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If you are not accustomed

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to interpreting pediatric imaging very often it may

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seem daunting or unfamiliar.

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However, I want to remind you that the anatomy

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that you're looking at is going to be more

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or less the same in terms of its existence as

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with adult imaging,

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but it might look a little bit different.

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So we'll review some of those.

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First, however, I want to draw your attention to a campaign,

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if you're not already aware,

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called the Image Gently Campaign.

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This is a campaign that started with the Society

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of Pediatric Radiology as a committee with the goal

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of raising awareness within the imaging community

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and now beyond about the need to reduce

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or adjust radiation dose in pediatric imaging.

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This is now affiliated with multiple additional societies,

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including the A CR, the American College of Radiology,

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and on this website you can find different information

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and resources if you need some help,

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if you are adjusting protocols at your own institution

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or just need some help in general, understanding better

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what we do differently when we image children.

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I wanna draw your attention in particular

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to this section over here that says Roles.

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What can I do? You can click directly on the radiologist

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option, and you'll see that there's some tabs

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with additional information

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and resources about different imaging

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modalities in particular.

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I'll just draw your attention to a couple

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with regards to CT scan.

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It might be difficult to read this on your screen,

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but I'll just point out that for CT scans,

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particularly if you have a medical physicist

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that you can work with, you want

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to adjust your protocols based on pediatric parameters,

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namely weight-based protocols.

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Additionally, in children multi-phase imaging

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or multi-phase CT scans are rarely necessary,

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so it's very infrequent that we'll do both without

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and with IB contrast scan, for example,

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or multi-phase post contrast imaging.

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We do it occasionally, but not as often as with adults.

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Again, if you want to look into more resources,

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you can explore this website

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and you can learn more about what is different with regards

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to protocoling and imaging pediatric patients.

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Now, as I was mentioning earlier, you don't have

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to have too much apprehension when interpreting pediatric

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imaging, even if it's something you're not very used

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to remember.

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The anatomy is still there,

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whether you're looking at a pediatric patient

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or an adult patient, but you just might need

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to gain a little bit more familiarity with

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how different these anatomical structures might look

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depending on the patient's age.

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So I'll show you a few examples

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of different patients at different ages just

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to help you learn some of that.

Report

Faculty

Grace S Mitchell, MD, MBA

Pediatric Radiologist

Children's Mercy Hospital Kansas City

Tags

Pediatrics