title: [Optimization of radiological scoliosis assessment].
abstract: Most scoliosis are idiopathic (80%) and occur more frequently in adolescent girls. Plain radiography is the imaging method of choice, both for the initial study and follow-up studies but has the disadvantage of using ionizing radiation. The breasts are exposed to x-ray along these repeated examinations. The authors present a range of recommendations in order to optimize radiographic exam technique for both conventional and digital x-ray settings to prevent unnecessary patients' radiation exposure and to reduce the risk of breast cancer in patients with scoliosis. With analogue systems, leaded breast protectors should always be used, and with any radiographic equipment, analog or digital radiography, the examination should be performed in postero-anterior projection and optimized low-dose techniques. The ALARA (as low as reasonable achievable) rule should always be followed to achieve diagnostic quality images with the lowest feasible dose.
authors.affiliation: Vall d'Hebron Institut de Recerca, Barcelona, España. Electronic address: goyaenriquez@gmail.com.
authors.forename: Goya
authors.initials: G
authors.lastname: Enríquez
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, España.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Piqueras
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Catalá
authors.affiliation: Servicio de Promoción de la Seguridad del Paciente, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors.forename: Glòria
authors.initials: G
authors.lastname: Oliva
authors.affiliation: Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Agustí
authors.initials: A
authors.lastname: Ruiz
authors.affiliation: Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Ribas
authors.affiliation: UDIAT-SDI Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: Carmina
authors.initials: C
authors.lastname: Duran
authors.affiliation: Hospital Germans Trias i Pujol, Badalona, Barcelona, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Rodrigo
authors.affiliation: CAP del SDPI Poblenou, Barcelona, España.
authors.forename: Eugenia
authors.initials: E
authors.lastname: Rodríguez
authors.affiliation: Hospital General de Granollers, Granollers, Barcelona, España.
authors.forename: Victoria
authors.initials: V
authors.lastname: Garriga
authors.affiliation: Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: Teresa
authors.initials: T
authors.lastname: Maristany
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, España.
authors.forename: César
authors.initials: C
authors.lastname: García-Fontecha
authors.affiliation: Hospital Universitari Doctor Josep Trueta, Girona, España.
authors.forename: Joan
authors.initials: J
authors.lastname: Baños
authors.affiliation: Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Muchart
authors.affiliation: Servicio de Promoción de la Seguridad del Paciente, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alava
mesh_terms: D000293:Adolescent; D001940:Breast / Q000528:radiation effects; D002648:Child; D004307:Dose-Response Relationship, Radiation; D005260:Female; D006801:Humans; D008297:Male; D058958:Organs at Risk; D061214:Patient Safety; D011481:Protective Clothing; D058996:Quality Improvement; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000517:prevention & control*; D011835:Radiation Protection; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods; D011859:Radiography / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D011874:Radiometry; D012600:Scoliosis / Q000000981:diagnostic imaging*; D012720:Severity of Illness Index
keywords: Adolescent; Adolescentes; Children; Escoliosis; Niños; Patient safety; Protección radiológica; Radiation protection; Radiografía de columna; Scoliosis; Seguridad del paciente; Spine radiography