pediatric fluoroscopy

8/17/2019 Pediatric Fluoroscopy

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PEDIATRIC FLUOROSCOPY

Children are more sensitive to the efects oradiation since their tissues undergo higher

rates o mitotic activity than those o adults.


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MOTION

• Motion accounts for imaging prob !ms "uring#uoroscop$ t%an for a"u ts&

• Estab is% a fri!n" $' non(t%r!at!ning rapport )it%

t%! c%i "&• Practic! t%! n!c!ssar$ br!at%(%o "ing or position

c%anging&• An!st%!sia or s!"ation ma$ b! n!c!ssar$ for

ong !*amination p!rio"&• E*amp ! of immobi i+ation "!,ic!s inc u"! -! cro

straps' san" bags' an" compr!ssion ban"s


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PERSONNEL AND PARENTALPROTECTION

In cases where sedation ormechanical method oimmobilization are not practical,parents or hospital personnel mustimmobilize the child.Be cautious o scatter radiation orpatients.Use o apron and lead gloves arerecommended or whoever holds

patients.


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.ONAD S/IELD

Gonad shield o at least .! mmlead e"uivalent must be usedduring the e#am.$he genetic efects o radiation arethought to be cumulative.


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ARTIFACTS

To r!mo,! or not to r!mo,!0 T(s%irt0

R!mo,!

S%orts0R!mo,!

1an"ag!s0R!mo,!

Diap!rs0R!mo,!


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AUTOMATIC 1RI./TNESS CONTROL 2A1C32A1S3

%educes patient e#posure&'C v. &B( ) or #ray vs *uoro


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DISTANCE

D!cr!as! II tub! "istanc! to pati!nt&


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SPECIAL TEC/NICALCONSIDERATIONS

(mallest collimation possible+o grids

igital spot images


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T/E END


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4UESTIONS

• 53true - alse 6 An!st%!sia or s!"ation ma$ b!n!c!ssar$ for ong !*amination p!rio"&

•

73true - alse 6 In cas!s )%!r! s!"ation orm!c%anica m!t%o" of immobi i+ation ar! notpractica ' par!nts or %ospita p!rsonn! mustimmobi i+! t%! c%i "

• 83 At !ast %o) man$ mm s%ou " gona" s%i! "b!0 9&:mm Pb

pediatric fluoroscopy

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