Duke University School of Medicine, Durham, NC, USA.
Pediatr Radiol. 2012 Jan;42(1):82-94. doi: 10.1007/s00247-011-2211-3. Epub 2011 Aug 9.
Diagnostic imaging plays an integral role in diagnosing and managing many pediatric disorders, but there is growing concern in both the medical community and the general public about the long-term health effects of ionizing radiation in children, as well as utilization of imaging evaluation. These concerns, coupled with increasing pressure to reduce national health care spending, underscore the need for an assessment of readily available guidelines, especially evidence-based guidelines, for imaging in children.
To generate a list of national medical organization-endorsed guidelines with provisions for imaging the pediatric patient.
Several resources, including the National Guideline Clearinghouse (NGC) and the Web sites of major medical organizations, were searched for documents that contained specific recommendations for imaging in the pediatric population.
A total of 155 guidelines from 40 medical organizations met inclusion criteria and are represented in our compendium.
The compendium generated in this study can be used to direct clinical care, inform policy development and improve education of health care personnel. Additionally, the compendium can be used to identify areas of redundancy or deficiency, which may stimulate the reassessment of existing recommendations as well as the creation of new guidelines.
诊断成像在诊断和治疗许多儿科疾病方面发挥着重要作用，但医疗界和公众越来越关注儿童电离辐射的长期健康影响，以及影像学评估的应用。这些担忧，加上减少国家医疗保健支出的压力不断增加，突显了评估现有的指南，特别是基于证据的指南，对于儿童影像学的必要性。
生成一份附有儿科患者影像学检查条款的国家医学组织认可指南列表。
搜索了包括国家指南交换中心（NGC）和主要医学组织网站在内的多个资源，以获取包含儿科人群影像学特定建议的文件。
共有来自 40 个医学组织的 155 条指南符合纳入标准，并在本纲要中体现。
本研究生成的纲要可用于指导临床护理、为政策制定提供信息并改进医疗保健人员的教育。此外，该纲要可用于确定冗余或不足的领域，这可能会促使重新评估现有的建议，并创建新的指南。
