Radiation safety for cardiovascular computed tomography imaging in paediatric cardiology: a joint expert consensus document of the EACVI, ESCR, AEPC, and ESPR

Author:

Francone Marco12,Gimelli Alessia3ORCID,Budde Ricardo P J4,Caro-Dominguez Pablo5,Einstein Andrew J67,Gutberlet Matthias89,Maurovich-Horvat Pal10,Miller Owen11,Nagy Eszter12,Natale Luigi13,Peebles Charles14,Petersen Steffen E1516,Semple Thomas1718,Valverde Israel19,Voges Inga20ORCID,Secinaro Aurelio2122ORCID,Di Salvo Giovanni2324ORCID

Affiliation:

1. Department of Biomedical Sciences, Humanitas University , Via Rita Levi Montalcini 4, 20072 Pieve Emanuele, Milan , Italy

2. IRCCS Humanitas Research Hospital , via Manzoni 56, 20089 Rozzano, Milan , Italy

3. Imaging Department, Fondazione Toscana Gabriele Monasterio , via Moruzzi 1, 56124 Pisa , Italy

4. Department of Radiology and Nuclear Medicine, Erasmus Medical Center , Rotterdam , The Netherlands

5. Pediatric Radiology Unit, Department of Radiology Hospital, Universitario Virgen del Rocío , Sevilla , Spain

6. Seymour, Paul and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital , New York, NY , USA

7. Seymour, Paul and Gloria Milstein, Department of Radiology, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital , New York, NY , USA

8. Department of Diagnostic and Interventional Radiology, Heart Center Leipzig , Leipzig , Germany

9. Medical Faculty, University of Leipzig , Leipzig , Germany

10. Medical Imaging Centre, Semmelweis University , Budapest , Hungary

11. Evelina London Children’s Hospital , London , UK

12. Division of Paediatric Radiology, Department of Radiology, Medical University Graz , Graz , Austria

13. Radiological, Radiotherapic and Haematological Sciences, Fondazione Policlinico Universitario Gemelli—IRCCS, Università Cattolica S. Cuore Rome , Rome , Italy

14. Department of Radiology, University Hospital Southampton , Southampton , UK

15. William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University of London , Charterhouse Square, London EC1M 6BQ , UK

16. Barts Heart Centre, St Bartholomew’s Hospital, Barts Health NHS Trust , West Smithfield, London EC1A 7BE , UK

17. Department of Radiology, The Royal Brompton Hospital , Sydney Street, London SW3 6NP , UK

18. Centre for Paediatrics and Child Health, Imperial College London , London , UK

19. Pediatric Cardiology and Cardiovascular Pathology Unit, Virgen del Rocio University Hospital, Institute of Biomedicine of Seville (IBIS), University of Seville , Seville , Spain

20. Department of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein , Kiel , Germany

21. Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital , Rome , Italy

22. Advanced Cardiothoracic Imaging Unit, Department of Imaging, Bambino Gesù Children's Hospital, IRCCS , Rome , Italy

23. Department of Woman and Child Health, Paediatric Research Institute, University of Padua , Padua , Italy

24. Experimental Cardiology Department, Paediatric Research Institute, University of Padua , Padua , Italy

Abstract

Abstract Children with congenital and acquired heart disease may be exposed to relatively high lifetime cumulative doses of ionizing radiation from necessary medical invasive and non-invasive imaging procedures. Although these imaging procedures are all essential to the care of these complex paediatric population and have contributed to meaningfully improved outcomes in these patients, exposure to ionizing radiation is associated with potential risks, including an increased lifetime attributable risk of cancer. The goal of this manuscript is to provide a comprehensive review of radiation dose management and cardiac computed tomography performance in the paediatric population with congenital and acquired heart disease, to encourage informed imaging to achieve indication-appropriate study quality at the lowest achievable dose.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,General Medicine

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