominal CT scans in terms of their age groups (p=0.838 and p=0.106, respectively). Finally, it was observed that among children with thorax CT scans, those aged 10 to 16 were exposed to a significantly higher radiation dose compared to those aged 0 to 1. (p=0.001). Conclusion: We suggest that the use of cranial CT scan in children admitted to an emergency service due to cranial trauma can be reduced by clinical monitoring, informing the patient and parents about negative effects of ionizing radiation and training physicians about CT scan orders.

Anahtar Kelimeler

Children, computed tomography, cranial trauma, radiation dose

Kaynakça

  1. Wendling-Keim DS, König A, Dietz H-G, Lehner M. Ambulatory or inpatient management of mild TBI in children: a post-concussion analysis. Pediatric surgery international 2017;33(2):249-61.
  2. Olsen M, Vik A, Nilsen TIL, Uleberg O, Moen KG, Fredriksli O, et al. Incidence and mortality of moderate and severe traumatic brain injury in children: A ten year population-based cohort study in Norway. European journal of paediatric neurology 2019;23(3):500-6.
  3. Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. American Journal of Roentgenology 2009;192(4):887-92.
  4. Amis Jr ES, Butler PF, Applegate KE, Birnbaum SB, Brateman LF, Hevezi JM, et al. American College of Radiology white paper on radiation dose in medicine. Journal of the american college of radiology 2007;4(5):272-84.
  5. Tipnis S, Rieter W, Patel D, Stalcup S, Matheus M, Spampinato M. Radiation Dose and Image Quality in Pediatric Neck CT. American Journal of Neuroradiology 2019;40(6):1067-73.
  6. Mastrangelo M, Midulla F. Minor head trauma in the pediatric emergency department: decision making nodes. Current pediatric reviews 2017;13(2):92-9.
  7. Klora M, Zeidler J, Bassler S, Hirsch FW, Gosemann J-H, Lacher M, et al. Frequency of neuroimaging for pediatric minor brain injury is determined by the primary treating medical department. Medicine 2019;98(28).
  8. Cynthia McCollough C, Cody D, Edyvean S, Geise R, Gould B, Keat N, et al. The Measurement, Reporting, and Management of Radiation Dose in CT. American Association of Physicists in Medicine One Physics Ellipse College Park, MD 20740-3846; 2008:12-3.
  9. Stanley RM, Hoyle Jr JD, Dayan PS, Atabaki S, Lee L, Lillis K, et al. Emergency department practice variation in computed tomography use for children with minor blunt head trauma. The Journal of pediatrics 2014;165(6):1201-6. e2.
  10. Council NR. Health risks from exposure to low levels of ionizing radiation: BEIR VII phase 2. 2006.

Kaynak Göster

APA
Doğan, K., Doğan, A., Karaküçük, S. N., Hakkoymaz, H., & Güngör, Ş. (2023). Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, 18(3), 1-6. https://doi.org/10.17517/ksutfd.1206132
AMA
1.Doğan K, Doğan A, Karaküçük SN, Hakkoymaz H, Güngör Ş. Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients. KSÜ Tıp Fak Der. 2023;18(3):1-6. doi:10.17517/ksutfd.1206132
Chicago
Doğan, Kamil, Adil Doğan, Seda Nida Karaküçük, Hakan Hakkoymaz, ve Şükrü Güngör. 2023. “Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients”. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 18 (3): 1-6. https://doi.org/10.17517/ksutfd.1206132.
EndNote
Doğan K, Doğan A, Karaküçük SN, Hakkoymaz H, Güngör Ş (01 Kasım 2023) Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 18 3 1–6.
IEEE
[1]K. Doğan, A. Doğan, S. N. Karaküçük, H. Hakkoymaz, ve Ş. Güngör, “Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients”, KSÜ Tıp Fak Der, c. 18, sy 3, ss. 1–6, Kas. 2023, doi: 10.17517/ksutfd.1206132.
ISNAD
Doğan, Kamil - Doğan, Adil - Karaküçük, Seda Nida - Hakkoymaz, Hakan - Güngör, Şükrü. “Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients”. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 18/3 (01 Kasım 2023): 1-6. https://doi.org/10.17517/ksutfd.1206132.
JAMA
1.Doğan K, Doğan A, Karaküçük SN, Hakkoymaz H, Güngör Ş. Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients. KSÜ Tıp Fak Der. 2023;18:1–6.
MLA
Doğan, Kamil, vd. “Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients”. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, c. 18, sy 3, Kasım 2023, ss. 1-6, doi:10.17517/ksutfd.1206132.
Vancouver
1.Kamil Doğan, Adil Doğan, Seda Nida Karaküçük, Hakan Hakkoymaz, Şükrü Güngör. Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients. KSÜ Tıp Fak Der. 01 Kasım 2023;18(3):1-6. doi:10.17517/ksutfd.1206132