Radiation safety for cardiovascular computed tomography imaging in paediatric cardiology: a joint expert consensus document of the EACVI, ESCR, AEPC, and ESPR.
Marco FranconeAlessia GimelliRicardo P J BuddePablo Caro-DominguezAndrew J EinsteinMatthias GutberletPal Maurovich-HorvatOwen MillerEszter NagyLuigi NataleCharles PeeblesSteffen E PetersenThomas SempleIsrael ValverdeInga VogesAurelio SecinaroGiovanni di SalvoPublished in: European heart journal. Cardiovascular Imaging (2022)
Children with congenital and acquired heart disease may be exposed to relatively high lifetime cumulative doses of ionizing radiation from necessary medical invasive and non-invasive imaging procedures. Although these imaging procedures are all essential to the care of these complex paediatric population 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 this manuscript is to provide a comprehensive review of radiation dose management and cardiac computed tomography performance in the paediatric population with congenital and acquired heart disease, to encourage informed imaging to achieve indication-appropriate study quality at the lowest achievable dose.
Keyphrases
- computed tomography
- high resolution
- intensive care unit
- emergency department
- healthcare
- magnetic resonance imaging
- pulmonary hypertension
- palliative care
- young adults
- squamous cell carcinoma
- radiation therapy
- quality improvement
- risk assessment
- cardiac surgery
- adipose tissue
- human health
- mass spectrometry
- contrast enhanced
- skeletal muscle
- atrial fibrillation
- climate change
- pet ct
- patient reported
- image quality
- affordable care act