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Färre DT och fler MR vid skallundersökning på små barn. Svårt avgöra om larmrapport påverkat val av metod, visar studie från Lund

Jarnum, Hanna ; Siemund, Roger LU ; Holje, Gunnila LU and Larsson, Elna-Marie LU (2006) In Läkartidningen 103(23). p.3-1840
Abstract
In January 2004, Per Hall et al in an article in British Medical Journal stated that children under the age of 18 months, who underwent CT of the brain, could get negative effects on cognitive abilities in adulthood. At the Department of Radiology, Lund University Hospital, 55 children under the age of 18 months underwent CT of the brain during 2004 compared to 70 children in 2003. MRI of the brain in the same age group increased in number from 52 in 2003, to 63 in 2004. CT of the brain after head trauma decreased with almost 50 % in 2004, compared to 2003. MRI is now the modality of choice for elective radiological evaluation of the brain in small children. However, CT is recommended as an emergency examination in head trauma to obtain a... (More)
In January 2004, Per Hall et al in an article in British Medical Journal stated that children under the age of 18 months, who underwent CT of the brain, could get negative effects on cognitive abilities in adulthood. At the Department of Radiology, Lund University Hospital, 55 children under the age of 18 months underwent CT of the brain during 2004 compared to 70 children in 2003. MRI of the brain in the same age group increased in number from 52 in 2003, to 63 in 2004. CT of the brain after head trauma decreased with almost 50 % in 2004, compared to 2003. MRI is now the modality of choice for elective radiological evaluation of the brain in small children. However, CT is recommended as an emergency examination in head trauma to obtain a diagnosis without delay and to enable detection of child abuse. If the child already has undergone one or several CT examinations of the brain, MRI should be preferred to avoid further exposure to ionizing radiation. Optimization of radiation dose levels for CT of the brain in children is needed. (Less)
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author
; ; and
organization
alternative title
Fewer DT examinations and more MR examinations of the skull in small children. Difficult to conclude if alarming reports affected the choice of the method according to a study in Lund
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Infant, Male, Magnetic Resonance Imaging: statistics & numerical data, X-Ray Computed: statistics & numerical data, Female, Craniofacial Abnormalities: radiography, Craniofacial Abnormalities: pathology, Craniofacial Abnormalities: diagnosis, Craniocerebral Trauma: radiography, Craniocerebral Trauma: pathology, Craniocerebral Trauma: diagnosis, Comparative Study, Brain Diseases: radiography, Brain Diseases: pathology, Humans, Brain Diseases: diagnosis, Radiation Dosage, Referral and Consultation: statistics & numerical data, Tomography
in
Läkartidningen
volume
103
issue
23
pages
3 - 1840
publisher
Swedish Medical Association
external identifiers
  • pmid:16838595
  • scopus:33745301373
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
0e56ba84-415e-4694-ad2b-0c743a4db7eb (old id 1135983)
alternative location
http://ltarkiv.lakartidningen.se/2006/temp/pda31903.pdf
date added to LUP
2016-04-01 17:12:41
date last changed
2021-02-17 07:58:37
@article{0e56ba84-415e-4694-ad2b-0c743a4db7eb,
  abstract     = {In January 2004, Per Hall et al in an article in British Medical Journal stated that children under the age of 18 months, who underwent CT of the brain, could get negative effects on cognitive abilities in adulthood. At the Department of Radiology, Lund University Hospital, 55 children under the age of 18 months underwent CT of the brain during 2004 compared to 70 children in 2003. MRI of the brain in the same age group increased in number from 52 in 2003, to 63 in 2004. CT of the brain after head trauma decreased with almost 50 % in 2004, compared to 2003. MRI is now the modality of choice for elective radiological evaluation of the brain in small children. However, CT is recommended as an emergency examination in head trauma to obtain a diagnosis without delay and to enable detection of child abuse. If the child already has undergone one or several CT examinations of the brain, MRI should be preferred to avoid further exposure to ionizing radiation. Optimization of radiation dose levels for CT of the brain in children is needed.},
  author       = {Jarnum, Hanna and Siemund, Roger and Holje, Gunnila and Larsson, Elna-Marie},
  issn         = {0023-7205},
  language     = {swe},
  number       = {23},
  pages        = {3--1840},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Färre DT och fler MR vid skallundersökning på små barn. Svårt avgöra om larmrapport påverkat val av metod, visar studie från Lund},
  url          = {http://ltarkiv.lakartidningen.se/2006/temp/pda31903.pdf},
  volume       = {103},
  year         = {2006},
}