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SHR Neuro Cancer Cardio Lipid Metab Microb

Nagy, E; Sorantin, E; Tschauner, S.
[Computed tomography of the chest in children : Indications, technical optimization, and future perspectives].
Radiologie (Heidelb). 2025; Doi: 10.1007/s00117-025-01533-y
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Leading authors Med Uni Graz

Nagy Eszter

Tschauner Sebastian

Co-authors Med Uni Graz

Sorantin Erich

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Abstract:

BACKGROUND: Computed tomography (CT) of the chest is an indispensable tool in pediatric radiology, but it imposes particular challenges. OBJECTIVE: This review article presents a practice-oriented approach to optimizing thoracic CT in children, from clinical indications to technical execution and new technologies. MATERIALS AND METHODS: A critical review of relevant scientific publications and guidelines was performed. RESULTS: Optimizing pediatric chest CT requires strict indications, adaptation of scan parameters (especially tube voltage) to pediatric physiology, and the use of specific protocols (e.g., high resolution CT [HRCT], low-dose CT). Image reconstruction and postprocessing (maximum intensity projection [MIP], minimum intensity projection [MinIP], volume rendering technique [VRT]) are crucial for diagnosis. Dose monitoring using diagnostic reference levels (DRLs) and ADs is essential.w CONCLUSION: Recent developments, particularly photon-counting CT, are discussed regarding their potential to improve image quality and reduce radiation exposure in the context of thoracic imaging.

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