Mesh : Humans Emergency Service, Hospital Child Magnetic Resonance Imaging / methods Tomography, X-Ray Computed / methods Diagnostic Imaging / methods Decision Support Systems, Clinical Teleradiology Decision Making, Shared Ultrasonography / methods

来  源:   DOI:10.1542/peds.2024-066855

Abstract:
Advanced diagnostic imaging modalities, including ultrasonography, computed tomography, and magnetic resonance imaging, are key components in the evaluation and management of pediatric patients presenting to the emergency department. Advances in imaging technology have led to the availability of faster and more accurate tools to improve patient care. Notwithstanding these advances, it is important for physicians, physician assistants, and nurse practitioners to understand the risks and limitations associated with advanced imaging in children and to limit imaging studies that are considered low value, when possible. This technical report provides a summary of imaging strategies for specific conditions where advanced imaging is commonly considered in the emergency department. As an accompaniment to the policy statement, this document provides resources and strategies to optimize advanced imaging, including clinical decision support mechanisms, teleradiology, shared decision-making, and rationale for deferred imaging for patients who will be transferred for definitive care.
摘要:
先进的诊断成像模式,包括超声检查,计算机断层扫描,和磁共振成像,是评估和管理急诊儿科患者的关键组成部分。成像技术的进步导致了更快,更准确的工具来改善患者护理的可用性。尽管取得了这些进展,这对医生来说很重要,医师助理,和护士从业人员了解与儿童高级成像相关的风险和局限性,并限制被认为价值低的成像研究,如果可能的话。本技术报告提供了针对急诊科通常考虑高级成像的特定条件的成像策略摘要。作为政策声明的伴奏,本文件提供了优化高级成像的资源和策略,包括临床决策支持机制,远程放射学,共同决策,以及将接受明确治疗的患者推迟成像的理由。
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