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Radiology: Will guidelines improve radiopharmaceutical use in kids?

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Citing significant variations in pediatric radiopharmaceutical doses and package inserts lacking pediatric doses, the authors of an article appearing in the November issue of Radiology indicated recently approved consensus guidelines for pediatric administered radiopharmaceutical doses may help solve the problem.

Over the past several decades, a wide variety of pediatric dose schedules have been used by nuclear medicine practitioners across the country, which indicates some patients are receiving unnecessary radiation exposures.

In the article, S. Ted Treves, MD, of Children’s Hospital Boston; Marguerite T. Parisi, MD, MS, of Seattle Children’s Hospital; and Michael J. Gelfand, MD, of Cincinnati Children’s Hospital, wrote about the implications of the new guidelines.

“We hope that the wide availability of these guidelines will be helpful to physicians responsible for pediatric nuclear medicine imaging procedures,” wrote the authors. “We believe that wide adoption of these guidelines could result in reduction in radiation exposure in many children undergoing nuclear medicine examinations.”

The guidelines were approved in late 2010 by the Society of Nuclear Medicine, the Society for Pediatric Radiology and the American College of Radiology. The Alliance for Radiation Safety in Pediatric Imaging also encouraged the development of the guidelines.

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