CT versus plain radiographs for evaluation of c-spine injury in young children: do benefits outweigh risks? Export

@article{citeulike:5058947, abstract = {Abstract Background\ \ Various reports support the use of cervical spine (c-spine) CT over conventional radiography in screening of c-spine injury. Interest now exists in diagnostic radiation-induced morbidity. Objective\ \ To estimate excess relative risk for developing cancer from c-spine high-resolution CT radiation exposure. Materials and methods\ \ We conducted a retrospective review of children evaluated for c-spine injury using CT. The study population was divided into three age groups, 0–4\ years (group 1), 5–8\ years (group 2), and older than 8\ years (group 3). Anthropomorphic 1-year-old and 5-year-old phantoms were used to measure radiation at the thyroid during radiography and CT. Excess relative risk for thyroid cancer was estimated using these measurements. Results\ \ A total of 557 patients were evaluated with CT. The radiographic method most commonly used was head CT/c-spine CT in 363 (65\%). Only 179 children (32\%) had any type of prior radiography. The use of c-spine CT exposes the thyroid to 90–200 times more radiation than multiple conventional radiographs. The mean excess relative risk for thyroid cancer after CT was 2.0 for group 1 and 0.6 for group 2. There were no comparison data for group 3. Conclusion\ \ C-spine CT is associated with a significant exposure to ionizing radiation and increases excess relative risk for thyroid cancer in young children.}, author = {Jimenez, Ricardo and Deguzman, Michael and Shiran, Shelly and Karrellas, Andrew and Lorenzo, Robert}, citeulike-article-id = {5058947}, citeulike-linkout-0 = {http://dx.doi.org/10.1007/s00247-007-0728-2}, citeulike-linkout-1 = {http://www.springerlink.com/content/9t08395p01732857}, day = {6}, doi = {10.1007/s00247-007-0728-2}, journal = {Pediatric Radiology}, month = {June}, number = {6}, pages = {635--644}, posted-at = {2009-07-04 23:47:44}, priority = {2}, title = {CT versus plain radiographs for evaluation of c-spine injury in young children: do benefits outweigh risks?}, url = {http://dx.doi.org/10.1007/s00247-007-0728-2}, volume = {38}, year = {2008} }

TY - JOUR ID - citeulike:5058947 L3 - citeulike-article-id:5058947 N2 - Abstract Background  Various reports support the use of cervical spine (c-spine) CT over conventional radiography in screening of c-spine injury. Interest now exists in diagnostic radiation-induced morbidity. Objective  To estimate excess relative risk for developing cancer from c-spine high-resolution CT radiation exposure. Materials and methods  We conducted a retrospective review of children evaluated for c-spine injury using CT. The study population was divided into three age groups, 0–4 years (group 1), 5–8 years (group 2), and older than 8 years (group 3). Anthropomorphic 1-year-old and 5-year-old phantoms were used to measure radiation at the thyroid during radiography and CT. Excess relative risk for thyroid cancer was estimated using these measurements. Results  A total of 557 patients were evaluated with CT. The radiographic method most commonly used was head CT/c-spine CT in 363 (65%). Only 179 children (32%) had any type of prior radiography. The use of c-spine CT exposes the thyroid to 90–200 times more radiation than multiple conventional radiographs. The mean excess relative risk for thyroid cancer after CT was 2.0 for group 1 and 0.6 for group 2. There were no comparison data for group 3. Conclusion  C-spine CT is associated with a significant exposure to ionizing radiation and increases excess relative risk for thyroid cancer in young children. IS - 6 JF - Pediatric Radiology EP - 644 TI - CT versus plain radiographs for evaluation of c-spine injury in young children: do benefits outweigh risks? VL - 38 SP - 635 AU - Jimenez, Ricardo AU - Deguzman, Michael AU - Shiran, Shelly AU - Karrellas, Andrew AU - Lorenzo, Robert PY - 2008/06/06/ UR - http://dx.doi.org/10.1007/s00247-007-0728-2 ER -