Children's Mercy

Winter 2015

Safe & Sound is a magazine published by Children’s Mercy Hospital & Clinics in Kansas City. This quarterly publication features health and safety news from pediatric care experts at Children's Mercy.

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Follow us! Radiologists at Children's Mercy are trying to prevent pediatric radiation exposure—one child at a time. S ome medical imaging tests use radiation to create the detailed images that help guide treatment of many conditions. When used appropriately, imaging can and does save lives, but radiation exposure from these tests is a concern, particularly for young patients. Children's developing tissues are more sensitive to radiation than those of adults, and children potentially have more years for damage to appear. "Children's Mercy weighs the risks with the benefits of imaging tests for its young patients," says Lisa H. Lowe, MD, FAAP, pediatric radiologist at Children's Mercy, and Radiology Residency Program Director and Professor of Radiology at the UMKC School of Medicine. "Our goal is to limit radiation to the lowest amount possible without reducing effectiveness." HANDLED WITH CARE At Children's Mercy, the radiology imaging team follows the Image Gently ® guidelines created by the Alliance for Radiation Safety in Pediatric Imaging, which include imaging only when necessary, exposing only the affected area, "child-sizing" the radiation dose and imaging only once. In addition, Children's Mercy uses alternative, radiation-free imaging techniques, such as ultrasound and magnetic resonance imaging (MRI), whenever possible. According to Dr. Lowe, a study found that less than 20 percent of imaging centers adjust doses for children. A review of scans sent to Children's Mercy by outside imaging centers found that children were receiving as much as 50 percent more radiation than required and that the imaged area was often not optimally targeted. As a result, Children's Mercy is working to help educate pediatric health care providers about safe imaging. "A single computed tomography [CT] scan in an infant increases the risk of developing cancer by only 0.01 percent—that is a very small number," Dr. Lowe says. "But a child with cancer is 100 percent affected. We're trying to lower radiation exposure in children as much as possible, tailoring each exam to meet the specific needs of the individual child, because every child matters." To learn more about Children's Mercy's radiology services, visit www.childrensmercy.org/Radiology. A DOSE OF Caution Ask the Right Questions Parents should partner with clinicians to make informed decisions about tests involving radiation. Ask your child's physician or radiologist these helpful questions: • Is this imaging facility accredited by the American College of Radiology? • How will this test help? • How will the test affect my child's care? • Is there a different, radiation-free test that can provide similar information? • Will my child receive a child-sized radiation dose? www.childrensmercy.org 3

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