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Childhood head injury the clinical decision rule for the use of computed tomography in children with minor head injury Shoko Shimokawa 1 1Department of Neurosurgery Medical Corporation Kouhoukai Takagi Hospital(currently Department of Neurosurgery, Kurume University School of Medicine) Keyword: 小児 , 頭部外傷 , CT撮像基準 pp.413-420
Published Date 2021/5/10
DOI https://doi.org/10.18888/rp.0000001594
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Computed tomography(CT)is a major component of artificial radiation exposure performed to ensure compliance with optimization and justification. Optimization and justification are the two fundamental principles of radiation protection in medical exposures. Moreover, CT should reduce exposure because children are more radiosensitive than adults. In the context of the system of radiation protection, optimization can be achieved by replacing a new CT instrument or adjusting the imaging conditions regarding the diagnostic reference levels. Furthermore, justification is to choose CT with the guidelines and appropriate reasons. Optimization and justification are useful in deciding to perform CT in children with minor head injuries with clinical decision rules previously reported in Pediatric Emergency Care Applied Research Network, Canadian Assessment of Tomography for Childhood Head Injury, and Children’s Head injury Algorithm for the Prediction of Important Clinical Events. Thus, understanding the clinical decision rule for the use of CT in children with minor head injuries is very important for physicians so that the frequency of CT pediatric head injuries can be reduced.


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電子版ISSN 印刷版ISSN 0009-9252 金原出版

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