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Research ArticleOriginal Research

Point-of-Care Estimated Radiation Exposure and Imaging Guidelines Can Reduce Pediatric Radiation Burden

Christopher W. Bunt, Harry B. Burke, Alexander J. Towbin, Albert Hoang, Mark B. Stephens, Paul Fontelo, Fang Liu and Ronald W. Gimbel
The Journal of the American Board of Family Medicine May 2015, 28 (3) 343-350; DOI: https://doi.org/10.3122/jabfm.2015.03.140251
Christopher W. Bunt
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MD
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Harry B. Burke
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MD, PhD
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Alexander J. Towbin
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MD
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Albert Hoang
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
PhD, DSc
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Mark B. Stephens
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MD, MS
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Paul Fontelo
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MD, MPH
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Fang Liu
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
MS
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Ronald W. Gimbel
From the Departments of Family Medicine (CWB, MBS) and Medicine (HBB, AH), Uniformed Services University, Bethesda, MD; the Department of Pediatric Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (AJT); the Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD (PF, FL); and the Department of Public Health Sciences, Clemson University, Clemson, SC (RWG).
PhD
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  • Article
  • Figures & Data
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References

  1. 1.↵
    1. Shah KH,
    2. Slovis BH,
    3. Runde D,
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    . Issues in low dose radiation biology: the controversy continues. A perspective. Radiat Res 2013;179:501–10.
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    . Radiology order entry with decision support: initial clinical experiences. J Am Coll Radiol 2006;3:799–806.
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    2. Bree RL
    . Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support. J Am Coll Radiol 2010;7:192–7.
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    . Cardiologists concordance with the American College of Cardiology appropriate use criteria for cardiac testing in patients with coronary artery disease. Am J Cardiol 2012;110:337–44.
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  8. 8.↵
    1. DeVries A,
    2. Young PC,
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    . CT scan utilization patterns in pediatric patients with recurrent headaches. Pediatrics 2013;132(1):e1–8.
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  9. 9.↵
    1. Gimbel RW,
    2. Fontelo P,
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    4. et al
    . Radiation exposure and cost influence physician medical image decision making: a randomized controlled trial. Med Care 2013;51:628–32.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Dillman J,
    2. Coley B,
    3. Karmazyn B,
    4. et al
    . ACR appropriateness criteria, hematuria - child [online publication]. Reston, VA: American College of Radiology; 2012. Available from: http://www.guideline.gov/content.aspx?id=43874. Accessed March 17, 2015.
  11. 11.↵
    1. Goske MJ,
    2. Applegate KE,
    3. Bulas D,
    4. et al
    . Image gently 5 years later: what goals remain to be accomplished in radiation protection for children? AJR Am J Roentgenol 2012;199:477–9.
    OpenUrlCrossRefPubMed
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The Journal of the American Board of Family     Medicine: 28 (3)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 3
May-June 2015
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Point-of-Care Estimated Radiation Exposure and Imaging Guidelines Can Reduce Pediatric Radiation Burden
Christopher W. Bunt, Harry B. Burke, Alexander J. Towbin, Albert Hoang, Mark B. Stephens, Paul Fontelo, Fang Liu, Ronald W. Gimbel
The Journal of the American Board of Family Medicine May 2015, 28 (3) 343-350; DOI: 10.3122/jabfm.2015.03.140251

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Point-of-Care Estimated Radiation Exposure and Imaging Guidelines Can Reduce Pediatric Radiation Burden
Christopher W. Bunt, Harry B. Burke, Alexander J. Towbin, Albert Hoang, Mark B. Stephens, Paul Fontelo, Fang Liu, Ronald W. Gimbel
The Journal of the American Board of Family Medicine May 2015, 28 (3) 343-350; DOI: 10.3122/jabfm.2015.03.140251
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