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- Title
Applying the ALARA concept to the evaluation of vesicoureteric reflux.
- Authors
Lee, Richard S.; Diamond, David A.; Chow, Jeanne S.
- Abstract
The voiding cystourethrogram (VCUG) is a widely used study to define lower urinary tract anatomy and to diagnose vesicoureteric reflux (VUR) in children. We examine the technical advances in the VCUG and other examinations for reflux that have reduced radiation exposure of children, and we give recommendations for the use of imaging studies in four groups of children: (1) children with urinary tract infection, (2) siblings of patients with VUR, (3) infants with antenatal hydronephrosis (ANH), and (4) children with a solitary functioning kidney. By performing examinations with little to no radiation, carefully selecting only the children who need imaging studies and judiciously timing follow-up examinations, we can reduce the radiation exposure of children being studied for reflux.
- Subjects
VESICO-ureteral reflux in children; RADIATION exposure; PEDIATRIC diagnostic imaging; RADIATION injuries in children; URINATION disorders; DIAGNOSIS; MAGNETIC resonance imaging
- Publication
Pediatric Radiology, 2006, Vol 36, p185
- ISSN
0301-0449
- Publication type
journal article
- DOI
10.1007/s00247-006-0185-3