title: SPECT/CT in pediatric patient management.
abstract: Hybrid SPECT/CT imaging is becoming the standard of care in pediatric imaging. Indications are mainly for oncologic imaging including mIBG scintigraphy for neuroblastoma and I-123 post surgical imaging of children with thyroid carcinoma, bone scintigraphy for back pain, children referred from sports medicine and neurodevelopmentally delayed children presenting with pain symptoms. The studies provide improved diagnostic accuracy, and oncologic imaging that includes optimized CT as part of the SPECT/CT study may decrease the number of studies and sedation procedures an individual child may need. The studies, however, must be tailored on an individual basis as the addition of the CT study can increase exposure to the child and should only be performed after appropriate justification and with adherence to optimized low dose pediatric protocols.
authors.affiliation: Pediatric Radiologist and Nuclear Medicine Physician, Division of Nuclear Medicine Department of Radiology, British Columbia Children's Hospital, University of British Columbia, 4480 Oak Street, Vancouver, British Columbia, Canada, V6H3V4, hnadel@cw.bc.ca.
authors.forename: Helen R
authors.initials: HR
authors.lastname: Nadel
mesh_terms: D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D064847:Multimodal Imaging; D009140:Musculoskeletal Diseases / Q000000981:diagnostic imaging; D009369:Neoplasms / Q000000981:diagnostic imaging*; D010372:Pediatrics / Q000379:methods*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000000981:diagnostic imaging