Evidence-Based Imaging in Pediatrics: Clinical Decision Support for Optimized Imaging in Pediatric Care

Otero, Hansel J., Kaplan, Summer L., Medina, L. Santiago

  • 出版商: Springer
  • 出版日期: 2024-09-01
  • 售價: $5,950
  • 貴賓價: 9.5$5,653
  • 語言: 英文
  • 頁數: 774
  • 裝訂: Hardcover - also called cloth, retail trade, or trade
  • ISBN: 3030896870
  • ISBN-13: 9783030896874
  • 無法訂購

商品描述

This book provides evidence-based guidance for pediatric imaging to radiologists, pediatricians, and all subspecialists caring for children, as well as policy advocates. While the majority of pediatric radiology books concentrate on diagnosis, this book highlights how imaging should be used in optimal care, allowing comparisons between different modalities and addressing the issue of timing of imaging.

The primary objective of this book is to provide a summary of appropriate imaging use in terms of modality and timing based on the best available evidence. The book therefore acts as a resource for optimized clinical care of children and effective decision-making. A secondary objective is to collate the evidence-based practices that constitute quality care for children in the setting of value-based incentives established by current legislation from United States federal agencies. Radiologists are often in the position of helping clinicians decide when and how to image children with suspected diseases or confirmed diagnoses. However, traditional residency training has done little to fulfill the need for this up-to-date evidence knowledge. Moreover, in spite of furthering subspecialization of the field, the great majority of children's imaging (and care) occur outside of children's hospitals, where clinicians and radiologist might need this type of general guidance for establishing best-practices.

The book is divided nine parts, including: non-diagnostic considerations such as safety, value, and quality; organ systems such as musculoskeletal, cardiothoracic, abdominal; and clinical settings, such as prenatal, trauma, and oncology. This new edition incorporates the changes in practice and guidelines in the decade since the first edition was written, especially in fetal imaging. Eighteen new chapters are added, including a new section on pediatric interventional radiology, a topic often excluded by textbooks but necessary for radiologists in general practice and for clinicians managing pediatric illnesses.

This is an ideal guide for radiologists, pediatricians, policy advocates, and all healthcare professionals caring for children.

商品描述(中文翻譯)

本書為放射科醫師、小兒科醫師及所有照顧兒童的專科醫師提供基於證據的兒童影像學指導,並針對政策倡導者。雖然大多數小兒放射學書籍專注於診斷,但本書強調影像學在最佳護理中的應用,允許不同影像技術之間的比較,並探討影像檢查的時機問題。

本書的主要目標是根據最佳可用證據,總結適當影像使用的技術和時機。因此,本書作為優化兒童臨床護理和有效決策的資源。次要目標是彙整基於證據的實踐,構成在美國聯邦機構現行立法所建立的價值導向激勵下,對兒童的優質護理。放射科醫師經常處於幫助臨床醫師決定何時及如何對懷疑疾病或確診的兒童進行影像檢查的角色。然而,傳統的住院醫師訓練對於滿足這種最新證據知識的需求幫助不大。此外,儘管該領域的專科化進一步發展,但大多數兒童影像(及護理)發生在兒童醫院之外,臨床醫師和放射科醫師可能需要這類一般指導來建立最佳實踐。

本書分為九個部分,包括:非診斷考量,如安全性、價值和質量;器官系統,如肌肉骨骼系統、心胸系統、腹部;以及臨床環境,如產前、創傷和腫瘤學。本新版本納入了自第一版撰寫以來十年間的實踐和指導方針的變化,特別是在胎兒影像學方面。新增十八章,包括一個關於小兒介入放射學的新部分,這一主題通常被教科書排除,但對於一般實踐中的放射科醫師和管理小兒疾病的臨床醫師來說是必要的。

這是一本理想的指南,適合放射科醫師、小兒科醫師、政策倡導者及所有照顧兒童的醫療專業人員。

作者簡介

Hansel J. Otero, MD is a core faculty member of the Center for Pediatric Clinical Effectiveness (CPCE) at The Children's Hospital of Philadelphia (CHOP) and an Assistant Professor of Radiology at the Perelman School of Medicine at the University of Pennsylvania. He is a practicing pediatric diagnostic radiologist with special interest in advanced genitourinary and cardiovascular imaging. He received his MD from the Universidad Central de Venezuela in Caracas and is board certified in diagnostic radiology. He completed his radiology residency at Tufts Medical Center in Boston and pediatric radiology fellowship at the Children's Hospital of Philadelphia. Dr. Otero completed two years of Management and Hospital Administration research fellowships at Brigham & Women's Hospital, an affiliated hospital of Harvard Medical School in Boston, MA. His main research interest is in health services including imaging utilization and imaging related outcomes. He has over 60 peer-review publications including more than 30 related to health services.

Summer L. Kaplan, MD MS, is an Assistant Professor of Radiology at the Perelman School of Medicine at the University of Pennsylvania and is Director of Emergency Radiology at Children's Hospital of Philadelphia (CHOP). Dr. Kaplan is board certified in diagnostic radiology with a certificate of added qualification in pediatric radiology. She completed both medical school and graduate work in neuroscience at the Perelman School of Medicine at the University of Pennsylvania. Dr. Kaplan has authored numerous peer-reviewed original research papers on utilization of pediatric imaging in the emergency department and acute inpatient settings. She advises the Clinical Pathways Committee at CHOP on imaging use and has assisted in establishing clinical decision support guidelines for pediatric imaging. Dr. Kaplan also administers multiple interdepartmental quality improvement (QI) projects and teaches QI methodology in global health settings.

L. Santiago Medina
Department of Radiology
Nicklaus Children's Hospital
Miami, Florida, USA

C. Craig Blackmore
Department of Radiology
UW Medical Center
Seattle, Washington, USA

Kimberly E. Applegate

Zionsville, Indiana, USA

作者簡介(中文翻譯)

漢塞爾·J·奧特羅(Hansel J. Otero),醫學博士,是費城兒童醫院(The Children's Hospital of Philadelphia, CHOP)兒童臨床效果中心(Center for Pediatric Clinical Effectiveness, CPCE)的核心教職成員,以及賓夕法尼亞大學佩雷曼醫學院(Perelman School of Medicine at the University of Pennsylvania)放射科的助理教授。他是一名執業的兒童診斷放射科醫生,對於先進的泌尿生殖系統和心血管影像學特別感興趣。他在加拉加斯的委內瑞拉中央大學(Universidad Central de Venezuela)獲得醫學博士學位,並且在診斷放射學方面取得了專業認證。他在波士頓的塔夫茨醫學中心(Tufts Medical Center)完成了放射科住院醫師訓練,並在費城兒童醫院完成了兒童放射科的研究員訓練。奧特羅博士在波士頓的布萊根婦女醫院(Brigham & Women's Hospital)完成了兩年的管理與醫院行政研究獎學金,該醫院是哈佛醫學院的附屬醫院。他的主要研究興趣在於健康服務,包括影像學的使用和影像相關的結果。他擁有超過60篇的同行評審出版物,其中超過30篇與健康服務相關。

薇薇安·L·卡普蘭(Summer L. Kaplan),醫學博士,碩士,是賓夕法尼亞大學佩雷曼醫學院的放射科助理教授,並擔任費城兒童醫院(CHOP)急診放射科主任。卡普蘭博士在診斷放射學方面取得了專業認證,並擁有兒童放射學的附加資格證書。她在賓夕法尼亞大學佩雷曼醫學院完成了醫學學位和神經科學的研究生學位。卡普蘭博士撰寫了多篇經過同行評審的原創研究論文,探討急診部門和急性住院環境中兒童影像學的使用。她在CHOP的臨床路徑委員會中就影像使用提供建議,並協助建立兒童影像學的臨床決策支持指導方針。卡普蘭博士還管理多個跨部門的質量改善(QI)項目,並在全球健康環境中教授質量改善方法論。

L. 聖地亞哥·梅迪納(L. Santiago Medina)
放射科
尼克勞斯兒童醫院(Nicklaus Children's Hospital)
美國佛羅里達州邁阿密

C. 克雷格·布萊克莫(C. Craig Blackmore)
放射科
華盛頓大學醫療中心(UW Medical Center)
美國華盛頓州西雅圖

金伯莉·E·阿普爾蓋特(Kimberly E. Applegate)
美國印第安納州齊恩斯維爾