چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده ثبت کننده مقاله | امیررضا جهانشاهی |
| مرحله جاری مقاله | تایید نهایی |
| دانشکده/مرکز مربوطه | دانشکده پزشکی |
| کد مقاله | 84281 |
| عنوان فارسی مقاله | تصویربرداری در ترومای اطفال |
| عنوان لاتین مقاله | Imaging in trauma in pediatrics |
| نوع ارائه | سخنرانی |
| عنوان کنگره / همایش | تصویربرداری در کودکان |
| نوع کنگره / همایش | ملی |
| کشور محل برگزاری کنگره/ همایش | Iran (Islamic Republic) |
| شهر محل برگزاری کنگره/ همایش | تهران |
| سال انتشار/ ارائه شمسی | 1402 |
| سال انتشار/ارائه میلادی | 2023 |
| تاریخ شمسی شروع و خاتمه کنگره/همایش | 1402/09/09 الی 1402/09/09 |
| آدرس لینک مقاله/ همایش در شبکه اینترنت | https://www.skyroom.online/ch/netmork/ra |
| آدرس علمی (Affiliation) نویسنده متقاضی | associate Professor of Radiology. Tabriz University of Medical Sciences |
| نویسنده | نفر چندم مقاله |
|---|---|
| امیررضا جهانشاهی | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Some difference of pediatrics trauma in comparison with adults are exist which are include, injuries regarded as common and serious in the adult population such as spinal or pelvic injury are exceedingly rare in preadolescent children and Injuries regarded as life-threatening in the adult population (for example, liver and spleen trauma) are routinely managed conservatively in children and it has recently become increasingly clear that the cancer risk of computed tomography (CT) in childhood is real, significant and is higher in younger ages. The use of adult protocols and in particular the „whole-body‟ CT trauma survey is not appropriate as a routine investigation in childhood and Exposure to ionizing radiation should always be kept to a minimum and the „as low as reasonably achievable‟ (ALARA) principles should be adhered to. In the acute pediatric trauma setting, there is currently no role for ultrasound outside of assisting in interventional procedures and „Focused Abdominal Sonography in Trauma (FAST) does not offer any additional information to that obtained with a CT scan and should not be performed if it would delay transfer to CT‟ with studies demonstrating negative predictive values of only 50–63% in unstable patients. In the acutely injured child, magnetic resonance (MR) imaging is primarily reserved for potential spinal cord injury, though it is acknowledged that access to MR imaging may be difficult. CT is the primary investigation for cranial imaging in the child who has suffered head trauma. It displays high sensitivity and specificity for identification of traumatic brain injury and is readily available in most centers. Pediatrics cervical spine injury is uncommon thus Appropriate clinical evaluation must be undertaken before imaging is performed as it is an anatomical area that is relatively radiosensitive. Initial imaging of the cervical spine may be with plain radiographs or CT scan depending on the clinical situation. The primary investigation for blunt chest trauma is the chest X-ray. This will detect pneumothorax, hemothorax, rib fractures, gross mediastinal abnormalities, diaphragmatic injuries and rib fracture. Penetrating trauma is an indication for contrast-enhanced chest CT due to the incidence of occult vascular injury. Where clinically indicated, contrast-enhanced CT is the modality of choice for the assessment of acute traumatic intra-abdominal injury. There are no mechanisms of injury which mandate abdominal CT as an isolated factor and Decisions to perform abdominal CT should be made on the basis of the clinical history and examination. Pelvic fractures are rare in children and a screening pelvic radiograph is not indicated in all cases and Pelvic imaging should only be considered if there are concerns after clinical assessment For limbs trauma, we should use the clinical history and examination, and clinicians should request plain radiographs of the injured region as the primary investigation. This will usually be anteroposterior and lateral views including the adjacent joints. Conclusion: This document provides clear evidence-based guidance for those involved in imaging decisions for pediatric trauma. Injury patterns in children differ vastly to those in adults; this important factor must be taken into account. The need to keep radiation dose as low as possible while still providing good quality examinations is paramount |
| کلمات کلیدی | pediatrics-trauma-Radiology |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| abstract 1.jpg | 1403/01/12 | 224581 | دانلود |
| abstract 2.jpg | 1403/01/12 | 156241 | دانلود |
| ircme.ir_App_Web_(User)_(Inclusive)_WorkBook_Author_Plan_Certificate.aspx_CenterID=25&LectureID=1343645&CS=3e73645257dc37e612c78fdb03f9358e.pdf | 1403/01/12 | 71329 | دانلود |
