TY - JOUR
T1 - Radiation Safety in Children With Congenital and Acquired Heart Disease
T2 - A Scientific Position Statement on Multimodality Dose Optimization From the Image Gently Alliance
AU - Image Gently Alliance
AU - Hill, Kevin D.
AU - Frush, Donald P.
AU - Han, B. Kelly
AU - Abbott, Brian G.
AU - Armstrong, Aimee K.
AU - DeKemp, Robert A.
AU - Glatz, Andrew C.
AU - Greenberg, S. Bruce
AU - Herbert, Alexander Sheldon
AU - Justino, Henri
AU - Mah, Douglas
AU - Mahesh, Mahadevappa
AU - Rigsby, Cynthia K.
AU - Slesnick, Timothy C.
AU - Strauss, Keith J.
AU - Trattner, Sigal
AU - Viswanathan, Mohan N.
AU - Einstein, Andrew J.
N1 - Publisher Copyright:
© 2017 The Authors
PY - 2017/7
Y1 - 2017/7
N2 - There is a need for consensus recommendations for ionizing radiation dose optimization during multimodality medical imaging in children with congenital and acquired heart disease (CAHD). These children often have complex diseases and may be exposed to a relatively high cumulative burden of ionizing radiation from medical imaging procedures, including cardiac computed tomography, nuclear cardiology studies, and fluoroscopically guided diagnostic and interventional catheterization and electrophysiology procedures. Although these imaging procedures are all essential to the care of children with CAHD and have contributed to meaningfully improved outcomes in these patients, exposure to ionizing radiation is associated with potential risks, including an increased lifetime attributable risk of cancer. The goal of these recommendations is to encourage informed imaging to achieve appropriate study quality at the lowest achievable dose. Other strategies to improve care include a patient-centered approach to imaging, emphasizing education and informed decision making and programmatic approaches to ensure appropriate dose monitoring. Looking ahead, there is a need for standardization of dose metrics across imaging modalities, so as to encourage comparative effectiveness studies across the spectrum of CAHD in children.
AB - There is a need for consensus recommendations for ionizing radiation dose optimization during multimodality medical imaging in children with congenital and acquired heart disease (CAHD). These children often have complex diseases and may be exposed to a relatively high cumulative burden of ionizing radiation from medical imaging procedures, including cardiac computed tomography, nuclear cardiology studies, and fluoroscopically guided diagnostic and interventional catheterization and electrophysiology procedures. Although these imaging procedures are all essential to the care of children with CAHD and have contributed to meaningfully improved outcomes in these patients, exposure to ionizing radiation is associated with potential risks, including an increased lifetime attributable risk of cancer. The goal of these recommendations is to encourage informed imaging to achieve appropriate study quality at the lowest achievable dose. Other strategies to improve care include a patient-centered approach to imaging, emphasizing education and informed decision making and programmatic approaches to ensure appropriate dose monitoring. Looking ahead, there is a need for standardization of dose metrics across imaging modalities, so as to encourage comparative effectiveness studies across the spectrum of CAHD in children.
KW - cardiovascular imaging
KW - cardiovascular interventions
KW - children
KW - ionizing radiation
KW - radiation safety
UR - http://www.scopus.com/inward/record.url?scp=85021807393&partnerID=8YFLogxK
U2 - 10.1016/j.jcmg.2017.04.003
DO - 10.1016/j.jcmg.2017.04.003
M3 - Review article
C2 - 28514670
AN - SCOPUS:85021807393
SN - 1936-878X
VL - 10
SP - 797
EP - 818
JO - JACC: Cardiovascular Imaging
JF - JACC: Cardiovascular Imaging
IS - 7
ER -