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CT Scans in Children with Headaches Used Widely in and out of Emergency Department

By MedImaging International staff writers
Posted on 19 Aug 2013
Sixty-seven percent of children in the United States received their computed tomography (CT) scans outside of the emergency department (ED) setting.

In the United States, more than 25% of the children treated for headache across a range of care settings received a CT imaging scan, possibly exposing them to unnecessary radiation and increased cancer risks, according to new research.

The study’s findings were published in the July 2013 issue of the journal Pediatrics. That providers sometimes use CT scans to rule out brain tumors or brain abnormalities because parents are concerned about this possibility—which is the cause of less than 1% of those with pediatric headache—when overuse of CT scans can increase the risk of brain tumors,” said coauthor Dr. Paul Young, professor of pediatrics at the University of Utah School of Medicine (Salt Lake City, USA) who was one of the individuals designated by the American Academy of Pediatrics (Elk Grove Village, IL, USA to participate in the research. “It’s possible that physicians underestimate the risks associated with CT scans.”

The use of CT scans to diagnose pediatric headache remains high despite increased cancer risks and the fact that except for certain narrow indications, providers often gain little clinically useful information from these imaging studies while exposing children to unnecessary radiation. Headaches are among the five most typical health problems in children, as well as one of the most frequent reasons for pediatric neuroimaging, especially in EDs.

The Pediatrics study found that children who were evaluated in the emergency room were four times more likely to have CT scans than those children who did not go to the emergency room. However, even outside the emergency room, use of CT scans remained widespread. In pediatric patients getting CT scans for headaches, 67% received their scans outside of the emergency department setting.

Other researchers have gathered evidence that CT scans increase a child’s lifetime risk of cancer. A retrospective study published in the Lancet in 2012 suggested that the cumulative radiation from as few as 2 to 3 CT scans in a child younger than 15 years old could triple the risk of brain tumors, while 5 to 10 head scans could triple the risk of leukemia. A study published in the June 2013 edition of JAMA Pediatrics noted that a radiation-induced solid tumor is predicted to result from every 300 to 390 abdomen/pelvis scans in girls.

The Pediatrics study, written by authors either employed by or designated by HealthCore (Wilmington, DE, USA), American Academy of Pediatrics (AAP; Elk Grove Village, IL, USA), American Academy of Family Physicians (AAFP; Leawood, KS, USA), American Academy of Neurology (AAN; Minneapolis, MN, USA), and WellPoint, stemmed from discussions by WellPoint and AAP to find out “to what extent do current practice patterns for treatment of pediatric headache align with practice guidelines?”

An advisory group including representatives from the AAP, AAN, and AAFP helped frame the discussion that resulted in this study. The AAN recommends in favor of MRI scans as opposed to CT imaging for individuals with headache, a normal history, and neurologic examination. This recommendation was endorsed by the American Academy of Pediatrics and the American Colleges of Radiology (Reston, VA, USA).

“We found that AAN imaging guidelines were most often followed by neurologists when treating children, but not by other physicians,” said Dr. Alan Rosenberg, WellPoint vice president of medical and clinical pharmacy policy. “We want to better understand current utilization patterns to help parents of patients, clinicians, and health benefits companies with the information we need to inform and facilitate change to improve care for children and adolescents.”

In 2008, 1.7 million pediatric CT scans were performed in the ED, 6% of all pediatric emergency room visits that year. As many as 28% of those scans were performed for headache unrelated to head injury. Quality improvement initiatives, such as those supported by AAN and advocated in the Choosing Wisely Campaign by the AAP, could significantly reduce pediatric and adolescent exposure to unnecessary radiation.

The retrospective analysis included 15,836 children aged three to 12 years old with more than two medical claims for headache.

Related Links:

University of Utah School of Medicine
American Academy of Pediatrics
HealthCore


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85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (86.069107055664): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
88 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (47.206878662109): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
105 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
106 (133.03756713867): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (665.90309143066): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
110 (77.962875366211): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (874.99618530273): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (905.99060058594): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (679.96978759766): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
115 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
116 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
117 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
118 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
119 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
120 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
121 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
122 (525.95138549805): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 58879.852294922): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (823.974609375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747788 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747788 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 23732.18536377): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (102.99682617188): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (79.154968261719): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (97.036361694336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (52.928924560547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (562.90626525879): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (61.03515625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (43.153762817383): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (576.97296142578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (463.00888061523): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=211
138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=211
139 (805.85479736328): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (761.98577880859): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
142 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
143 (!!!!! 22471.904754639): TRUNCATE TABLE jos_trademed_module
144 (!!!!! 1902.1034240723): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (108.00361633301): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (771.99935913086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
149 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
150 (!!!!! 1804.1133880615): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (146.15058898926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
152 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
153 (79.154968261719): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747788 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747788 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (46.014785766602): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
155 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
156 (143.05114746094): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (504.0168762207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
158 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747788 AND published='1' LIMIT 1
159 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10
160 (655.8895111084): select jos_facebook.link from jos_facebook where cat=10
161 (52.928924560547): select jos_google_plus.link from jos_google_plus where cat=10
162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10
163 (!!!!! 1121.997833252): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1539.945602417): insert into jos_banners_delta values (14615,'2025-08-19 06:25:10','216.73.216.0','view'),(14202,'2025-08-19 06:25:10','216.73.216.0','view'),(14203,'2025-08-19 06:25:10','216.73.216.0','view')