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Paediatric diagnostic reference levels for common radiological examinations using the European guidelines

Almén, Anja LU ; Guðjónsdóttir, Jónína ; Heimland, Nils ; Højgaard, Britta ; Waltenburg, Hanne and Widmark, Anders (2022) In British Journal of Radiology 95(1130).
Abstract

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... (More)

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.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Radiology
volume
95
issue
1130
article number
20210700
publisher
British Institute of Radiology
external identifiers
  • pmid:34898256
  • scopus:85123813333
ISSN
0007-1285
DOI
10.1259/bjr.20210700
language
English
LU publication?
yes
id
38f259b9-ba4a-475d-9f29-32ac455ecbb1
date added to LUP
2022-03-25 11:35:29
date last changed
2024-04-18 06:41:11
@article{38f259b9-ba4a-475d-9f29-32ac455ecbb1,
  abstract     = {{<p>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.</p>}},
  author       = {{Almén, Anja and Guðjónsdóttir, Jónína and Heimland, Nils and Højgaard, Britta and Waltenburg, Hanne and Widmark, Anders}},
  issn         = {{0007-1285}},
  language     = {{eng}},
  number       = {{1130}},
  publisher    = {{British Institute of Radiology}},
  series       = {{British Journal of Radiology}},
  title        = {{Paediatric diagnostic reference levels for common radiological examinations using the European guidelines}},
  url          = {{http://dx.doi.org/10.1259/bjr.20210700}},
  doi          = {{10.1259/bjr.20210700}},
  volume       = {{95}},
  year         = {{2022}},
}