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01-02-2009 | ALARA CONCEPT IN PEDIATRIC IMAGING: ONCOLOGY

Imaging challenges: a US perspective on controlling exposure to ionizing radiation in children with cancer

Author: Sue C. Kaste

Published in: Pediatric Radiology | Special Issue 1/2009

Abstract

Issues pertaining to control of radiation dose exposures in pediatric imaging are on the forefront of patient care worldwide. Certain factors contribute to appropriate—or inappropriate—use of ionizing radiation in pediatric medical imaging. Such issues include naiveté regarding cancer risk and the role of medical imaging in its development, misinformation about exposure to ionizing radiation, resource availability, staffing, scheduling “snags,” costs, limited evidence-based imaging practice information and shrinking funding. These issues will be introduced in this paper.

Hall EJ (2008) Radiation biology for pediatric radiologists. Pediatr Radiol, doi:10.1007/S00247-008-1027-2

Ries LA, Melbert D, Krapcho M et al (eds) (2007) SEER cancer statistics review, 1975–2004. National Cancer Institute, Bethesda, MD http://seer.cancer.gov/csr/1975_2004/. Accessed 18 Sept 2008

National Cancer Institute (2008) Childhood cancers: questions and answers. http://www.cancer.gov/images/Documents/2eb411b0-846b-4bec-9e1a-9c44e0a3df8c/FS6_40.pdf. Accessed 18 Sept 2008

Bleyer WA (1990) The impact of childhood cancer on the United States and the world. CA Cancer J Clin 40:355–367PubMedCrossRef

Neglia JP, Friedman DL, Yasui Y et al (2001) Second malignant neoplasms in five-year survivors of childhood cancer: childhood cancer survivor study. J Natl Cancer Inst 93:618–629PubMedCrossRef

Bhatia S, Robison LL, Oberlin O et al (1996) Breast cancer and other second neoplasms after childhood Hodgkin’s disease. N Engl J Med 334:745–751PubMedCrossRef

Wolden SL, Lamborn KR, Cleary SF et al (1998) Second cancers following pediatric Hodgkin’s disease. J Clin Oncol 16:536–544PubMed

American Cancer Society (2007) Cancer facts and figures 2007. Atlanta http://www.cancer.org/downloads/STT/CAFF2007PWSecured.pdf. Accessed 18 Sept 2008

Stylianos S (2000) Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg 35:164–167PubMedCrossRef

10.

Stylianos S (2002) Compliance with evidence-based guidelines in children with isolated spleen or liver injury: a prospective study. J Pediatr Surg 37:453–456PubMedCrossRef

11.

Stylianos S (2005) Outcomes from pediatric solid organ injury: role of standardized care guidelines. Curr Opin Pediatr 17:402–406PubMedCrossRef

12.

Mossop D, Soysa S (2005) The use of skull X-rays in head injury in the emergency department—a changing practice. Ann R Coll Surg Engl 87:188–190PubMedCrossRef

13.

Riviello JJ Jr, Ashwal S, Hirtz D et al (2006) Practice parameter: diagnostic assessment of the child with status epilepticus (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 67:1542–1550PubMedCrossRef

14.

Guillerman RP, Brody AS, Kraus SJ (2002) Evidence-based guidelines for pediatric imaging: the example of the child with possible appendicitis. Pediatr Ann 31:629–640PubMed

15.

Cohen M, Grosfeld J, Baehner R et al (1982) Lung CT for detection of metastases: solid tissue neoplasms in children. AJR 139:895–898PubMed

16.

Vanel D, Henry-Amar M, Lumbroso J et al (1984) Pulmonary evaluation of patients with osteosarcoma: roles of standard radiography, tomography, CT, scintigraphy, and tomoscintigraphy. Am J Roentgenol 143:519–523

17.

Herold CJ, Bankier AA, Fleischmann D (1996) Lung metastases. Eur Radiol 6:596–606PubMedCrossRef

18.

Picci P, Vanel D, Briccoli A et al (2001) Computed tomography of pulmonary metastases from osteosarcoma: the less poor technique. A study of 51 patients with histological correlation. Ann Oncol 12:1601–1604PubMedCrossRef

19.

Dauer LT, St Germain J, Meyers PA (2008) Let’s image gently: reducing excessive reliance on CT scans. Pediatr Blood Cancer 51(6):838PubMedCrossRef

20.

Meyer JS, Nadel HR, Marina N et al (2008) Response to “imaging guidelines for children with Ewing sarcoma and osteosarcoma: a report from the Children’s Oncology Group Bone Tumor Committee.”. Pediatr Blood Cancer 51(2):163–170PubMedCrossRef

21.

Panicek DM, Gatsonis C, Rosenthal DI et al (1997) CT and MR imaging in the local staging of primary malignant musculoskeletal neoplasms: report of the Radiology Diagnostic Oncology Group. Radiology 202:237–246PubMed

22.

Meyer JS, Nadel HR, Marina N et al (2008) Imaging guidelines for children with Ewing sarcoma and osteosarcoma: a report from the Children’s Oncology Group Bone Tumor Committee. Pediatr Blood Cancer 51:163–170PubMedCrossRef

23.

Patients stranded in the dark. ACR Bulletin 63:6–9 http://acr.org/SecondaryMainMenuCategories/NewsPublications/FeaturedCategories/ACRBulletin/Archives/2008/April2008.aspx/. Accessed 18 Sept 2008

24.

Maynard CD (2008) Radiologists: physicians or expert image interpreters? Radiology 248:333–336PubMedCrossRef

25.

Borgstede JP (2005) The public face of radiology. J Am Coll Radiol 2:649–650PubMedCrossRef

26.

Borgstede JP (2005) It’s about the patients. J Am Coll Radiol 2:555–556PubMedCrossRef

27.

Frush DP, Frush KS (2008) The ALARA concept in pediatric imaging: building bridges between radiology and emergency medicine: consensus conference on imaging safety and quality for children in the emergency setting, Feb. 23–24, 2008, Orlando, FL—Executive Summary. Pediatr Radiol 38(Suppl 4):S629–S632CrossRef

28.

Kaste SC, Strauss KJ (2006) The ALARA Concept in Pediatric Interventional and Fluoroscopic Imaging Supplement 2. Pediatr Radiol 36:107–239PubMedCrossRef

29.

Sistrom CL (2008) In support of the ACR appropriateness criteria. J Am Coll Radiol 5:630–635PubMedCrossRef

30.

Radiology staffing survey 2008. American Society of Radiologic Technologists, https://www.asrt.org/media/pdf/research/fullstaffingsurvey2008.pdf, accessed 18 Sept 2008

31.

Bureau of Labor Statistics (2008): Radiologic Technologists and Technicians. U.S. Department of Labor, http://www.bls.gov/oco/ocos105.htm, accessed 18 Sept 2008

32.

United States Department of Commerce (2008) Profiles of general demographic characteristics 2000. http://www.census.gov/prod/cen2000/dp1/2kh00.pdf, accessed 18 Sept 2008

33.

Licurse A, Saket DD, Sunshine JH et al (2006) Update on the diagnostic radiology employment market: findings through 2005. AJR 187:W249–W254PubMedCrossRef

34.

Merewitz L, Sunshine JH (2006) A portrait of pediatric radiologists in the United States. AJR 186:12–22PubMedCrossRef

35.

Sunshine JH, Maynard CD (2008) Update on the diagnostic radiology employment market: findings through 2007–2008. J Am Coll Radiol 5:827–833PubMedCrossRef

Title: Imaging challenges: a US perspective on controlling exposure to ionizing radiation in children with cancer
Author: Sue C. Kaste
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue Special Issue 1/2009
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-008-1047-y

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Imaging challenges: a US perspective on controlling exposure to ionizing radiation in children with cancer

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Other articles of this Special Issue 1/2009

Children’s exposure to diagnostic medical radiation and cancer risk: epidemiologic and dosimetric considerations

Radiation therapy for children: evolving technologies in the era of ALARA

Radiation-sensitive genetically susceptible pediatric sub-populations

Controlling radiation exposure during interventional procedures in childhood cancer patients

Treatment-associated subsequent neoplasms among long-term survivors of childhood cancer: the experience of the Childhood Cancer Survivor Study

Symposium summary