nach oben

Pediatric Radiology

Erschienen in:

01.11.2009 | Commentary

The ALARA concept in pediatric oncology

verfasst von: Stephan D. Voss, Gregory H. Reaman, Sue C. Kaste, Thomas L. Slovis

Erschienen in: Pediatric Radiology | Ausgabe 11/2009

Einloggen, um Zugang zu erhalten

Excerpt

For the past several years, the Society for Pediatric Radiology (SPR) has successfully conducted ALARA conferences emphasizing the importance of radiation safety in pediatric imaging, providing a valuable forum for pediatric radiologists, practicing general radiologists, and interested clinicians to review specific concepts relevant to the ALARA (as low as reasonably achievable) principle [1‐4]. In 2008 the focus of the ALARA symposium was pediatric oncology imaging. Imaging endpoints and sophisticated imaging studies are increasingly being incorporated into oncologic treatment protocols and clinical trials. This symposium underscored the need for increased awareness of the potential for radiation-related injury from repeated exposure to ionizing radiation. Such a forum brought together key members of the pediatric imaging and pediatric oncology communities and highlighted the need for evidence-based methods to guide diagnostic and surveillance imaging and to identify opportunities for interdisciplinary investigation. …

Slovis TL (2002) The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction. Multidisciplinary conference organized by the Society of Pediatric Radiology. Pediatr Radiol 32:217–313CrossRefPubMed

Frush DP, Frush KS (2008) The ALARA concept in pediatric imaging: building bridges between radiology and emergency medicine: consensus conference on imaging safety and quality for children in the emergency setting, Feb. 23–24, 2008, Orlando, FL—Executive Summary. Pediatr Radiol 38(Suppl 4):S629–S632CrossRefPubMed

Strauss KJ, Kaste SC (2006) The ALARA (as low as reasonably achievable) concept in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients—a white paper executive summary. Pediatr Radiol 36(Suppl 2):110–112CrossRefPubMed

Willis CE, Slovis TL (2004) The ALARA concept in pediatric CR and DR: dose reduction in pediatric radiographic exams—a white paper conference executive summary. Pediatr Radiol 34(Suppl 3):S162–164CrossRefPubMed

Brenner DJ, Hall EJ (2007) Computed tomography—an increasing source of radiation exposure. N Engl J Med 357:2277–2284CrossRefPubMed

Hall EJ, Brenner DJ (2008) Cancer risks from diagnostic radiology. Br J Radiol 81:362–378CrossRefPubMed

Goske MJ, Applegate KE, Boylan J et al (2008) The ‘Image Gently’ campaign: increasing CT radiation dose awareness through a national education and awareness program. Pediatr Radiol 38:265–269CrossRefPubMed

Strauss KJ, Goske MJ, Frush DP et al (2009) Image Gently vendor summit: working together for better estimates of pediatric radiation dose from CT. AJR 192:1169–1175CrossRef

Thomas KE, Ahmed BA, Shroff P et al (2008) Estimation of cumulative effective doses from diagnostic and interventional radiological examinations in pediatric oncology patients. Pediatr Radiol 38:S339

10.

Chawla SC, Federman N, Nagata KT et al (2008) Estimated cumulative radiation dose from PET/CT in pediatric patients with malignancies—a 5-year retrospective review. Pediatr Radiol 38:S339CrossRef

11.

Adamson PC (2009) Imaging in early phase childhood cancer trials. Pediatr Radiol 39(Suppl 1):S38–41CrossRefPubMed

12.

Arch ME, Frush DP (2008) Pediatric body MDCT: a 5-year follow-up survey of scanning parameters used by pediatric radiologists. AJR 191:611–617CrossRef

13.

Thomas KE, Wang B (2008) Age-specific effective doses for pediatric MSCT examinations at a large children’s hospital using DLP conversion coefficients: a simple estimation method. Pediatr Radiol 38:645–656CrossRefPubMed

14.

Kaste SC (2009) Imaging challenges: a US perspective on controlling exposure to ionizing radiation in children with cancer. Pediatr Radiol 39(Suppl 1):S74–79CrossRefPubMed

15.

Furth C, Denecke T, Steffen I et al (2006) Correlative imaging strategies implementing CT, MRI, and PET for staging of childhood Hodgkin disease. J Pediatr Hematol Oncol 28:501–512CrossRefPubMed

16.

Schenk JP, Graf N, Gunther P et al (2008) Role of MRI in the management of patients with nephroblastoma. Eur Radiol 18:683–691CrossRefPubMed

17.

Siegel MJ, Jaju A (2008) MR imaging of neuroblastic masses. Magn Reson Imaging Clin N Am 16:499–513 viCrossRefPubMed

18.

Racadio JM (2009) Controlling radiation exposure during interventional procedures in childhood cancer patients. Pediatr Radiol 39(Suppl 1):S71–73CrossRefPubMed

19.

Reaman GH (2009) What, why, and when we image: considerations for diagnostic imaging and clinical research in the Children’s Oncology Group. Pediatr Radiol 39(Suppl 1):S42–45CrossRefPubMed

20.

Shankar LK, Van den Abbeele A, Yap J et al (2009) Considerations for the use of imaging tools for phase II treatment trials in oncology. Clin Cancer Res 15:1891–1897CrossRefPubMed

21.

Barnacle AM, McHugh K (2006) Limitations with the response evaluation criteria in solid tumors (RECIST) guidance in disseminated pediatric malignancy. Pediatr Blood Cancer 46:127–134CrossRefPubMed

22.

Suzuki C, Jacobsson H, Hatschek T et al (2008) Radiologic measurements of tumor response to treatment: practical approaches and limitations. Radiographics 28:329–344CrossRefPubMed

23.

Gallamini A, Hutchings M, Avigdor A et al (2008) Early interim PET scan in Hodgkin lymphoma: where do we stand? Leuk Lymphoma 49:659–662CrossRefPubMed

24.

Juweid ME, Stroobants S, Hoekstra OS et al (2007) Use of positron emission tomography for response assessment of lymphoma: consensus of the Imaging Subcommittee of International Harmonization Project in Lymphoma. J Clin Oncol 25:571–578CrossRefPubMed

25.

Schoder H, Moskowitz C (2008) PET imaging for response assessment in lymphoma: potential and limitations. Radiol Clin North Am 46:225–241 viiiCrossRefPubMed

26.

Furth C, Steffen IG, Amthauer H et al (2009) Early and late therapy response assessment with [18F]fluorodeoxyglucose positron emission tomography in pediatric Hodgkin’s lymphoma: analysis of a prospective multicenter trial. J Clin Oncol. Aug 10 [Epub ahead of print]

27.

Pfluger T, Schmied C, Porn U et al (2003) Integrated imaging using MRI and 123I metaiodobenzylguanidine scintigraphy to improve sensitivity and specificity in the diagnosis of pediatric neuroblastoma. AJR 181:1115–1124PubMed

28.

Sharp SE, Shulkin BL, Gelfand MJ et al (2009) 123I-MIBG scintigraphy and 18F-FDG PET in neuroblastoma. J Nucl Med 50:1237–1243CrossRefPubMed

29.

Kushner BH (2004) Neuroblastoma: a disease requiring a multitude of imaging studies. J Nucl Med 45:1172–1188PubMed

30.

Meisel JA, Guthrie KA, Breslow NE et al (1999) Significance and management of computed tomography detected pulmonary nodules: a report from the National Wilms Tumor Study Group. Int J Radiat Oncol Biol Phys 44:579–585CrossRefPubMed

31.

Owens CM, Veys PA, Pritchard J et al (2002) Role of chest computed tomography at diagnosis in the management of Wilms’ tumor: a study by the United Kingdom Children’s Cancer Study Group. J Clin Oncol 20:2768–2773CrossRefPubMed

32.

Laprise NK, Hanusik R, Fitzgerald TJ et al (2009) Developing a multi-institutional PACS archive and designing processes to manage the shift from a film to a digital-based archive. J Digit Imaging 22:15–24CrossRefPubMed

33.

Erberich SG, Silverstein JC, Chervenak A et al (2007) Globus MEDICUS—federation of DICOM medical imaging devices into healthcare grids. Stud Health Technol Inform 126:269–278PubMed

Titel: The ALARA concept in pediatric oncology
verfasst von: Stephan D. Voss
Gregory H. Reaman
Sue C. Kaste
Thomas L. Slovis
Publikationsdatum: 01.11.2009
Verlag: Springer-Verlag
Erschienen in: Pediatric Radiology / Ausgabe 11/2009
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-009-1404-5

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

The ALARA concept in pediatric oncology

Excerpt

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2009

Madelung deformity with Vickers ligament

US findings of melamine-related renal disorders in Hong Kong children

Anomaly of iliac veins: a rare cause of transient hepatic attenuation difference in a child

Content of a radiology report

Hemorrhagic ‘spider-in-web’: atypical appearance of a peritoneal inclusion cyst

3-D MR imaging of ectopia vasa deferentia

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie