title: White Paper on P4 Concepts for Pediatric Imaging.
abstract: Over the past decade, innovations in the field of pediatric imaging have been based largely on single-center and retrospective studies, which provided limited advances for the benefit of pediatric patients. To identify opportunities for potential "quantum-leap" progress in the field of pediatric imaging, the ACR-Pediatric Imaging Research (PIR) Committee has identified high-impact research directions related to the P4 concept of predictive, preventive, personalized, and participatory diagnosis and intervention. Input from 237 members of the Society for Pediatric Radiology was clustered around 10 priority areas, which are discussed in this article. Needs within each priority area have been analyzed in detail by ACR-PIR experts on these topics. By facilitating work in these priority areas, we hope to revolutionize the care of children by shifting our efforts from unilateral reaction to clinical symptoms, to interactive maintenance of child health.
authors: Lucile Packard Children's Hospital, Stanford School of Medicine, Palo Alto, California. Electronic address: heiked@stanford.edu.
authors: Heike E
authors: HE
authors: Daldrup-Link
authors: Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors: Christina
authors: C
authors: Sammet
authors: Monroe Carell Jr Children's Hospital at Vanderbilt University, Nashville, Tennessee.
authors: Marta
authors: M
authors: Hernanz-Schulman
authors: Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors: Katherine A
authors: KA
authors: Barsness
authors: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors: Anne Marie
authors: AM
authors: Cahill
authors: Uniformed Services University of the Health Sciences, Bethesda, Maryland.
authors: Ellen
authors: E
authors: Chung
authors: The Hospital for Sick Children, Toronto, Ontario.
authors: Andrea S
authors: AS
authors: Doria
authors: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors: Kassa
authors: K
authors: Darge
authors: Texas Children's Hospital, Houston, Texas.
authors: Rajesh
authors: R
authors: Krishnamurthy
authors: Lucile Packard Children's Hospital, Stanford School of Medicine, Palo Alto, California.
authors: Matthew P
authors: MP
authors: Lungren
authors: Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
authors: Sheila
authors: S
authors: Moore
authors: Children's National Medical Center, Washington, D.C.
authors: Laura
authors: L
authors: Olivieri
authors: Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
authors: Ashok
authors: A
authors: Panigrahy
authors: Cincinnati Children's Hospital, Cincinnati, Ohio.
authors: Alexander J
authors: AJ
authors: Towbin
authors: Cincinnati Children's Hospital, Cincinnati, Ohio.
authors: Andrew
authors: A
authors: Trout
authors: Children's Hospital of Boston, Boston, Massachusetts.
authors: Stephan
authors: S
authors: Voss
mesh_terms: D035843:Biomedical Research / Q000639:trends*; D003952:Diagnostic Imaging / Q000639:trends*; D004059:Diffusion of Innovation; D006801:Humans; D009316:National Institutes of Health (U.S.); D010372:Pediatrics / Q000639:trends*; D057285:Precision Medicine / Q000639:trends; D011315:Preventive Medicine / Q000639:trends; D011364:Professional Practice / Q000639:trends; D058996:Quality Improvement; D011835:Radiation Protection; D012109:Research Support as Topic; D014481:United States
keywords: ALARA; Image Gently; Pediatric imaging; participatory diagnosis; personalized medicine; preventive medicine