The objective of this study is to identify pediatric cohorts with the highest levels of radiation exposure from CT scanning by merging EMR data elements with an automated method for calculating cumulative, patient level radiation exposure. The results of this study will serve as preliminary data for a PEDSnet application to PCORI. The goal of which would be to (1) study this process prospectively in additional PCORnet networks that treat both children and adults and; (2) develop and implement multi-institutional efforts to reduce CT scanning in high risk cohorts through partnership with networks such as Image Gently or Solutions for Patient Safety.
This is an observational study. It will include all pediatric patients aged 0 to 15 years who receive CT scans of the head, chest, abdomen, and pelvis.
The retrospective data will be pulled from both Digital Imaging and Communications in Medicine (DICOM) files or similar types of files via PACS, and EMR data from January 1, 2012 – December 31, 2014 at all participating PEDSnet institutions.
Information will be automatically abstracted from the imaging file as well as their electronic medical record (EMR) and sent to a secure research workstation.
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