[Skip to Navigation]
Views 1,195
Citations 0
August 3, 2020

Less Radiation but More Overall Advanced Imaging in Children—Good News or Bad News?

Author Affiliations
  • 1Division of Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California
  • 2Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California
JAMA Pediatr. 2020;174(9):e202222. doi:10.1001/jamapediatrics.2020.2222

During the past 2 decades, excessive diagnostic imaging has been a common target for high-value care efforts. Given concerns about ionizing radiation and the risk of subsequent cancers, numerous initiatives have aimed to reduce unnecessary computed tomography (CT), particularly in children. Advocacy campaigns, such as Image Gently, Image Wisely, and Choosing Wisely, have highlighted the downstream risks associated with radiation and have encouraged eliminating unnecessary studies while reducing the radiation dose of necessary ones. Evidence from previous work1 has facilitated protocols that enable more judicious imaging. In addition, for some conditions, alternative imaging modalities that do not impart radiation, such as ultrasonography and magnetic resonance imaging (MRI), have been proposed and used.2 The recent advent of so-called fast MRI, which frequently does not require sedation, has increased the allure of this imaging modality.3

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words