EuroSafe Imaging 2020
Performed at one institution, Cross-sectional study, Retrospective, Quality assurance, Radiation safety, Intraoperative, Barium meal, Fluoroscopy, CT, Conventional radiography, Paediatric, Gastrointestinal tract, Abdomen, Action 7 - Radiation protection of children
F. N. Diaz, J. A. Sanabria, A. C. Grasso, P. A. Lobos, J. M. Moldes, M. Ulla
Pediatric intestinal failure (PIF) acknowledges a group of patients with a reduction in functional gut mass below the minimum necessary for digestion and absorption, depending on parental nutrition for survival [1,2]. Most common etiologies of PFI includes:
- Short bowel syndrome
- Necrotizing enterocolitis
- Intestinal atresias
Patients with PIF are frequently involved in numerous studies and procedures using ionizing radiation, such as intraoperative fluoroscopy, barium contrast studies, or CT scans[1,3].
The detrimental effects of ionizing radiation are well documented, both for high levels and low levels and cumulative exposure. There is direct and compelling evidence that a dose in the range of 30 to 90 mSv [4,5] (two or three CT scans) results in an increased risk of cancer in children.
To our knowledge, there are no references for the potential impact nor the amount of radiation exposure on this group of patients PFI.
This study aims to quantify the cumulative effective radiation dose (ERD) received during the long term evolution of patients with PFI to plan justification and optimization strategies for the requested studies.