Single Center Experience With Application of the ALARA Concept to Serial Imaging Studies After Blunt Renal Trauma in Children-Is Ultrasound Enough?

Journal of Urology

Volumn 181, Issue 4, 2009, Pages 1834-1840

  Eeg, Kurt R ^a   Khoury, Antoine E ^a   Halachmi, Sarel ^a   Braga, Luis H P ^a   Farhat, Walid A ^a   Bägli, Darius J ^a   Pippi Salle, Joao L ^a   Lorenzo, Armando J ^a  

^a HOSPITAL FOR SICK CHILDREN   (Canada)

Author keywords

emission computed; pediatrics; radiation dosage; tomography; ultrasonography; wounds and injuries

Indexed keywords

ARTICLE; ARTIFICIAL EMBOLISM; BLUNT TRAUMA; CHILD; COMPUTER ASSISTED TOMOGRAPHY; DATA BASE; DELAYED DIAGNOSIS; DIAGNOSTIC ACCURACY; FALSE ANEURYSM; FEMALE; FOLLOW UP; HEMODYNAMICS; HOSPITALIZATION; HUMAN; IMAGING SYSTEM; KIDNEY INJURY; MAJOR CLINICAL STUDY; MALE; NEOPLASM; NEPHRECTOMY; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIATION SICKNESS; RETROSPECTIVE STUDY; SCHOOL CHILD; SYMPTOMATOLOGY; ULTRASOUND; URINOMA;

CHILD; FEMALE; HUMANS; KIDNEY; MALE; RADIATION DOSAGE; RADIATION INJURIES; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 62049083892     PISSN: 00225347     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.juro.2008.12.007     Document Type: Article

References (20)

1. Stanescu A.L., Gross J.A., Bittle M., and Mann F.A. Imaging of blunt abdominal trauma. Semin Roentgenol 41 (2006) 196
2. Brenner D.J., and Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med 357 (2007) 2277
3. Shah N.B., and Platt S.L. ALARA: is there a cause for alarm? Reducing radiation risks from computed tomography scanning in children. Curr Opin Pediatr 20 (2008) 243
4. Brenner D., Elliston C., Hall E., and Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 176 (2001) 289
5. Slovis T.L. Children, computed tomography radiation dose, and the As Low As Reasonably Achievable (ALARA) concept. Pediatrics 112 (2003) 971
6. Kleinerman R.A. Cancer risks following diagnostic and therapeutic radiation exposure in children. Pediatr Radiol 14 suppl. (2006) 121
7. The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction. Multidisciplinary conference organized by the Society of Pediatric Radiology. August 18-19, 2001. Pediatr Radiol 32 (2002) 217
8. Moore E.E., Shackford S.R., Pachter H.L., McAninch J.W., Browner B.D., Champion H.R., et al. Organ injury scaling: spleen, liver, and kidney. J Trauma 29 (1989) 1664
9. Lee R.S., Diamond D.A., and Chow J.S. Applying the ALARA concept to the evaluation of vesicoureteric reflux. Pediatr Radiol 36 (2006) 185
10. Fenton S.J., Hansen K.W., Meyers R.L., Vargo D.J., White K.S., Firth S.D., et al. CT scan and the pediatric trauma patient-are we overdoing it?. J Pediatr Surg 39 (2004) 1877
11. Jindal A., Velmahos G.C., and Rofougaran R. Computed tomography for evaluation of mild to moderate pediatric trauma: are we overusing it?. World J Surg 26 (2002) 13
12. Buckley J.C., and McAninch J.W. The diagnosis, management, and outcomes of pediatric renal injuries. Urol Clin North Am 33 (2006) 33
13. Henderson C.G., Sedberry-Ross S., Pickard R., Bulas D.I., Duffy B.J., Tsung D., et al. Management of high grade renal trauma: 20-year experience at a pediatric level I trauma center. J Urol 178 (2007) 246
14. Valentino M., Serra C., Pavlica P., Labate A.M., Lima M., Baroncini S., et al. Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children-initial experience. Radiology 246 (2008) 903
15. Holmes IV J.H., Wiebe D.J., Tataria M., Mattix K.D., Mooney D.P., Scaife E.R., et al. The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma 59 (2005) 1309
16. Halachmi S., Chait P., Hodapp J., Bagli D.G., McLorie G.A., Khoury A.E., et al. Renal pseudoaneurysm after blunt renal trauma in a pediatric patient: management by angiographic embolization. Urology 61 (2003) 224
17. Tataria M., Nance M.L., Holmes IV J.H., Miller III C.C., Mattix K.D., Brown R.L., et al. Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimental. J Trauma 63 (2007) 608
18. Thorelius L. Emergency real-time contrast-enhanced ultrasonography for detection of solid organ injuries. Eur Radiol 6 suppl. (2007) F107
19. Cannon Jr. G.M., Polsky E.G., Smaldone M.C., Gaines B.A., Schneck F.X., Bellinger M.F., et al. Computerized tomography findings in pediatric renal trauma-indications for early intervention?. J Urol 179 (2008) 1529
20. Abdalati H., Bulas D.I., Sivit C.J., Majd M., Rushton H.G., and Eichelberger M.R. Blunt renal trauma in children: healing of renal injuries and recommendations for imaging follow-up. Pediatr Radiol 24 (1994) 573