Type:
Educational Exhibit
Keywords:
Tissue characterisation, Sedation, Multidisciplinary cancer care, Localisation, Diagnostic procedure, Biopsy, Ultrasound, Percutaneous, CT, Thorax, Paediatric, Interventional non-vascular
Authors:
A. Pittaro1, C. Dengo1, M. Battistel2, G. Barbiero2, T. Toffolutti2, D. Miotto1; 1Padova/IT, 2Padua/IT
DOI:
10.1594/ecr2018/C-0562
Conclusion
In our experience,
percutaneous transthoracic procedures are effective in paediatric patients,
without significant complications.
Sedation is not always required for biopsies and the hook wired positioning can be performed using the same sedation for surgery; so,
these procedures don’t require necessary additional sedation if radiologists,
anaesthetists and surgeons collaborate into a multidisciplinary management of patients.
For justified indications low dose radiation protocol can be safely used in paediatric population,
adapting tube current and voltage selection and using iterative reconstruction algorithms,
in according to the main principle in radiation exposure “as low as reasonably achievable”.
Every case should be discussed in a multidisciplinary team and the use of US should be considered when possible.