ArticleDeutsches Arzteblatt international2011
Radiation protection in pediatric radiology.
Article in Deutsches Arzteblatt international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Technical strategies for radiation dose optimisation in paediatric pelvic radiography: a systematic review.Radiological physics and technology · 2026Pooled it
- [Diagnostics and treatment of cervical spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].Der Unfallchirurg · 2020Guideline
- Arginine Dentifrices and Childhood Caries Prevention: A Randomized Clinical Trial.JDR clinical and translational research · 2026Trial
- The concordance of ultrasound technique versus X-ray to confirm endotracheal tube position in neonates.Journal of perinatology : official journal of the California Perinatal Association · 2015Trial
- Radiographic imaging in pediatric suspected foreign body ingestion: potential for dose reduction through collimation and exposure strategies.Pediatric radiology · 2026Article
- Radiation effects of a CT scan on chromosomal aberrations in cancer and non-cancer patients.Journal of radiation research · 2026Article
- Local diagnostic reference levels for pediatric fluoroscopy in a Brazilian tertiary referral center: A weight‑based analysis.Journal of applied clinical medical physics · 2026Article
- Age-dependent evaluation of organ and effective doses in pediatric full-spine radiography: influence of anteroposterior and posteroanterior projection and copper filtration using Monte Carlo simulation.Pediatric radiology · 2026Article
- [Traumatic epiphysiolysis of the dens axis-a 10-year follow-up].Orthopadie (Heidelberg, Germany) · 2025Article
- Performance Evaluation of a Miniaturized, Toothbrush-Shaped Ultrasound Transducer for Periodontal Imaging.ACS sensors · 2025Article
- Clinical consequence of the 4-week X-ray control after ESIN osteosynthesis of forearm fractures in children.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Forensic age estimation by MRI of the knee - comparison of two classifications for ossification stages in a German population.International journal of legal medicine · 2024Article
- Diagnosis of suspected pediatric distal forearm fractures with point-of-care-ultrasound (POCUS) by pediatric orthopedic surgeons after minimal training.BMC medical imaging · 2024Article
- Improving Therapy for Children with Scoliosis through Reducing Ionizing Radiation by Using Alternative Imaging Methods-A Study Protocol.Journal of clinical medicine · 2024Article
- Comparison of Image Quality and Radiation Dose in Pediatric Temporal Bone CT Using Photon-Counting Detector CT and Energy-Integrating Detector CT.AJNR. American journal of neuroradiology · 2024Article
- Article
- Comparison of Titanium versus Resorbable Intramedullary Nailing in Pediatric Forearm Fractures.Children (Basel, Switzerland) · 2024Article
- Are radiographs overutilized in pediatric orthopaedic emergency room care?Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- How Can Specialist Advice Influence the Neuroimaging Practice for Childhood Headache in Emergency Department?Children (Basel, Switzerland) · 2023Article
- Decreasing Radiation Exposure in the Treatment of Pediatric Long Bone Fractures Using a DXA Scan: A Proof of Concept.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe German Federal Law on Radiation Control contains no special provisions for X-ray studies in children and adolescents, even though exposure to ionizing radiation must be kept especially low in young persons, because their tissues are highly radiosensitive. Children, who have many years left to live, are more likely than adults to develop radiation-induced cancer; also, as future parents, they are at risk for passing on radiation-induced genetic defects to the next generation. Whenever possible, radiological studies on children and adolescents should be of a type that does not involve ionizing radiation, such as ultrasonography or magnetic resonance imaging. Pediatric conventional X-rays and computerized tomography (CT) require special examining techniques and protocols that are adapted to the patient's age and to the indication for the study.
methodsWe selectively review the literature on pediatric dose reduction and discuss our own investigations on the subject as well.
resultsThe essential technical prerequisites for lowering the dose of ionizing radiation in conventional X-ray studies include the proper setting of tube voltage, the use of tube filters, suitable patient positioning and fixation, variable use of a scattered-radiation grid, and a modern storage-plate system. In CT studies, the use of age- and indication-adapted protocols can lower radiation exposure by as much as 95%.
conclusionThere are now many ways to lower the exposure of children and adolescents to ionizing radiation without sacrificing diagnostic reliability. The main factors in lowering exposure are proper attention to clinical indications, the use of special X-ray protocols, the use of alternative imaging studies without ionizing radiation wherever possible, and the expertise of the examiner.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.