Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma

Background. Children with HL are forced to undergo repetitive studies accompanied by radiation, which increases radiation doses. High radiation during studies in children is a huge problem, since the risk of developing complications for patients of this age is much higher than for adults.Purpose. To...

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Main Authors: K. A. Khasanova, I. E. Tyurin
Format: Article
Language:Russian
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2019-09-01
Series:Инновационная медицина Кубани
Subjects:
Online Access:https://www.innovmedkub.ru/jour/article/view/204
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author K. A. Khasanova
I. E. Tyurin
author_facet K. A. Khasanova
I. E. Tyurin
author_sort K. A. Khasanova
collection DOAJ
description Background. Children with HL are forced to undergo repetitive studies accompanied by radiation, which increases radiation doses. High radiation during studies in children is a huge problem, since the risk of developing complications for patients of this age is much higher than for adults.Purpose. To optimize the computed tomography protocol in pediatric Hodgkin's lymphoma for radiation dose reduction by reducing the scanning phases.Material and methods. CT scan analysis of 75 children with newly diagnosed, verified Hodgkin’s lymphoma was performed at the primary staging and after treatment. All studies were performed with contrast enhancement, scanning on a 16-slice computed tomography in the precontrast, arterial, venous and delayed phases. The radiation dose and the diagnostic value of each phase were assessed.Results. Using the reduced CT protocol for primary patients allows significantly reduce the cumulative ED by 3.8 times and by 3.6 times for dynamic scanning. Using the abbreviated protocol does not reduce the diagnostic value of CT.Conclusion. The proposed low-dose CT protocol with the reduction of contrast enhancement phases allows to obtain CT images with good diagnostic quality and reliably reduces the radiation dose to the child.
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spelling doaj.art-206c79c76e464e83b4ad0532f7ff3b5a2024-03-05T11:12:29ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972019-09-010361010.35401/2500-0268-2019-15-3-6-10193Optimized computed tomography protocol in pediatric Hodgkin’s lymphomaK. A. Khasanova0I. E. Tyurin1Russian Medical Academy of Postgraduate EducationRussian Medical Academy of Postgraduate EducationBackground. Children with HL are forced to undergo repetitive studies accompanied by radiation, which increases radiation doses. High radiation during studies in children is a huge problem, since the risk of developing complications for patients of this age is much higher than for adults.Purpose. To optimize the computed tomography protocol in pediatric Hodgkin's lymphoma for radiation dose reduction by reducing the scanning phases.Material and methods. CT scan analysis of 75 children with newly diagnosed, verified Hodgkin’s lymphoma was performed at the primary staging and after treatment. All studies were performed with contrast enhancement, scanning on a 16-slice computed tomography in the precontrast, arterial, venous and delayed phases. The radiation dose and the diagnostic value of each phase were assessed.Results. Using the reduced CT protocol for primary patients allows significantly reduce the cumulative ED by 3.8 times and by 3.6 times for dynamic scanning. Using the abbreviated protocol does not reduce the diagnostic value of CT.Conclusion. The proposed low-dose CT protocol with the reduction of contrast enhancement phases allows to obtain CT images with good diagnostic quality and reliably reduces the radiation dose to the child.https://www.innovmedkub.ru/jour/article/view/204radiation dosechildrenradiation safetyhodgkin’s lymphomacomputed tomographymultiphase scanning
spellingShingle K. A. Khasanova
I. E. Tyurin
Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
Инновационная медицина Кубани
radiation dose
children
radiation safety
hodgkin’s lymphoma
computed tomography
multiphase scanning
title Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
title_full Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
title_fullStr Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
title_full_unstemmed Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
title_short Optimized computed tomography protocol in pediatric Hodgkin’s lymphoma
title_sort optimized computed tomography protocol in pediatric hodgkin s lymphoma
topic radiation dose
children
radiation safety
hodgkin’s lymphoma
computed tomography
multiphase scanning
url https://www.innovmedkub.ru/jour/article/view/204
work_keys_str_mv AT kakhasanova optimizedcomputedtomographyprotocolinpediatrichodgkinslymphoma
AT ietyurin optimizedcomputedtomographyprotocolinpediatrichodgkinslymphoma