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Erschienen in: European Radiology 6/2017

05.10.2016 | Computed Tomography

Trends and patterns of computed tomography scan use among children in The Netherlands: 1990–2012

verfasst von: Johanna M. Meulepas, Anne M. J. B. Smets, Rutger A. J. Nievelstein, Patrycja Gradowska, Jonathan Verbeke, Herma C. Holscher, Matthieu J. C. M. Rutten, Mariëtte Kieft, Cécile M. Ronckers, Michael Hauptmann

Erschienen in: European Radiology | Ausgabe 6/2017

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Abstract

Objective

To evaluate trends and patterns in CT usage among children (aged 0–17 years) in The Netherlands during the period 1990–2012.

Methods

Lists of electronically archived paediatric CT scans were requested from the Radiology Information Systems (RIS) of Dutch hospitals which reported >10 paediatric CT scans annually in a survey conducted in 2010. Data included patient identification, birth date, gender, scan date and body part scanned. For non-participating hospitals and for years prior to electronic archiving in some participating hospitals, data were imputed by calendar year and hospital type (academic, general with <500 beds, general with ≥ 500 beds).

Results

Based on 236,066 CT scans among 146,368 patients performed between 1990 and 2012, estimated annual numbers of paediatric CT scans in The Netherlands increased from 7,731 in 1990 to 26,023 in 2012. More than 70 % of all scans were of the head and neck. During the last decade, substantial increases of more than 5 % per year were observed in general hospitals with fewer than 500 beds and among children aged 10 years or older.

Conclusion

The estimated number of paediatric CT scans has more than tripled in The Netherlands during the last two decades.

Key Points

Paediatric CT in The Netherlands has tripled during the last two decades.
The number of paediatric CTs increased through 2012 in general hospitals.
Paediatric CTs continued to increase among children aged 10 years or older.
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Literatur
1.
Zurück zum Zitat Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357(22):2277–84CrossRefPubMed Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357(22):2277–84CrossRefPubMed
2.
Zurück zum Zitat Mettler FA Jr, Bhargavan M, Faulkner K et al (2009) Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources-1950-2007. Radiology 253(2):520–31CrossRefPubMed Mettler FA Jr, Bhargavan M, Faulkner K et al (2009) Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources-1950-2007. Radiology 253(2):520–31CrossRefPubMed
4.
5.
Zurück zum Zitat Waard de-Schalkx IR (2012), Medical radiation applications, data 2010. RIVM Report 610001001[In Dutch] Waard de-Schalkx IR (2012), Medical radiation applications, data 2010. RIVM Report 610001001[In Dutch]
6.
Zurück zum Zitat Mettler FA Jr, Wiest PW, Locken JA, Kelsey CA (2000) CT scanning: patterns of use and dose. J Radiol Prot 20(4):353–9CrossRefPubMed Mettler FA Jr, Wiest PW, Locken JA, Kelsey CA (2000) CT scanning: patterns of use and dose. J Radiol Prot 20(4):353–9CrossRefPubMed
7.
Zurück zum Zitat Berrington de Gonzalez A, Mahesh M, Kim KP et al (2009) Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 169(22):2071–7CrossRefPubMed Berrington de Gonzalez A, Mahesh M, Kim KP et al (2009) Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 169(22):2071–7CrossRefPubMed
8.
Zurück zum Zitat United Nations Scientific Committee on the Effects of Atomic Radiation (2006) UNSCEAR Report Vol. I. Effects of ionizing radiation, report of the General Assemble with Scientific Annexes. United Nations, New York. United Nations Scientific Committee on the Effects of Atomic Radiation (2006) UNSCEAR Report Vol. I. Effects of ionizing radiation, report of the General Assemble with Scientific Annexes. United Nations, New York.
9.
Zurück zum Zitat Pearce MS, Salotti JA, McHugh K et al (2011) CT scans in young people in Northern England: trends and patterns 1993-2002. Pediatr Radiol 41(7):832–8CrossRefPubMedPubMedCentral Pearce MS, Salotti JA, McHugh K et al (2011) CT scans in young people in Northern England: trends and patterns 1993-2002. Pediatr Radiol 41(7):832–8CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Pearce MS, Salotti JA, Howe NL et al (2012) CT Scans in Young People in Great Britain: Temporal and Descriptive Patterns, 1993-2002. Radiol Res Pract 2012:594278PubMedPubMedCentral Pearce MS, Salotti JA, Howe NL et al (2012) CT Scans in Young People in Great Britain: Temporal and Descriptive Patterns, 1993-2002. Radiol Res Pract 2012:594278PubMedPubMedCentral
11.
Zurück zum Zitat Bosch de Basea M, Salotti JA, Pearce MS et al (2016) Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study. Pediatr Radiol 46(1):119–29CrossRefPubMed Bosch de Basea M, Salotti JA, Pearce MS et al (2016) Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study. Pediatr Radiol 46(1):119–29CrossRefPubMed
12.
Zurück zum Zitat Miglioretti DL, Johnson E, Williams A et al (2013) The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatrics 167(8):700–7CrossRefPubMedPubMedCentral Miglioretti DL, Johnson E, Williams A et al (2013) The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatrics 167(8):700–7CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Bijwaard H, Valk D (2015) Radiologisch onderzoek bij kinderen-Inventarisatie van de Nederlandse praktijk met de focus op dosis-reducerende maatregelen, RIVM rapport 2014-0071 [In Dutch] Bijwaard H, Valk D (2015) Radiologisch onderzoek bij kinderen-Inventarisatie van de Nederlandse praktijk met de focus op dosis-reducerende maatregelen, RIVM rapport 2014-0071 [In Dutch]
14.
Zurück zum Zitat Pearce MS, Salotti JA, Little MP et al (2012) Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 380(9840):499–505CrossRefPubMedPubMedCentral Pearce MS, Salotti JA, Little MP et al (2012) Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 380(9840):499–505CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Mathews JD, Forsythe AV, Brady Z et al (2013) Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 346:f2360CrossRefPubMedPubMedCentral Mathews JD, Forsythe AV, Brady Z et al (2013) Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 346:f2360CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Huang WY, Muo CH, Lin CY et al (2014) Paediatric head CT scan and subsequent risk of malignancy and benign brain tumour: a nation-wide population-based cohort study. Br J Cancer 110(9):2354–60CrossRefPubMedPubMedCentral Huang WY, Muo CH, Lin CY et al (2014) Paediatric head CT scan and subsequent risk of malignancy and benign brain tumour: a nation-wide population-based cohort study. Br J Cancer 110(9):2354–60CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Meulepas JM, Ronckers CM, Smets AM et al (2014) Leukemia and brain tumors among children after radiation exposure from CT scans: design and methodological opportunities of the Dutch Pediatric CT Study. Eur J Epidemiol 29(4):293–301CrossRefPubMed Meulepas JM, Ronckers CM, Smets AM et al (2014) Leukemia and brain tumors among children after radiation exposure from CT scans: design and methodological opportunities of the Dutch Pediatric CT Study. Eur J Epidemiol 29(4):293–301CrossRefPubMed
18.
Zurück zum Zitat van Duin C, Keij I (2002) Sociaal-economische status indicator op postcodeniveau. Maandstatistiek van de Bevolking 50:32–35 [In Dutch] van Duin C, Keij I (2002) Sociaal-economische status indicator op postcodeniveau. Maandstatistiek van de Bevolking 50:32–35 [In Dutch]
19.
Zurück zum Zitat Wall B (2008) Radiation Protection No 154 European Guidance on Estimating Population Dose from Medical X-ray Procedures. European Commission. Wall B (2008) Radiation Protection No 154 European Guidance on Estimating Population Dose from Medical X-ray Procedures. European Commission.
20.
Zurück zum Zitat Deuning CM (2008) Beddencapaciteit ziekenhuizen 2008: Volksgezondheid Toekomst Verkenning, Nationale Atlas Volksgezondheid. Bilthoven: RIVM, http://www.zorgatlas.nl [In Dutch]. Deuning CM (2008) Beddencapaciteit ziekenhuizen 2008: Volksgezondheid Toekomst Verkenning, Nationale Atlas Volksgezondheid. Bilthoven: RIVM, http://​www.​zorgatlas.​nl [In Dutch].
21.
Zurück zum Zitat Kim HJ, Fay MP, Feuer EJ, Midthune DN (2002) Permutation tests for joinpoint regression with applications to cancer rates. Stat Med 19(3):335–51CrossRef Kim HJ, Fay MP, Feuer EJ, Midthune DN (2002) Permutation tests for joinpoint regression with applications to cancer rates. Stat Med 19(3):335–51CrossRef
22.
Zurück zum Zitat Kim HJ, Fay MP, Yu B, Barrett MJ, Feuer EJ (2004) Comparability of segmented line regression models. Biometrics 60(4):1005–14CrossRefPubMed Kim HJ, Fay MP, Yu B, Barrett MJ, Feuer EJ (2004) Comparability of segmented line regression models. Biometrics 60(4):1005–14CrossRefPubMed
24.
Zurück zum Zitat Brady Z, Cain TM, Johnston PN (2011) Paediatric CT imaging trends in Australia. J Med Imaging Radiat Oncol 55(2):132–42CrossRefPubMed Brady Z, Cain TM, Johnston PN (2011) Paediatric CT imaging trends in Australia. J Med Imaging Radiat Oncol 55(2):132–42CrossRefPubMed
25.
Zurück zum Zitat Chodick G, Ronckers C, Ron E, Shalev V (2006) The utilization of pediatric computed tomography in a large Israeli Health Maintenance Organization. Pediatr Radiol 36(6):485–90CrossRefPubMed Chodick G, Ronckers C, Ron E, Shalev V (2006) The utilization of pediatric computed tomography in a large Israeli Health Maintenance Organization. Pediatr Radiol 36(6):485–90CrossRefPubMed
26.
Zurück zum Zitat Hansen J, Jurik AG (2009) Analysis of current practice of CT examinations. Acta Oncol 48(2):295–301CrossRefPubMed Hansen J, Jurik AG (2009) Analysis of current practice of CT examinations. Acta Oncol 48(2):295–301CrossRefPubMed
27.
Zurück zum Zitat Galanski M, Nagel HD, Stamm G (2006) Paediatric CT exposure practice in the Federal Republic of Germany, results of a nation-wide survey in 2005/06. Ministry of Environment, Conservation and Reactor Safety. Galanski M, Nagel HD, Stamm G (2006) Paediatric CT exposure practice in the Federal Republic of Germany, results of a nation-wide survey in 2005/06. Ministry of Environment, Conservation and Reactor Safety.
28.
29.
Zurück zum Zitat Laflamme L, Hasselberg M, Burrows S (2010) 20 years of research on socioeconomic inequality and children's-unintentinal injuries understanding the cause-specific evidence at hand. Int J Pediatr 2010:819687CrossRefPubMedPubMedCentral Laflamme L, Hasselberg M, Burrows S (2010) 20 years of research on socioeconomic inequality and children's-unintentinal injuries understanding the cause-specific evidence at hand. Int J Pediatr 2010:819687CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Lee CI, Haims AH, Monico EP, Brink JA, Forman HP (2004) Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 231(2):393–8CrossRefPubMed Lee CI, Haims AH, Monico EP, Brink JA, Forman HP (2004) Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 231(2):393–8CrossRefPubMed
32.
Zurück zum Zitat Kuppermann N, Holmes JF, Dayan PS et al (2009) Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696):1160–70CrossRefPubMed Kuppermann N, Holmes JF, Dayan PS et al (2009) Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696):1160–70CrossRefPubMed
33.
Zurück zum Zitat van den Brand CL, Rambach AH, Postma R, et al (2014) [Practice guideline 'Management of patients with mild traumatic head/brain injury' in the Netherlands]. Ned Tijdschr Geneeskd 158:A6973 [In Dutch]. van den Brand CL, Rambach AH, Postma R, et al (2014) [Practice guideline 'Management of patients with mild traumatic head/brain injury' in the Netherlands]. Ned Tijdschr Geneeskd 158:A6973 [In Dutch].
Metadaten
Titel
Trends and patterns of computed tomography scan use among children in The Netherlands: 1990–2012
verfasst von
Johanna M. Meulepas
Anne M. J. B. Smets
Rutger A. J. Nievelstein
Patrycja Gradowska
Jonathan Verbeke
Herma C. Holscher
Matthieu J. C. M. Rutten
Mariëtte Kieft
Cécile M. Ronckers
Michael Hauptmann
Publikationsdatum
05.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 6/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-016-4566-1

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