Portal de Boas Práticas em Saúde da Mulher, da Criança e do Adolescente

Postagens

Exposição Pediátrica à Radiação Ionizante em Exames Radiológicos

1 out 2020

Crianças são mais radiosensíveis que adultos, portanto estão expostas à riscos mais elevados de câncer de cérebro, mama, pele, tireoide e leucemia ao longo da vida após exposição às radiações.

Referências citadas:

  • N Engl J Med.1988 Oct 20;319(16):1033-9. Tumors of the brain and nervous system after radiotherapy in childhood. Ron E1, Modan B, Boice JD Jr, Alfandary E, Stovall M, Chetrit A, Katz L. (https://www.ncbi.nlm.nih.gov/pubmed/3173432)
  • Radiat Res.1994 Feb;137(2 Suppl):S68-97. Cancer incidence in atomic bomb survivors. Part III. Leukemia, lymphoma and multiple myeloma, 1950-1987.
  • Preston DL1, Kusumi S, Tomonaga M, Izumi S, Ron E, Kuramoto A, Kamada N, Dohy H, Matsuo T, Matsui T [corrected to Matsuo T], et al. (https://www.ncbi.nlm.nih.gov/pubmed/8127953)
  • Portaria 453/1998 https://saude.es.gov.br/Media/sesa/NEVS/Servi%C3%A7os%20de%20sa%C3%BAde%20e%20de%20interesse/portaria453.pdf
  • Survey of the use of X-ray Beam Collimator and Shielding Tools during Infant Chest Radiography. Varid Karami, Mansour Zabihzadeh, Abdolreza Gilavand, Nasim Shams. (2016) – http:// ijp.mums.ac.ir – Original Article (Pages: 1637-1642)
  • ICRP Publication 103 – The 2007 Recommendations of the International Commission on Radiological Protection
  • Radiation exposure from CT scans in childhood and subsequente risk of leucemia and brain tumours: a retrospective cohort study. Mar S Pearce et al, 2012, Lancet
  • Patterns and trends of Computed Tomography usage among pediatric and Young patients ina private hospital in Rio de janeiro, 2005-2015, T.O. Chaves et al, BJRS, 2018
  • Estimated Risks of Radiation Induced Fatal Cancer from Pediatric CT, Brenner D.J. et al, AJR, 2001
  • Ron E, Modan B, Boice JD Jr, Alfandary E, Stovall M, Chetrit A, Katz L. Tumors of the brain and nervous system after radiotherapy in childhood. 1988.
  • Preston DL, Kusumi S, Tomonaga M, Izumi S, Ron E, Kuramoto A, Kamada N, Dohy H, Matsuo T, Matsui T [corrected to Matsuo T], et al. Cancer incidence in atomic bomb survivors. Part III. Leukemia, lymphoma and multiple myeloma, 1950-1987. 1994
  • Brenner DJ, Hall EJ. Cancer risks from CT scans: now we have data, what next? Radiology. 2012
  • McHugh, K.; Disini, L. Commentary: For the children’s sake, avoid non-contrast CT. Cancer Imaging 2011, 11, 16–18.
  • Ambrosino MM, Genieser NB, Roche KJ, et al. Feasibility of high-resolution, low-dose chest CT in evaluating the pediatric chest. Pediatr Radiol. 1994;24:6–10. doi: 10.1007/BF02017649. PMid:8008501.
  • Donelly LF. Commentary: oral contrast medium administration for abdominal CT-reevaluating the benefits and disadvantages in the pediatric patient. Pediatr Radiol. 1997;27:770–2. doi: 10.1007/s002470050225.
  • Strouse PJ, Bates G, Bloom DA, Goodsitt MM. Non-contrast thin-section helical CT of urinary tract calculi in children. Pediatr Radiol. 2002;32:326–32. PMid:11956719.