TY - JOUR
T1 - Protecting sensitive patient groups from imaging using ionizing radiation: effects during pregnancy, in fetal life and childhood
AU - Salerno, Sergio
AU - Granata, Claudio
AU - Cannatà, Vittorio
AU - Bartoloni, Alessandra
AU - Arthurs, Owen J.
AU - Magistrelli, Andrea
AU - Tomà, Paolo
PY - 2019
Y1 - 2019
N2 - The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.
AB - The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.
KW - Child
KW - Computed tomography
KW - Pediatric radiology
KW - Pregnancy
KW - Radiation protection
KW - Radiation-induced cancer
KW - Child
KW - Computed tomography
KW - Pediatric radiology
KW - Pregnancy
KW - Radiation protection
KW - Radiation-induced cancer
UR - http://hdl.handle.net/10447/351690
M3 - Article
JO - LA RADIOLOGIA MEDICA
JF - LA RADIOLOGIA MEDICA
SN - 0033-8362
ER -