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ArticlePediatric radiology2025

Influence of anti-scatter grids on radiation dose and image quality in cardiac catheterization of children weighing less than 10 kg.

Naoki Hashimoto, Ayako Kuraoka, Kenichiro Yamamura, Koichi Sagawa, Saki Hashimoto, Hiroaki Urabe, Joji Hashimoto, Takahiro Mizumoto, Masako Hiroshima, Nobuyuki Hayashi and 1 more

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Article in Pediatric radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

11 authors.

Naoki HashimotoDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Ayako KuraokaDepartment of Pediatric Cardiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Kenichiro YamamuraDepartment of Cardiovascular Intensive Care, Fukuoka Children's Hospital, Fukuoka, Japan. yamamura.kenichiro.542@m.kyushu-u.ac.jp.
Koichi SagawaDepartment of Pediatric Cardiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Saki HashimotoDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Hiroaki UrabeDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Joji HashimotoDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Takahiro MizumotoDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Masako HiroshimaDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Nobuyuki HayashiDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Yasunori TateishiDepartment of Radiology, Fukuoka Children's Hospital, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-scatter grids are commonly used for cardiac catheterization in children with heart disease. However, the effect of the grid on the radiation dose or image quality has not been sufficiently demonstrated.

objectiveTo investigate the effect of the removal of an anti-scatter grid on radiation dose and image quality in phantom and clinical settings. MATERIALS AND

methodsThis research consists of a preliminary study using a manufactured phantom simulating a newborn's chest thickness and a clinical study of 30 infants with simple congenital heart disease. We evaluated the exposure dose by dose area product (DAP), air kerma (AK), and image quality using visual and physical assessments.

resultsIn the phantom study, removal of the anti-scatter grid decreased DAP and AK by 25.0% to 55.6%. In the clinical study, the DAP (sum) and AK (sum) without an anti-scatter grid were significantly lower than with the grid (1.22±0.58 Gy·cm

conclusionsThe removal of the anti-scatter grid did not affect the accuracy of the examination and achieved a lower radiation dose in both phantom and clinical studies. Cardiac catheterization without an anti-scatter grid may be a beneficial option for small patients with simple congenital heart disease.

Indexed as

Cardiac CatheterizationHeart Defects, CongenitalRadiation DosageRadiation ProtectionFemaleHumansInfantInfant, NewbornMalePhantoms, ImagingReproducibility of ResultsScattering, RadiationAnti-scatter gridCardiac catheterizationCongenital heart diseaseImage qualityRadiation dose

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.