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Current Urology Reports
Published in: Current Urology Reports 10/2018

01-10-2018 | New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Approaches to Eliminate Radiation Exposure in the Management of Pediatric Urolithiasis

Authors: Ravindra Sahadev, Victoria Maxon, Arun Srinivasan

Published in: Current Urology Reports | Issue 10/2018

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Abstract

Purpose of Review

Traditional management of pediatric urolithiasis has been associated with a significant amount of radiation exposure. The steady increase in pediatric urolithiasis in recent years has raised concerns of long-term consequences in this special population. This review seeks to highlight the newer insights towards eliminating radiation exposure in pediatric urolithiasis from contemporary literature.

Recent Findings

Establishing a clinical care pathway restricting usage of computed tomography in emergency rooms in suspected pediatric urolithiasis can eliminate unnecessary radiation exposure. Ultrasound can successfully replace fluoroscopy at ureteroscopy and percutaneous nephrolithotomy. Accredited technicians who use optimized settings combined with dose monitoring can significantly reduce fluoroscopic radiation.

Summary

Radiation exposure in pediatric urolithiasis can be significantly reduced and potentially eliminated by employing standard protocols during workup, intervention, and follow-ups. Larger studies can support the feasibility of routinely performing ultrasound-guided surgeries instead of fluoroscopy. There is a need for development of consensus towards standardization of the management of pediatric urolithiasis.
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Metadata
Title
Approaches to Eliminate Radiation Exposure in the Management of Pediatric Urolithiasis
Authors
Ravindra Sahadev
Victoria Maxon
Arun Srinivasan
Publication date
01-10-2018
Publisher
Springer US
Published in
Current Urology Reports / Issue 10/2018
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-018-0832-x

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