Assessing and conveying risks and benefits of imaging in neonates using ionizing radiation and sedation/anesthesia.
Pediatr Radiol
; 52(4): 616-621, 2022 Apr.
Article
em En
| MEDLINE
| ID: mdl-34283256
ABSTRACT
Neonates represent a unique subset of the pediatric population that requires special attention and careful thought when implementing advanced cross-sectional imaging with CT or MRI. The ionizing radiation associated with CT and the sedation/anesthesia occasionally required for MRI present risks that must be balanced against the perceived benefit of the imaging examination in the unique and particularly susceptible neonatal population. We review the perceived risks of ionizing radiation and the more concrete risks of sedation/anesthesia in term and preterm neonates in the context of an imaging paradigm. When the expected diagnostic yield from CT and MRI is similar, and sedation is required for MRI but not for CT, CT likely has the higher benefit-to-risk ratio in the neonate. However, despite the risks, the most appropriate imaging modality should always be chosen after thoughtful consideration is given to each unique patient and informed discussions including radiology, anesthesia, neonatology and the parents/caregivers are pursued.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anestesia
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
/
Newborn
Idioma:
En
Revista:
Pediatr Radiol
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos