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Paediatric diagnostic reference levels for common radiological examinations using the European guidelines
OBJECTIVE: The purpose of this study was to explore the feasibility to determine regional diagnostic reference levels (RDRLs) for paediatric conventional and CT examinations using the European guidelines and to compare RDRLs derived from weight and age groups, respectively. METHODS: Data were collec...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Institute of Radiology.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822550/ https://www.ncbi.nlm.nih.gov/pubmed/34898256 http://dx.doi.org/10.1259/bjr.20210700 |
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author | Almén, Anja Guðjónsdóttir, Jónína Heimland, Nils Højgaard, Britta Waltenburg, Hanne Widmark, Anders |
author_facet | Almén, Anja Guðjónsdóttir, Jónína Heimland, Nils Højgaard, Britta Waltenburg, Hanne Widmark, Anders |
author_sort | Almén, Anja |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to explore the feasibility to determine regional diagnostic reference levels (RDRLs) for paediatric conventional and CT examinations using the European guidelines and to compare RDRLs derived from weight and age groups, respectively. METHODS: Data were collected from 31 hospitals in 4 countries, for 7 examination types for a total of 2978 patients. RDRLs were derived for each weight and age group, respectively, when the total number of patients exceeded 15. RESULTS: It was possible to derive RDRLs for most, but not all, weight-based and age-based groups for the seven examinations. The result using weight-based and age-based groups differed substantially. The RDRLs were lower than or equal to the European and recently published national DRLs. CONCLUSION: It is feasible to derive RDRLs. However, a thorough review of the clinical indications and methodologies has to be performed previous to data collection. This study does not support the notion that DRLs derived using age and weight groups are exchangeable. ADVANCES IN KNOWLEDGE: Paediatric DRLs should be derived using weight-based groups with access to the actual weight of the patients. DRLs developed using weight differ markedly from those developed with the use of age. There is still a need to harmonize the method to derive solid DRLs for paediatric radiological examinations. |
format | Online Article Text |
id | pubmed-8822550 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Institute of Radiology. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88225502022-02-17 Paediatric diagnostic reference levels for common radiological examinations using the European guidelines Almén, Anja Guðjónsdóttir, Jónína Heimland, Nils Højgaard, Britta Waltenburg, Hanne Widmark, Anders Br J Radiol Full Paper OBJECTIVE: The purpose of this study was to explore the feasibility to determine regional diagnostic reference levels (RDRLs) for paediatric conventional and CT examinations using the European guidelines and to compare RDRLs derived from weight and age groups, respectively. METHODS: Data were collected from 31 hospitals in 4 countries, for 7 examination types for a total of 2978 patients. RDRLs were derived for each weight and age group, respectively, when the total number of patients exceeded 15. RESULTS: It was possible to derive RDRLs for most, but not all, weight-based and age-based groups for the seven examinations. The result using weight-based and age-based groups differed substantially. The RDRLs were lower than or equal to the European and recently published national DRLs. CONCLUSION: It is feasible to derive RDRLs. However, a thorough review of the clinical indications and methodologies has to be performed previous to data collection. This study does not support the notion that DRLs derived using age and weight groups are exchangeable. ADVANCES IN KNOWLEDGE: Paediatric DRLs should be derived using weight-based groups with access to the actual weight of the patients. DRLs developed using weight differ markedly from those developed with the use of age. There is still a need to harmonize the method to derive solid DRLs for paediatric radiological examinations. The British Institute of Radiology. 2022-02-01 2021-12-13 /pmc/articles/PMC8822550/ /pubmed/34898256 http://dx.doi.org/10.1259/bjr.20210700 Text en © 2022 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 Unported License http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial reuse, provided the original author and source are credited. |
spellingShingle | Full Paper Almén, Anja Guðjónsdóttir, Jónína Heimland, Nils Højgaard, Britta Waltenburg, Hanne Widmark, Anders Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title | Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title_full | Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title_fullStr | Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title_full_unstemmed | Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title_short | Paediatric diagnostic reference levels for common radiological examinations using the European guidelines |
title_sort | paediatric diagnostic reference levels for common radiological examinations using the european guidelines |
topic | Full Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822550/ https://www.ncbi.nlm.nih.gov/pubmed/34898256 http://dx.doi.org/10.1259/bjr.20210700 |
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