Protecting sensitive patient groups from imaging using ionizing radiation

effects during pregnancy, in fetal life and childhood

Paolo Tomà, Alessandra Bartoloni, Sergio Salerno, Claudio Granata, Vittorio Cannatà, Andrea Magistrelli, Owen J Arthurs

Research output: Contribution to journalReview article

Abstract

The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.

Original languageEnglish
JournalRadiologia Medica
DOIs
Publication statusE-pub ahead of print - Apr 4 2019

Fingerprint

Radiation Effects
Ionizing Radiation
Pregnancy
Radiation
Radiation Protection
Pregnant Women
Communication
Pediatrics
Radiation Exposure

Cite this

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title = "Protecting sensitive patient groups from imaging using ionizing radiation: effects during pregnancy, in fetal life and childhood",
abstract = "The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.",
author = "Paolo Tom{\`a} and Alessandra Bartoloni and Sergio Salerno and Claudio Granata and Vittorio Cannat{\`a} and Andrea Magistrelli and Arthurs, {Owen J}",
year = "2019",
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language = "English",
journal = "Radiologia Medica",
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TY - JOUR

T1 - Protecting sensitive patient groups from imaging using ionizing radiation

T2 - effects during pregnancy, in fetal life and childhood

AU - Tomà, Paolo

AU - Bartoloni, Alessandra

AU - Salerno, Sergio

AU - Granata, Claudio

AU - Cannatà, Vittorio

AU - Magistrelli, Andrea

AU - Arthurs, Owen J

PY - 2019/4/4

Y1 - 2019/4/4

N2 - The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.

AB - The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized.

U2 - 10.1007/s11547-019-01034-8

DO - 10.1007/s11547-019-01034-8

M3 - Review article

JO - Radiologia Medica

JF - Radiologia Medica

SN - 0033-8362

ER -