ABSTRACT
This chapter aims to describe ways in which to minimize motion for pediatric fluoroscopy and list personnel and parental protection techniques during pediatric fluoroscopy. It discusses the effects of automatic exposure control problems that may occur for pediatric fluoroscopic procedures. Practicing the necessary breath-holding or position-changing required during the procedure will prevent unnecessary radiation exposure. Automatic Exposure Control (AEC) is particularly valuable for use in children’s image intensification examinations since choosing the correct exposure factors is much more difficult for children than adults. Adjusting the cineradiographic framing rates to the minimum necessary for the examination will reduce patient exposures. However, when radiopaque structures are in the exposed field of the AEC, exposure controls will increase the radiation exposure to the maximum. When hospital personnel are frequently involved in holding patients, their exposures should be carefully monitored. Using a spot-film camera instead of the spot-film device will reduce the exposure significantly.
