Delayed phase imaging increases the sensitivity of detection of injuries to the urinary tract and also assists in characterizing solid visceral organ injuries at the expense of doubling the radiation dose to the patient. If institutions can lower the rate of these examinations, the cumulative radiation exposure reduction would be substantial. Here we evaluate the rate of delayed phase imaging in the pediatric trauma population at our Level I trauma center as well as the frequency with which these patients demonstrate an indication on portal venous imaging for delayed phase acquisition. Finally, there are minimal guidelines dictating the appropriateness of delayed imaging in pediatric trauma. We include a review of the literature in order to elucidate appropriate indications and help guide clinicians to make evidenced based decisions.
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Meeting name:
SPR 2019 Annual Meeting & Postgraduate Course
, 2019
Authors:
Stewart Zachary,
Elmore Kate,
Thompson Allison,
Pham Huy
Keywords:
Trauma,
ALARA,
Protocol