Paediatric diagnostic reference levels for common radiological examinations using the European guidelines
(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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- author
- Almén, Anja LU ; Guðjónsdóttir, Jónína ; Heimland, Nils ; Højgaard, Britta ; Waltenburg, Hanne and Widmark, Anders
- organization
- publishing date
- 2022
- 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}}, }