medigraphic.com
Instituto Nacional de Neurología y Neurocirugía

2011, Number 2

<< Back Next >>

Arch Neurocien 2011; 16 (2)

Use and abuse of cranial CT in the pediatric outpatient neurological

Motta-Ramírez GA, Jiménez-Parra JL, Limas-Santos NI, Álvarez-Flores NH, Solis-Vargas MC

Language: Spanish
References: 21
Page: 58-63
PDF size: 95.88 Kb.


ABSTRACT

The practice of medicine is based on imaging studies, to facilitate decision to establish the diagnosis is the magnitude of risk to be subjected to a radiological study, will only be justified when it is obtained useful information for the patient. Objective: To establish a guideline to define based on the analysis of results and experience generated in pediatric neurological services and imaging and radiology Specialty Unit Medical Secretaría de la Defensa Nacional. Also, to the most common indications for CT skull in pediatric patients. Today the practice of medicine is based on imaging studies, which we facilitate decisions more accurate and successful for establish diagnostic. Requests are sent every day various radiological studies of different types: simple, contrasting, ultrasound, CT and simple contrasted, among others, and the problem persists and were they informed about the study and the proposed use of ionizing radiation? Although more is known of the damage caused by radiation than any other environmental damage is unknown magnitude of risk when subjected to a study.


REFERENCES

  1. Exposición a la radiación. Diagnóstico por imágenes, Parte B, Libro1. American College of Physicians 1998:439-45.

  2. Cameron JR. Link between diagnostic X-rays and uncertain. Evidence-based Healthcare 2004; 8: 205-6.

  3. Brenner DJ, Hall EJ. Computed tomography - an increasing source of radiation exposure. N Engl J Med 2007; 357:2277-84.

  4. Mahesh M. NCRP Report number 160: Its significance to medical imaging. JACR 2009; 6(12):890-2.

  5. Chishti FA, Al-Saeed OM, Al-Khawari H, Shaikh M. Contrastenhanced Cranial CT in MR imaging era. Med Princ Pract 2003; 12:248-51.

  6. Branson HM, Doria AS, Moineddin R, Shroff MM. The brain in children: Is contrast enhancement really needed after obtaining normal unenhanced CT results? Radiology 2007; 244:838-44.

  7. Sánchez-González JM. Editorial: «La tecnología nace buena, pero…» Diabet Hoy Med Sal 2005; 6(5): 1483.

  8. Hilton SVW. Efectos de protección de la radiación en niños. En el libro: Hilton SVW, Radiología Pediátrica. Primera edición. México: Editorial Manual Moderno 1987: 540.

  9. Robb M. Like one hundred X-rays? Study suggests many referring physicians don´t grasp or explain to patients the radiation exposure involved with CT. Radiology Today Magazine 2004:1-6.

  10. Brenner JD. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR 2001; 176: 289-96.

  11. Rodríguez-Nava P, Dena-Espinoza EJ, Lenge-Basile R, Hernández- Gavito A, Fuentes-García M, Madrid-Roldan MA, et al. Frecuencia de patología neurológica en estudios de cráneo por TC en el Hospital General de México O.D. Parte I. An Radiol Mex 2008; 8(4): 225-31.

  12. López-Correa E, Arenas-Ornelas G. Algunos hechos clínicos para fundamentar el diagnóstico de migraña en los niños. Rev Mex Pediatr 2007;74: 277-80.

  13. Appropiateness criteria: Headache. ACR 2003:487-93.

  14. Lewis DW, Ashwal S, Dahl G, Dorbad D, Hirtz D, Prensky A, et al. Evaluation of children and adolescents with recurrent headaches. Neurology 2002; 59;490-8.

  15. Lateef TM, Grewal M, McClintock W, Chamberlain J, Kaulas H, Nelson KB. Headache in young children in the ER: Use of CT. Pediatrics 2009; 124(1):e12-e17.

  16. Rodríguez-Nava P, Dena-Espinoza EJ, Lenge-Basile R, Fuentes- García M, Hernández-Gavito A, Ramírez-Garduño C, et al. Frecuencia de patología neurológica en estudios de cráneo por TC en el Hospital General de México O.D. Parte II: La importancia de la valoración del riesgo a la radiación en TC de cráneo en niños. An Radiol Mex 2009; 8(2): 141-9.

  17. Guías de práctica clínica para la solicitud de estudios de diagnóstico por imagen en pediatría. BSCP Can Ped 2002;26:2-3.

  18. Bulas D, Goske MJ, Applegate KE, Wood B. Image gently: why we should talk to parents about CT in children. AJR 2010;192: 1176-8.

  19. Strauss KJ, Goske MJ, Kaste SC, Bulas D, Frush DP, Butler P, et al. Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients. AJR 2010;194:868-73.

  20. Brody AS, Frush DP, Huda W, Brent RL, the section on Radioloy. Radiation risk to children from CT. Pediatrics 2007; 120:677-82.

  21. Ramírez SF, Hernández JF, Restrepo JE. Neuroimágenes clínicas en cefalea. Acta Neurol Colomb 2008; 24:S153-S172.




2020     |     www.medigraphic.com