Weng Wei, Chen Yaomeng
Department of Radiology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Department of Radiology, Wenzhou People's Hospital, Wenzhou, China.
Front Pediatr. 2025 Sep 10;13:1654551. doi: 10.3389/fped.2025.1654551. eCollection 2025.
Pediatric abdominal pain is one of the most common issues reported in emergency departments (EDs), where emergency computed tomography (CT) plays a crucial role in diagnosing various conditions. However, the frequent use of emergency CT scans in children has raised significant concerns due to the associated risks of unnecessary radiation exposure and increased healthcare costs. This review aims to explore the current situation regarding the overuse of emergency CT scans among children with abdominal pain, examining the factors that contribute to this trend and its harmful effects. It also summarizes recommended interventions and research advancements designed to tackle this issue. By thoroughly reviewing the existing literature, this article seeks to provide valuable insights for clinical practice, promoting the careful use of emergency CT and emphasizing the role of non-ionizing alternatives such as ultrasound and magnetic resonance imaging (MRI) to minimize unnecessary radiation exposure and optimize the use of medical resources.
小儿腹痛是急诊科报告的最常见问题之一，在急诊科，急诊计算机断层扫描（CT）在诊断各种病症中起着至关重要的作用。然而，由于存在不必要的辐射暴露风险和医疗成本增加的问题，儿童频繁使用急诊CT扫描引发了重大关注。本综述旨在探讨腹痛儿童过度使用急诊CT扫描的现状，研究导致这一趋势的因素及其有害影响。它还总结了为解决这一问题而推荐的干预措施和研究进展。通过全面回顾现有文献，本文旨在为临床实践提供有价值的见解，促进急诊CT的谨慎使用，并强调超声和磁共振成像（MRI）等非电离替代方法的作用，以尽量减少不必要的辐射暴露并优化医疗资源的使用。
