The Division of Pediatric Radiology, as a component of the Children's Hospital at Dartmouth-Hitchcock (CHaD), participates across a broad spectrum of clinical cases, consultations, and teaching obligations. We expect that CHaD's caseload growth, driven in part by integration with the pediatric community in the southern Hitchcock Clinic division, will result in continued growth in imaging volumes. CHaD has three pediatric general surgeons, two pediatric neurosurgeons, three pediatric oncologists, three pediatric urologists—and, for the first time, a pediatric otolaryngologist. The Child Protection and Advocacy Team handles referrals from around the region. This increase in staff is expected to provide increasing volumes of pediatric radiology cases.
Radiology's PACS system makes it easy to correlate different pediatric imaging studies and enhances both the consultative and clinical aspects of pediatric radiology. Integration of the PACS systems between D-H north and south now allows viewing and consultation on cases imaged in Manchester. 64-slice CT scanning and more powerful MR imaging permits fast 3D reconstructions that are especially useful for vascular anomalies. Newly acquired Visage™ software brings this multiplanar and 3D capability to reading stations throughout the department. The faster scan times also reduce the need for sedation.
Minimizing radiation dose in children's imaging is among our highest concerns. We support Image Gently, a campaign led by The Society for Pediatric Radiology aimed at decreasing children's exposure to ionizing radiation. Pulsed fluoroscopy systems, available in all of our fluoro rooms, are important components in this effort, as they permit significantly deductions in radiation dose. The "Pain Free CHaD" program has also helped make the pediatric sedation required by some of our procedures (e.g., a voiding cystourethrogram) safer and less stressful for children and their families.
Pediatric Radiology continues its vigorous teaching service, and participates in the two-year core curriculum for radiology residents. We conduct board review sessions for senior residents, and the pediatric elective is popular with the radiology house staff. For the DMS medical student elective, we participate with lectures, biweekly film sessions with the Neonatal Intensive Care Unit team, and weekly sessions with both the Pediatric Inpatient and Intensive Care Unit teams. Pediatric Radiology participates in the pediatric tumor board conference.
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