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Pediatric radiology - specifics of selected radiological examinations
ZACHAROVÁ, Martina
This bachelor thesis deals with the specifics of the examination of pediatric patients in the radiology department. The theoretical part describes how different is the work with children, not only in terms of developmental differences (anatomical, physiological and psychological), but also the established procedures which, if applied correctly, should lead to a reduction in the resulting radiation dose to the paediatric patient or his/her companion. Furthermore, in individual chapters, it introduces the reader in more detail to the specifics of the examination of children in the radiology department, specifically on X-ray (scans), computed tomography and magnetic resonance imaging. Within my practical part, two objectives were set in total. The first aim was to determine whether the accompanying person was sufficiently informed about the examination process - its advantages and disadvantages. The second aim was to find out which examinations are most frequently performed by children under 6 years of age in the radiology department. The questionnaire survey and data analysis of the radiology department of the Hospital České Budějovice a.s. was used. It was found that the accompanying persons were sufficiently informed about the ongoing examination, but they did not always understand the information sufficiently. The data analysis revealed that children were most often examined by means of scanography, skiascopy and magnetic resonance imaging. Only a small fraction of children were diagnosed by computed tomography, mainly because of the high level of ionising radiation a child receives during this examination. The main result is that applying experts are very careful about pediatric radiation hygiene. Children are first examined using modalities that impose very little burden. This is also helped by the correct education of the accompanying person, whose presence can calm the child or, if necessary, can hold the child.
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