PMID- 25380999
OWN - NLM
STAT- MEDLINE
DCOM- 20160413
LR  - 20181113
IS  - 1432-1998 (Electronic)
IS  - 0301-0449 (Linking)
VI  - 45
IP  - 5
DP  - 2015 Apr
TI  - Radiation dose from multidetector CT studies in children: results from the first 
      Italian nationwide survey.
PG  - 695-705
LID - 10.1007/s00247-014-3201-z [doi]
AB  - BACKGROUND: Multidetector CT (MDCT) scanners have contributed to the widespread 
      use of CT in paediatric imaging. However, concerns are raised for the associated 
      radiation exposure. Very few surveys on radiation exposure from MDCT studies in 
      children are available. OBJECTIVE: The aim of this study was to outline the 
      status of radiation exposure in children from MDCT practice in Italy. MATERIALS 
      AND METHODS: In this retrospective multicentre study we asked Italian radiology 
      units with an MDCT scanner with at least 16 slices to provide dosimetric and 
      acquisition parameters of CT examinations in three age groups (1-5, 6-10, 11-15 
      years) for studies of head, chest and abdomen. The dosimetric results were 
      reported in terms of third-quartile volumetric CT dose index (CTDIvol) (mGy), 
      size-specific dose estimate (SSDE) (mGy), dose length product (DLP) (mGy cm), and 
      total DLP for multiphase studies. These results were compared with paediatric 
      European and adult Italian published data. A multivariate analysis assessed the 
      association of CTDIvol with patient characteristics and scanning modalities. 
      RESULTS: We collected data from 993 MDCT examinations performed at 25 centres. 
      For age groups 1-5 years, 6-10 years and 11-15 years, the CTDIvol, DLP and total 
      DLP values were statistically significantly below the values observed in our 
      analogous national survey in adults, although the difference decreased with 
      increasing age. CTDIvol variability among centres was statistically significant 
      (variance = 0.07; 95% confidence interval = 0.03-0.16; P < 0.001). CONCLUSIONS: 
      This study reviewed practice in Italian centres performing paediatric imaging 
      with MDCT scanners. The variability of doses among centres suggests that the use 
      of standardised CT protocols should be encouraged.
FAU - Granata, Claudio
AU  - Granata C
AD  - Department of Radiology, IRCCS Istituto Giannina Gaslini, Largo Gaslini, 16147, 
      Genoa, Italy, cgranata@sirm.org.
FAU - Origgi, Daniela
AU  - Origgi D
FAU - Palorini, Federica
AU  - Palorini F
FAU - Matranga, Domenica
AU  - Matranga D
FAU - Salerno, Sergio
AU  - Salerno S
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20141108
PL  - Germany
TA  - Pediatr Radiol
JT  - Pediatric radiology
JID - 0365332
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - Italy
MH  - Male
MH  - Multidetector Computed Tomography/*statistics & numerical data
MH  - *Radiation Dosage
MH  - Retrospective Studies
EDAT- 2014/11/09 06:00
MHDA- 2016/04/14 06:00
CRDT- 2014/11/09 06:00
PHST- 2014/01/28 00:00 [received]
PHST- 2014/10/01 00:00 [accepted]
PHST- 2014/08/28 00:00 [revised]
PHST- 2014/11/09 06:00 [entrez]
PHST- 2014/11/09 06:00 [pubmed]
PHST- 2016/04/14 06:00 [medline]
AID - 10.1007/s00247-014-3201-z [doi]
PST - ppublish
SO  - Pediatr Radiol. 2015 Apr;45(5):695-705. doi: 10.1007/s00247-014-3201-z. Epub 2014 
      Nov 8.