Why the type of radiologic study and where your child receives it matter

The doctor has ordered an imaging test for your child…but why?

“Imaging tests are crucial when a provider's clinical history, physical exam and laboratory findings alone are not sufficient to make the best clinical decisions regarding patient care,” said Dr. Gregory Vorona, section chief of Pediatric Radiology.

Types of pediatric imaging tests and why they’re used

Imaging tests are used to see inside the body and are particularly useful in:

• Diagnosing or ruling out specific conditions
• Monitoring the progression of known diseases
• Guiding treatment plans
• Evaluating the effectiveness of ongoing treatments

There are several different types of diagnostic imaging studies, each with its own strengths and applications. So, which one is most appropriate for your child?

“Our team collaborates closely with referring providers to determine the most appropriate imaging study for each patient. This team approach ensures that we provide the most effective and efficient care possible,” added Dr. Vorona.

• Radiographs use a small amount of X-rays to produce images of bones and some organs. They’re often used to detect bone injuries (like fractures), lung conditions (like pneumonia) or foreign objects (like a swallowed coin). 
• Ultrasounds use sound waves to produce images of some organs (like the kidney or thyroid).  
• Fluoroscopy uses continual imaging (similar to video rather than individual images) to view internal body parts in motion. It may use a special dye called contrast (given by enema or through a drink) to help highlight essential body structures and provide the best view.
• CT scans combine a series of X-ray images from different angles to identify injuries and diseases in the bones, muscles, organs and blood vessels that may not be visible on a standard X-ray. 
• MRIs provide images using a magnetic field and radiofrequency energy. MRIs take longer but generally provide the clearest images of soft tissues (brain, spine, knee joint, etc.).  

Selecting the best imaging test involves several factors, including:

• The specific clinical question being asked
• The body part being examined
• The patient's age and condition
• Minimizing or avoiding radiation exposure (some modalities, like MRI and ultrasound, don't use ionizing radiation)
• The duration of the exam and the patient's ability to remain still

The goal is always to select the option that best balances the diagnostic yield of the study with consideration of patient comfort and potential risk (i.e. performing the lowest possible dose of radiation to achieve the highest quality diagnostic images). Advanced technology, like the dual-source CT scanner (providing scans within seconds) and EOS imaging system (taking upright images with minimal radiation for musculoskeletal conditions) make this easier than ever.

See what it’s like to have an MRI at CHoR

An imaging environment and team just for kids

When it comes to imaging studies for kids, having them done in a pediatric-specific environment like ours can make a world of difference.

• The specialized team includes radiology technicians, radiologist assistants, nurses and physicians with specific training and interest in caring for kids. This means an approach that’s equal parts clinical skill and patience/kindness.
• The imaging protocols are tailored for children, including:
  • Low-radiation dose techniques for CT scans
  • MRI sequences designed for pediatric conditions
  • Age and size-appropriate equipment and settings

• Kid-friendly spaces – like underwater, hot air balloon and woodland friends themed rooms – are designed with children in mind, creating a less intimidating atmosphere.
• Child life specialists are trained to support kids and families throughout the imaging process, helping to reduce anxiety and improve cooperation.
• Distraction techniques, like movie goggles for longer exams, help children remain still and comfortable.
• Family involvement and education help parents support children through the imaging process.

The imaging experts at CHoR

The latest technology and welcoming, kid-friendly environment are just the start of what makes imaging at CHoR the right choice. Our pediatric radiologists have tailored training to perform and interpret imaging specifically for children.

They also have advanced expertise in specific specialty areas.

• Dr. Kathryn Jones has undergone additional subspecialty training in musculoskeletal imaging, making her one of the limited number of pediatric musculoskeletal radiologists in the nation.
• Dr. Eman Mahdi and Dr. Gregory Vorona have additional subspecialty training in pediatric neuroimaging.
• Dr. Chakradhar Mishra, director of pediatric cardiothoracic imaging, works closely with the cardiology and cardiothoracic surgery teams to provide high-quality pediatric cardiothoracic CT imaging.

“As the section chief of Pediatric Radiology and a parent of three young children, I can personally attest to the quality of care provided by our team. I would completely trust, and have trusted, the excellent team we have here to care for my children,” said Dr. Vorona.

Learn more about our imaging experts and all the radiology care offered at CHoR.