News | Pediatric Imaging | October 26, 2016

Study Gives Tips for Avoiding Mistakes in Pediatric Chest Radiography

Authors recommend systematic approach to image interpretation and clear understanding of a child's development and anatomy

pediatric imaging, chest radiography, mistakes, errors, tips, American Journal of Roentgenology

October 26, 2016 — While radiography remains the gold standard in pediatric imaging, it is rife with opportunities for error because cooperation and positioning are often challenging for such patients. In response, a group of pediatric radiologists practicing in Seattle published a paper that outlines pitfalls in pediatric chest radiography while offering tips and tricks for avoiding potential errors.

The paper, titled "Pediatric Chest Radiographs: Common and Less Common Errors," was published in the October 2016 issue of the American Journal of Roentgenology and is available for viewing through open access.

"Having a thorough understanding of normal pediatric anatomy and developmental changes along with a good command of the entities unique to children is essential for the pediatric and general radiologist to avoid significant interpretive errors," said paper co-author A. Luana Stanescu, radiologist with the department of radiology at Seattle Children's Hospital, University of Washington School of Medicine. "Errors in interpretation may lead to inappropriate further imaging, incurring additional radiation exposure and cost, as well as psychologic effects on the patients and their families."

"In our study, we highlight some common and less common pitfalls in pediatric chest radiography, in addition to discussing some tools for avoiding potential mistakes," the authors said.

Although errors in diagnostic radiology have been presented and debated with frequency during the past several decades, most of the literature centers on the adult population [1-4]. More recent publications have highlighted the importance of addressing radiology errors separately in the pediatric population, where disease processes and imaging algorithms are often vastly different from those in the adult population [5].

For pediatric patients, follow-up radiographs, additional projections and further cross sectional imaging are not always recommended or appropriate, particularly in the age of ALARA (as low as reasonably achievable). The use of a systematic approach to image interpretation, with an awareness of common errors and the underlying root causes, can aid both the pediatric and general radiologist in avoiding such pitfalls and rendering accurate interpretations, the authors concluded.

For more information: www.ajronline.org

Related Content

Sponsored Content | Videos | Digital Radiography (DR) | January 10, 2019
ITN Contributing Editor Greg Freiherr discusses how advances in digital technology are giving new meaning to the term...
3-D Reconstruction of Ichthyosaurus Skull

A 3-D reconstruction of the ichthyosaurus skull from a computed tomography (CT) scan. Image courtesy of Nigel Larkin, taken at Royal Veterinary College, London.

News | Computed Tomography (CT) | January 09, 2019
A nearly meter-long skull of a giant fossil marine ichthyosaur found in a farmer's field more than 60 years ago has...
SCCT Releases New Guideline for CT Use During TAVR
News | Computed Tomography (CT) | January 08, 2019
The Society of Cardiovascular Computed Tomography (SCCT) has released a new expert consensus document for computed...
Shimadzu Medical Systems USA Acquires Core Medical Imaging
News | Digital Radiography (DR) | January 08, 2019
Shimadzu Medical Systems USA has acquired Core Medical Imaging Inc. (CMI) in order to further expand its healthcare...
Artificial Intelligence Pinpoints Nine Different Abnormalities in Head Scans

A brain scan (left) showing an intraparenchymal hemorrhage in left frontal region and a scan (right) of a subarachnoid hemorrhage in the left parietal region. Both conditions were accurately detected by the Qure.ai tool. Image courtesy of Nature Medicine.

News | Artificial Intelligence | January 07, 2019
The rise in the use of computed tomography (CT) scans in U.S. emergency rooms has been a well-documented trend1 in...
CT Technique Expands Possibilities of Imaging Ancient Remains
News | Computed Tomography (CT) | December 27, 2018
Researchers in Sweden using computed tomography (CT) have successfully imaged the soft tissue of an ancient Egyptian...
Canon Aquilion One CT Helps Gates Vascular Institute Adhere to New Stroke Guidelines
News | Computed Tomography (CT) | December 12, 2018
In stroke, time saved on imaging is time gained in the treatment window. The recently updated guidelines from the...
Siemens Healthineers Unveils Multix Impact Digital Radiography System at RSNA 2018
News | Digital Radiography (DR) | December 11, 2018
At the 104th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA), Nov. 25-30 in...
Coreline Soft Introduces AI Lung Segmentation Solution at RSNA 2018
News | Lung Cancer | December 10, 2018
December 10, 2018 — Korean image software company Coreline Soft Co. Ltd.
FDA Approves New Features for Planmed Verity Cone Beam CT Scanner
Technology | Computed Tomography (CT) | December 07, 2018
The U.S. Food and Drug Administration (FDA) issued an approval letter for the new features and intended uses of the...