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Hazell LJ, Smith M. Parent's perceptions of paediatric care in two radiology departments within Johannesburg, South Africa. Radiography (Lond) 2024; 30:659-665. [PMID: 38354686 DOI: 10.1016/j.radi.2024.01.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 01/12/2024] [Accepted: 01/30/2024] [Indexed: 02/16/2024]
Abstract
BACKGROUND A referral to the Radiology department may be a very frightening, and at times a stressful experience for a child and their parents. The radiographer plays an important role as a healthcare professional to simultaneously produce high-quality diagnostic X-ray images and facilitate a high standard of care in a limited timeframe. METHODS The purpose of this qualitative, phenomenological study was thus to explore and describe parents' perceptions of paediatric care in two Radiology departments within Gauteng. A total of 12 semi-structured individual interviews were conducted with parents, until data saturation was achieved. RESULTS Braun and Clarke's six-step thematic analysis was used which unveiled three themes: 1) Recognition of overall positive, high standard of care received by paediatrics who underwent an X-ray examination 2) Limitations prohibiting a caring environment 3) The need for parent-centered paediatric care through the implementation of Family Centered Care (FCC). CONCLUSION Overall, there was positive feedback from the parents' perspectives and general satisfaction with the quality of care received by the child whilst in the Radiology department. Although there were some negative categories particularly referring to an unknown environment, parents overall appreciated the qualities of caring and effective communication that the radiographers displayed during their visit. IMPLICATIONS FOR PRACTICE The lack of literature regarding parents' perceptions of paediatric care within the context of radiography led to the current study. Recommendations for future best practice would be incorporating the concept of FCC within the curriculum of the radiography degree to improve overall patient and parent satisfaction.
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Affiliation(s)
- L J Hazell
- Department of Medical Imaging and Radiation Sciences, Faculty of Health Sciences, University of Johannesburg, Doornfontein Campus, Cnr Siemert and Beit Streets, Doornfontein, PO Box 17011 Doornfontein 2028, Johannesburg, South Africa.
| | - M Smith
- Department of Medical Imaging and Radiation Sciences, Faculty of Health Sciences, University of Johannesburg, Doornfontein Campus, Cnr Siemert and Beit Streets, Doornfontein, PO Box 17011 Doornfontein 2028, Johannesburg, South Africa
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Beyoglu R. Radiological imaging and interventional procedures of the thorax in children. TURK GOGUS KALP DAMAR CERRAHISI DERGISI 2024; 32:S10-S20. [PMID: 38584789 PMCID: PMC10995680 DOI: 10.5606/tgkdc.dergisi.2024.25707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 11/29/2023] [Indexed: 04/09/2024]
Abstract
The thoracic region in pediatric patients poses unique diagnostic and interventional challenges, necessitating specialized approaches in radiological imaging and procedures. This review provides an overview of the key considerations, techniques, and clinical significance in the field of pediatric thoracic radiology and interventions. We discuss the importance of age-appropriate imaging modalities and the application of advanced technologies in assessing a wide range of thoracic conditions in children, including congenital anomalies, infections, neoplasms, and trauma. Furthermore, we highlight the evolving role of minimally invasive interventional procedures in the management of pediatric thoracic disorders. As the understanding of pediatric thoracic pathology continues to expand, this review aims to guide healthcare professionals, radiologists, and pediatricians in delivering optimal care to children with thoracic concerns.
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Affiliation(s)
- Rana Beyoglu
- Department of Pediatric Radiology, University of Health Sciences, Ankara City Hospital, Ankara, Türkiye
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3
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Sammer MBK, Akbari YS, Barth RA, Blumer SL, Dillman JR, Farmakis SG, Frush DP, Gokli A, Halabi SS, Iyer R, Joshi A, Kwon JK, Otero HJ, Sher AC, Sotardi ST, Taragin BH, Towbin AJ, Wald C. Use of Artificial Intelligence in Radiology: Impact on Pediatric Patients, a White Paper From the ACR Pediatric AI Workgroup. J Am Coll Radiol 2023; 20:730-737. [PMID: 37498259 DOI: 10.1016/j.jacr.2023.06.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 05/07/2023] [Accepted: 06/03/2023] [Indexed: 07/28/2023]
Abstract
In this white paper, the ACR Pediatric AI Workgroup of the Commission on Informatics educates the radiology community about the health equity issue of the lack of pediatric artificial intelligence (AI), improves the understanding of relevant pediatric AI issues, and offers solutions to address the inadequacies in pediatric AI development. In short, the design, training, validation, and safe implementation of AI in children require careful and specific approaches that can be distinct from those used for adults. On the eve of widespread use of AI in imaging practice, the group invites the radiology community to align and join Image IntelliGently (www.imageintelligently.org) to ensure that the use of AI is safe, reliable, and effective for children.
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Affiliation(s)
- Marla B K Sammer
- Singleton Department of Radiology, Texas Children's Hospital, Houston, Texas; Department of Radiology, Baylor College of Medicine, Houston, Texas; and Chair, Pediatric AI Workgroup, Commission on Informatics, American College of Radiology.
| | | | - Richard A Barth
- Department of Radiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California
| | - Steven L Blumer
- Chair, Pediatrics Panel of the American College of Radiology Data Science Institute; Associate Medical Director of Radiology Informatics, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania; and Department of Radiology, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania
| | - Jonathan R Dillman
- Associate Chief, Research, William S. Ball Chair of Radiology Research, and Medical Director, Imaging Research Center, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Shannon G Farmakis
- Department of Radiology, Mercy Children's Hospital, St. Louis, Missouri; and West County Radiological Group, St. Louis, Missouri
| | | | - Ami Gokli
- Division Chief of Pediatric Radiology, Staten Island University Hospital, Staten Island, New York; and Associate Program Director, Department of Radiology Residency Program, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Uniondale, New York
| | - Safwan S Halabi
- University of Chicago, Lurie Children's Hospital, Chicago, Illinois
| | - Ramesh Iyer
- University of Washington, Seattle Children's Hospital, Seattle, Washington
| | - Aparna Joshi
- Section of Pediatric Radiology, University of Michigan, Ann Arbor, Michigan
| | - Jeannie K Kwon
- University of Texas Southwestern Medical Center, Dallas, Texas; Chief Radiology Officer, Children's Health System of Texas, Dallas, Texas; and Chair, Informatics Committee, Society for Pediatric Radiology
| | - Hansel J Otero
- University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Andrew C Sher
- Singleton Department of Radiology, Texas Children's Hospital, Houston, Texas; and Department of Radiology, Baylor College of Medicine, Houston, Texas
| | - Susan T Sotardi
- University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Benjamin H Taragin
- Department of Pediatric Radiology, Samson Assuta Ashdod University Hospital, Ashdod, Israel; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and Medical School for International Health, Ben Gurion University, Be'er Sheva, Israel
| | - Alexander J Towbin
- Department of Radiology, Cincinnati Children's Hospital, Cincinnati, Ohio; and Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Christoph Wald
- Chair, Department of Radiology, Lahey Hospital & Medical Center, Burlington, Massachusetts; Tufts University Medical School, Boston, Massachusetts; and Chair, Commission on Informatics
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Masjedi H, Dalvand S, Zamani H, Zare MH, Zarei M. Estimating the entrance surface air kerma and diagnostic reference level in routine radiography examinations: A multi-center study. Radiat Phys Chem Oxf Engl 1993 2023. [DOI: 10.1016/j.radphyschem.2022.110593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
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Hwang M, Tierradentro-García LO, Dennis RA, Anupindi SA. The role of ultrasound in necrotizing enterocolitis. Pediatr Radiol 2022; 52:702-715. [PMID: 34654968 DOI: 10.1007/s00247-021-05187-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 07/07/2021] [Accepted: 08/12/2021] [Indexed: 01/10/2023]
Abstract
Ultrasound has proved to be a useful modality for enhancing the diagnostic accuracy of necrotizing enterocolitis and associated complications. The standard imaging algorithm for evaluating necrotizing enterocolitis includes radiographs and clinical symptoms, the combination of which constitutes the Bell criteria. Major limitations of using the Bell criteria for diagnosing and clinically managing necrotizing enterocolitis include low diagnostic accuracy of radiographs and nonspecific symptomatology of preterm infants. In this regard, US can offer additional insights into bowel health by helping to characterize bowel motility, echogenicity, thickness, pneumatosis and perfusion. Extramural findings such as portal venous gas, nature and extent of ascites, and pneumoperitoneum can also be assessed. Recently, contrast-enhanced US was explored in a case series of preterm bowel disease and its diagnostic utility warrants further investigation. This article reviews the US features of necrotizing enterocolitis and highlights the role of US as a complement to radiographs, as well as the emerging use of contrast-enhanced US in necrotizing enterocolitis.
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Affiliation(s)
- Misun Hwang
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA. .,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
| | - Luis O Tierradentro-García
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA
| | - Rebecca A Dennis
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Sudha A Anupindi
- Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Frush DP. An Ounce of Prevention Is Worth a Pound of Cur(ie). J Am Coll Radiol 2022; 19:677-679. [PMID: 35339457 DOI: 10.1016/j.jacr.2022.02.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Accepted: 02/22/2022] [Indexed: 11/19/2022]
Affiliation(s)
- Donald P Frush
- Department of Radiology, Duke University Medical Center, Durham, North Carolina.
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Frush DP, Strauss KJ. Changing the practice of routine gonadal shielding during radiography: 'Y'? Pediatr Radiol 2022; 52:7-9. [PMID: 34741179 DOI: 10.1007/s00247-021-05230-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 09/23/2021] [Accepted: 10/15/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Donald P Frush
- Department of Radiology, Duke University Medical Center, Room #2568, 40 Duke Medicine Circle, Red Zone, Duke South, Box 3808, Durham, NC, 27710, USA.
| | - Keith J Strauss
- Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
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Abstract
Medical imaging professionals have an accountability for both quality and safety in the care of patients that have unexpected or anticipated repeated imaging examinations that use ionizing radiation. One measure in the safety realm for repeated imaging is cumulative effective dose (CED). CED has been increasingly scrutinized in patient populations, including adults and children. Recognizing the challenges with effective dose, including the cumulative nature, effective dose is still the most prevalent exposure currency for recurrent imaging examinations. While the responsibility for dose monitoring incorporates an element of tracking an individual patient cumulative radiation record, a more complex aspect is what should be done with this information. This challenge also differs between the pediatric and adult population, including the fact that high cumulative doses (e.g.,>100 mSv) are reported to occur much less frequently in children than in the adult population. It is worthwhile, then, to review the general construct of CED, including the comparison between the relative percentage occurrence in adult and pediatric populations, the relevant pediatric medical settings in which high CED occurs, the advances in medical care that may affect CED determinations in the future, and offer proposals for the application of the CED paradigm, considering the unique aspects of pediatric care.
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Affiliation(s)
- Donald Frush
- Duke University Medical Center, Durham, North Carolina 27710, United States
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Belmans N, Oenning AC, Salmon B, Baselet B, Tabury K, Lucas S, Lambrichts I, Moreels M, Jacobs R, Baatout S. Radiobiological risks following dentomaxillofacial imaging: should we be concerned? Dentomaxillofac Radiol 2021; 50:20210153. [PMID: 33989056 PMCID: PMC8404518 DOI: 10.1259/dmfr.20210153] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Accepted: 04/22/2021] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES This review aimed to present studies that prospectively investigated biological effects in patients following diagnostic dentomaxillofacial radiology (DMFR). METHODS Literature was systematically searched to retrieve all studies assessing radiobiological effects of using X-ray imaging in the dentomaxillofacial area, with reference to radiobiological outcomes for other imaging modalities and fields. RESULTS There is a lot of variability in the reported radiobiological assessment methods and radiation dose measures, making comparisons of radiobiological studies challenging. Most radiological DMFR studies are focusing on genotoxicity and cytotoxicity, data for 2D dentomaxillofacial radiographs, albeit with some methodological weakness biasing the results. For CBCT, available evidence is limited and few studies include comparative data on both adults and children. CONCLUSIONS In the future, one will have to strive towards patient-specific measures by considering age, gender and other individual radiation sensitivity-related factors. Ultimately, future radioprotection strategies should build further on the concept of personalized medicine, with patient-specific optimization of the imaging protocol, based on radiobiological variables.
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Affiliation(s)
| | - Anne Caroline Oenning
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São, Leopoldo Mandic, Campinas, Sao Paulo, Brazil
| | | | - Bjorn Baselet
- Belgian Nuclear Research Centre (SCK CEN), Radiobiology Unit, Boeretang 200, Mol, Belgium
| | | | - Stéphane Lucas
- Laboratory of Analysis by Nuclear Reaction (LARN/PMR), Namur Research Institute for Life Sciences, University of Namur, Namur, Belgium
| | - Ivo Lambrichts
- Morphology Group, Biomedical Research Institute, Hasselt University, Agoralaan Building C, Diepenbeek, Belgium
| | - Marjan Moreels
- Belgian Nuclear Research Centre (SCK CEN), Radiobiology Unit, Boeretang 200, Mol, Belgium
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10
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Halliday K. Considering paediatric radiology. Pediatr Radiol 2021; 51:521-522. [PMID: 33743035 PMCID: PMC7980103 DOI: 10.1007/s00247-020-04838-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 08/21/2020] [Accepted: 09/02/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Katharine Halliday
- Department of Radiology, Nottingham University Hospitals, Queens Medical Centre, Nottingham, NG7 2UH, UK.
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