Feature April 26, Sabah Servaes, M.
This article has been cited by other articles in PMC. Abstract Radiological imaging is extremely valuable as a diagnostic tool in the pediatric population, but it comes with a number of distinct challenges as compared to the imaging of adults.
This is because of the following: It requires dedicated imaging protocols to acquire the images, there is need for sedation or general anesthesia for longer procedures such as MRI, specific training is required for the healthcare personnel involved, thorough knowledge and expertise should be applied for evaluating the images, and most importantly, it requires consideration for radiation exposure if ionizing radiation is being used.
One of the challenges for clinical care personnel is to gain the child's trust and co-operation before and throughout the duration of an examination, which can prove to be difficult in children who may be ill and have pain.
This is important to acquire quality images and prevent repeat examinations. Even with a quality examination, the accurate interpretation of images requires a thorough knowledge of the intricate and dynamic face of anatomy and specific pathological presentations in children.
The increased radiation sensitivity of growing organs and children's longer expected life spans make them more susceptible to the harmful effects of radiation. Imaging pediatric patients in a dedicated pediatric imaging department with dedicated pediatric CT technologists may result in greater compliance with pediatric protocols and significantly reduced patient dose.
This article seeks to draw attention to various challenges of pediatric imaging and the ways to overcome them. Pediatric imaging, radiation protection, technical peculiarities Introduction Radiological investigations have become an integral part of the healthcare system. This includes use of a variety of modalities, some of which may involve exposure to harmful ionizing radiations.
Due to the rapid advances in imaging technology, such as the introduction of multi-detector arrays and fast MRI protocols, both the number and variety of radiological applications are dramatically increasing.
However, imaging children poses distinct challenges to radiology departments.
Various efforts need to be made so as to provide effective and quality pediatric imaging services. Several unique problems encountered in providing these services have been discussed subsequently.
Children are irritable and wary of strangers and unfamiliar environments. To encourage improved patient experience, the external environment in the radiology department should be made more child-friendly,[ 4 ] e.
Insistence and support from parents is usually helpful. However, it may be necessary to sedate the child or use immobilizers [ Figure 2 ] for longer studies such as MRI.
Commonly used sedatives include diazepam, midazolam, and ketamine. Techniques and equipment should be employed to minimize the need for sedation as it has its own harmful effects. Where sedation or anesthesia is required, there should be dedicated pediatric specialists and recovery.
The needs of parents should also be understood and addressed when considering any pediatric service.Paediatric patient will always come with special or in other word say as a unique problem to the radiographer.
This situation always challenges diagnostic radiographer in both physically and mentally aspect. They have to use different way to communicate will paediatric patient. Pediatric imaging presents specific challenges that range from reducing X-ray doses as much as possible to creating an anxiety-free environment during imaging procedures.
Innovative concepts and new technologies can help address these challenges. Pediatric chest. Most common imaging technique employed for evaluation of chest is the radiograph. The challenges in acquiring radiographs include difficulty in achieving inspiration and likelihood of motional blur, wide range of tissue densities, and the need to minimize radiation dose.
Paediatric patient will always come with special or in other word say as a unique problem to the radiographer. This situation always challenges diagnostic radiographer in both physically and mentally aspect.
They have to use different way to communicate will paediatric patient.
abstract = "Many of the challenges that may be encountered in pediatric radiology using computed radiography (CR) can be overcome through experience, proper configuration of the system, and further software enhancements.
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