Raissaki Maria, Stafrace Samuel, Kozana Androniki, Nievelstein Rutger A J, Papaioannou Georgia
Department of Radiology, University Hospital of Heraklion, University of Crete, Stavrakia Medical School Campus, 71110, Heraklion, Crete, Greece.
Department of Radiology, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada.
Pediatr Radiol. 2025 Mar;55(3):397-410. doi: 10.1007/s00247-024-06027-y. Epub 2024 Aug 22.
Paediatric radiology is a challenging and intriguing subspecialty, dealing with children, guardians and non-radiological clinical colleagues. Paediatric radiologists are routinely in contact with numerous paediatric and surgical subspecialties, all having different needs, perceptions, prioritisations and expectations. Moreover, the radiologist is part of the team of radiographers, sonographers, nurses and secretaries, assisted by appropriate equipment and electronic tools. The framework of good collaboration to ensure safety and effectiveness for the imaged child is a shared responsibility among all medical practitioners involved. Communication in routine practice has many forms and includes appropriately filled radiology requests in accordance to the patient's medical records, routine and timely production of structured, problem-solving radiology reports, face-to-face or electronic-assisted communications and discussions on a pre-defined framework, mutually-agreed and evidence-based protocols adjusted to local availability, skills and national and international guidelines. Mutual understanding of advantages and limitations of imaging is paramount. Well-meant discussions, professionalism and empathy should promote soft skills, bidirectional communication and good collaboration for the benefit of added-value paediatric radiology. International societies, health authorities, medical directors and senior consultants have the responsibility to suggest and safeguard frameworks and recommendations. Regular multidisciplinary meetings and multidisciplinary research projects under openness, honesty and transparency are pathways favouring good collaboration.
儿科放射学是一个具有挑战性且引人入胜的亚专业，涉及儿童、监护人以及非放射科临床同事。儿科放射科医生经常与众多儿科和外科亚专业打交道，这些亚专业有着不同的需求、认知、优先级和期望。此外，放射科医生是放射技师、超声技师、护士和秘书团队的一员，并借助适当的设备和电子工具开展工作。确保接受成像检查的儿童的安全与有效性的良好协作框架是所有相关医疗从业者的共同责任。日常实践中的沟通有多种形式，包括根据患者病历恰当填写放射学检查申请单、定期及时生成结构化的、解决问题的放射学报告、在预先确定的框架内进行面对面或电子辅助的沟通与讨论、根据当地可获得的资源、技能以及国家和国际指南调整相互认可且基于证据的方案。对成像检查的优势和局限性的相互理解至关重要。善意的讨论、专业精神和同理心应促进软技能、双向沟通以及良好协作，以实现更具价值的儿科放射学。国际协会、卫生当局、医疗主任和高级顾问有责任提出并维护相关框架和建议。在开放、诚实和透明的环境下定期召开多学科会议以及开展多学科研究项目是促进良好协作的途径。
