Cone-beam CT in paediatric dentistry: DIMITRA project position statement

DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With increasing use of cone-beam CT for dentomaxillofacial dia...

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Bibliographic Details
Published in:Pediatric radiology 2018-03, Vol.48 (3), p.308-316
Main Authors: Oenning, Anne Caroline, Jacobs, Reinhilde, Pauwels, Ruben, Stratis, Andreas, Hedesiu, Mihaela, Salmon, Benjamin
Format: Article
Language:English
Subjects:
Adolescents
Children
Computed tomography
Dentistry
Dosimetry
Drug dosages
Image quality
Imaging
Indication
Injuries
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Odontology
Oncology
Optimization
Pediatrics
Radiation
Radiation dosage
Radiation effects
Radiology
Review
Risk factors
Teeth
Three dimensional imaging
Trauma
Ultrasound
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Summary:DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With increasing use of cone-beam CT for dentomaxillofacial diagnostics, concern arises regarding radiation risks associated with this imaging modality, especially for children. Research evidence concerning cone-beam CT indications in children remains limited, while reports mention inconsistent recommendations for dose reduction. Furthermore, there is no paper using the combined and integrated information on the required indication-oriented image quality and the related patient dose levels. In this paper, therefore, the authors initiate an integrated approach based on current evidence regarding image quality and dose, together with the expertise of DIMITRA’s members searching for a state of the art. The aim of this DIMITRA position statement is to provide indication-oriented and patient-specific recommendations regarding the main cone-beam CT applications in the pediatric field. The authors will review this position statement document when results regarding multidisciplinary approaches evolve, in a period of 5 years or earlier.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-017-4012-9