MO-E-18A-01: Imaging: Best Practices In Pediatric Imaging

Authors

  • Willis C,

    1. MD Anderson Cancer Center, Bellaire, TX
    2. Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    3. Boston Children's Hospital, Boston, MA
    4. Ann ' Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
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  • Strauss K,

    1. MD Anderson Cancer Center, Bellaire, TX
    2. Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    3. Boston Children's Hospital, Boston, MA
    4. Ann ' Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
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  • MacDougall R,

    1. MD Anderson Cancer Center, Bellaire, TX
    2. Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    3. Boston Children's Hospital, Boston, MA
    4. Ann ' Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
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  • Sammet C

    1. MD Anderson Cancer Center, Bellaire, TX
    2. Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    3. Boston Children's Hospital, Boston, MA
    4. Ann ' Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
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Abstract

This imaging educational program will focus on solutions to common pediatric imaging challenges. The speakers will present collective knowledge on best practices in pediatric imaging from their experience at dedicated children's hospitals. Areas of focus will include general radiography, the use of manual and automatic dose management in computed tomography, and enterprise-wide radiation dose management in the pediatric practice.

The educational program will begin with a discussion of the complexities of exposure factor control in pediatric projection radiography. Following this introduction will be two lectures addressing the challenges of computed tomography (CT) protocol optimization in the pediatric population. The first will address manual CT protocol design in order to establish a managed radiation dose for any pediatric exam on any CT scanner. The second CT lecture will focus on the intricacies of automatic dose modulation in pediatric imaging with an emphasis on getting reliable results in algorithmbased technique selection. The fourth and final lecture will address the key elements needed to developing a comprehensive radiation dose management program for the pediatric environment with particular attention paid to new regulations and obligations of practicing medical physicists.

Learning Objectives:

  • 1.To understand how general radiographic techniques can be optimized using exposure indices in order to improve pediatric radiography.
  • 2.To learn how to establish diagnostic dose reference levels for pediatric patients as a function of the type of examination, patient size, and individual design characteristics of the CT scanner.
  • 3.To learn how to predict the patient's radiation dose prior to the exam and manually adjust technique factors if necessary to match the patient's dose to the department's established dose reference levels.
  • 4.To learn how to utilize manufacturer-provided automatic dose modulation technology to consistently achieve patient doses within the department's established size-based diagnostic reference range.
  • 5.To understand the key components of an enterprise-wide pediatric dose management program that integrates the expanding responsibilities of medial physicists in the new era of dose monitoring.

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