McCauley R G, Schwartz A M, Leonidas J C, Darling D B, Bankoff M S, Swan C S
Radiology. 1979 Apr;131(1):95-7. doi: 10.1148/131.1.95.
Routine comparison views in cases of suspected extremity injury in children have not been adequately substantiated, in the authors' opinion. Three hundred such cases were reviewed, with pediatric radiologists requesting comparison views of the uninjured side in 8%. In no case did the comparison view change the initial diagnosis. When the initial interpretation is made by pediatric radiologists, selective use of comparison views is more cost-efficient and delivers less radiation to patients and personnel, compared to obtaining them routinely in all cases.
作者认为，在疑似儿童肢体损伤的病例中，常规的对比视图尚未得到充分证实。回顾了300例此类病例，小儿放射科医生要求对未受伤侧进行对比视图检查的比例为8%。在任何情况下，对比视图都没有改变最初的诊断。与在所有病例中常规获取对比视图相比，当由小儿放射科医生进行初始解读时，选择性使用对比视图更具成本效益，并且能减少对患者和工作人员的辐射。
