سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Alamdaran, Ali, Dana, Mohammad amin, Hashemi, Jahanbakhsh, Morovatdar, Negar, Sayedi, Sayed Javad. (1398). Clinical Value of Low Dose CT- Scan in Pediatric Chest Diseases: Adequacy Assessment. , 8(2), 10845-10851. doi: 10.22038/ijp.2019.14011
Ali Alamdaran; Mohammad amin Dana; Jahanbakhsh Hashemi; Negar Morovatdar; Sayed Javad Sayedi. "Clinical Value of Low Dose CT- Scan in Pediatric Chest Diseases: Adequacy Assessment". , 8, 2, 1398, 10845-10851. doi: 10.22038/ijp.2019.14011
Alamdaran, Ali, Dana, Mohammad amin, Hashemi, Jahanbakhsh, Morovatdar, Negar, Sayedi, Sayed Javad. (1398). 'Clinical Value of Low Dose CT- Scan in Pediatric Chest Diseases: Adequacy Assessment', , 8(2), pp. 10845-10851. doi: 10.22038/ijp.2019.14011
Alamdaran, Ali, Dana, Mohammad amin, Hashemi, Jahanbakhsh, Morovatdar, Negar, Sayedi, Sayed Javad. Clinical Value of Low Dose CT- Scan in Pediatric Chest Diseases: Adequacy Assessment. , 1398; 8(2): 10845-10851. doi: 10.22038/ijp.2019.14011

Clinical Value of Low Dose CT- Scan in Pediatric Chest Diseases: Adequacy Assessment

Journal of Pediatric Perspectives
مقاله 4، دوره 8، شماره 2 - شماره پیاپی 74، اردیبهشت 2020، صفحه 10845-10851    اصل مقاله (553.18 K)
شناسه دیجیتال (DOI): 10.22038/ijp.2019.14011
نویسندگان
Ali Alamdaran* 1؛ Mohammad amin Dana2؛ Jahanbakhsh Hashemi3؛ Negar Morovatdar4؛ Sayed Javad Sayedi5
1Radiology Resident, Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.
2Radiology resident, department of radiology, mashhad University of medical sciences, mashhad
3Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5Department of Pediatrics, Sheikh Pediatrics Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده
Background
Radiation dose about 400 times that of standard thoracic computed tomography (CT) in comparison with chest X- ray resulting in different approaches to decrease radiation dose have been established in the last few years to prevent possible side effects especially in children, such as low dose protocols. The aim of this study was assessment of clinical value of low dose CT in pediatric chest diseases.
Materials and Methods
This prospective study was conducted from 2017 to 2019 in the radiology departments of Dr. Sheikh Children’s hospital and Imam Reza Hospital, Mashhad, Iran. The low dose CT scans were conducted at 90 kVp and 30 mAs (for 0-6 years age group) in 27 cases or 50 mAs (for 6-12 years age group) in 17 cases. Eventually, the radiologic findings were compared with the confirmed diagnosis by pediatric pulmonologist based on clinical, laboratory and imaging findings. Data were analyzed and Kappa agreement coefficient test was performed to determine agreement between the low dose CT findings and the final diagnosis.
Results
Forty-four children were enrolled in this study. 72.7% (32 cases) of all patients had chronic cough as the most common initial symptom, and hyperactive airway disease (10 patients, 22.7%), and persistent bacterial bronchitis (9 patients, 20.5%) were the most frequent chest diseases. There was perfect agreement between the CT- scan findings and final diagnosis (k=1, p<0.001).
Conclusion
The current study revealed that diagnostic findings of the low dose CT- scan was adaptive with clinical needs for the final diagnosis.
کلیدواژه‌ها
Chest؛ Children؛ Clinical Value؛ Low dose CT- scan
آمار
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