Radiology/Medical Imaging & Interventional Radiology Outcomes

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Why Choose Us: Radiology/Medical Imaging & Interventional Radiology

Our Outcomes: The Results of Our Care

Pediatric radiology at Nemours is enterprisewide, which means we operate as one cohesive team, collaborating across the miles from locations in Delaware, New Jersey, Pennsylvania and throughout Florida. Our radiologist staff is nationally and internationally recognized for their knowledge and work to advance pediatric imaging techniques.

Together our radiologists strive to offer the safest, highest quality of care. That’s why we measure certain metrics, like radiation levels in imaging exams and turnaround time for emergency and urgent imaging studies. We're always looking out for your child’s safety, and making sure you and your doctor can get answers when it matters most.

Why Measuring Results Matters

To provide pediatric care that's among the safest for all children, we track and measure our results. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

We’re proud to say we’re doing better than national averages and exceeding the standards of imaging care for kids.

 

Making Diagnostic Medical Imaging Safer

Making Diagnostic Medical Imaging Safer


Using the Lowest Possible Radiation Doses

Pediatric radiology (sometimes called “medical imaging”) uses imaging and image-guided interventional procedures to help diagnose, monitor and treat many childhood conditions. Some of these techniques use small doses of radiation to create the images we see. That includes tests such as X-rays, computed tomography scans (also called “CT scans” or “CAT scans”), nuclear medicine and fluoroscopy (X-rays with real-time video imaging).

Radiation can theoretically be harmful in large doses. That’s why we work hard to optimize the amount of radiation your child receives without sacrificing the image quality we need for an accurate diagnosis. One way we do this is by voluntarily sharing our radiation dose rates with national registries to see how we measure up. We’re doing better than most because we:

  • use techniques specifically designed for kids to get the right images on the first try
  • adopt the guidelines set by Image Gently, the leading voice in reducing childhood radiation exposure in diagnostic imaging and interventional radiology procedures
  • invest in state-of-the-art low-dose imaging technology that provides better images with less radiation exposure
  • utilize advanced tools to track, analyze and manage radiation doses in patients to reduce the risk for overdose and implement procedures even better care

 

CT scans are an important part of diagnosing illnesses in kids, but they carry a small theoretical risk from radiation exposure. At Nemours we strive to make sure our CT exams are performed with the safest possible techniques. Our radiologists and technologists are trained in and aware of techniques to keep radiation doses optimized and as low as possible during CT scans to achieve acceptable image quality. And we’ve installed CT scanners with advanced technology and software to allow us to use very low doses to obtain high-quality scans.

Nemours meets or exceeds the national standards for radiation doses in our CT exams. In fact, of the 10 most common types of CT exams, ours used less amount of radiation — more than 50 percent less in some cases — than the national median, or most typical dose. What’s more, more than half of the time our exams used less radiation than 75 percent of the other reported exams.

 

CT Scan: Abdomen/Pelvis With Contrast (Nemours Median Dose Compared to the National Median Dose)

50% less

Birth to 2 years old                                                          

33% less

3 to 6 years old

50% less

7 to 10 years old

50% less

11 to 14 years old

63% less

15 to 18 years old

 

CT Scan: Chest With Contrast (Nemours Median Dose Compared to the National Median Dose)

50% less

Birth to 2 years old                                                        

50% less

3 to 6 years old

33% less

7 to 10 years old

25% less

11 to 14 years old

57% less

15 to 18 years old

 

CT Scan: Head/Brain Without Contrast (Nemours Median Dose Compared to the National Median Dose)

19% less

Birth to 2 years old                                                        

25% less

3 to 6 years old

29% less

7 to 10 years old

39% less

11 to 14 years old

54% less

15 to 18 years old

 

Data sources: Nemours data comes from CT exams performed at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., and Nemours Children’s Hospital in Orlando. Data represents the percent difference in the CT Dose Index for volume (CTDIVol), or the amount of radiation used in CT exams, at Nemours locations compared to the national median. Data was submitted to the American College of Radiology’s Dose Index Registry for the second half of 2016 (July 1 to December 31).
Benchmark: Data comes from American College of Radiology’s Dose Index Registry during the same time.

Nemours uses low-dose EOS X-ray imaging to diagnose and monitor progressive spine conditions like scoliosis. Compared to standard digital X-rays, this technology uses significantly less radiation. This is especially important for children who need multiple scans and long-term follow-up. This EOS technology is available at Nemours/Alfred I. duPont Hospital for Children (in Wilmington, Del.); Nemours Children's Specialty Care, Jacksonville (in Jacksonville, Fla.); and Nemours Children’s Hospital (in Orlando).

 

Nemours EOS X-Ray System Delivers Less Radiation Than Standard Digital X-Rays

   31% less   

Posteroanterior view (from behind)

   69% less    

Lateral view (from the side)

   58% less   

Posteroanterior and lateral view combined (from behind and the side)

 

Data sources: Nemours data collected in 2013, a year after installing the new-low dose EOS X-ray system at Nemours/Alfred I. duPont Hospital for Children.

In interventional radiology (also known as “image-guided therapy”), an imaging technique — typically ultrasound, CT scan or fluoroscopy — is used to produce a real-time image that helps precisely guide the pediatric interventional radiologist in performing a procedure. Interventional radiology, which may prevent the need for open procedures or invasive surgery, requires intermittent, occasionally lengthy exposure to imaging that helps guide the doctor to the right place to diagnose or treat a condition, such as tumors or vascular diseases (blood and lymph vessels). 

That’s why we invested in the Philips AlluraClarity interventional X-ray system with XperGuide technology, the most advanced equipment and software available. It uses the lowest X-ray radiation dose possible, and allows us to manage radiation doses during procedures and use imaging with little to no radiation. This special technology also allows us to perform procedures without continuous imaging, which reduces the radiation dose and procedure time.

Helping Families Get Answers Faster

Helping Families Get Answers Faster


Providing Imaging Test Results When It Matters Most

When a child may have a serious condition and the doctor needs diagnostic imaging results as soon as possible, we’re asked to provide “STAT” (immediate) or "ASAP" (as soon as possible) reports. At Nemours, we’re committed to reducing the turnaround time for STAT and ASAP reports, so that children can get the right diagnosis and if necessary, begin treatment sooner. (The “turnaround time” is the time from exam completion to the radiologist signing off on the report.) We’re proud to say that we significantly improved STAT and ASAP report turnaround time, greatly reducing the median (or typical time) by about 75 percent from 2016 to 2017. We achieved this by:

  • providing 24/7 enterprisewide radiologist coverage 
  • adding back-up staff when imaging volumes are unexpectedly high 
  • implementing systemwide technology so radiologists can interpret images from any location
  • prioritizing STAT and ASAP exams in an automated fashion for the radiologists

 

Reducing Turnaround Time for STAT Study Reports, 2016-2017

2017

14 minutes turnaround time               

2016

61 minutes turnaround time

 

Data sources: Nemours data comes from Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.; Nemours Children’s Hospital in Orlando; Nemours duPont Pediatrics locations in Deptford, N.J., and Glen Mills, Pa.; and Nemours Children’s Urgent Care locations throughout Central Florida. Data represents median STAT report to compare turnaround time in minutes during a six-month period (January 1 to June 30) in 2016 and 2017.
Benchmark: There is no true published benchmark, but Nemours is well below the turnaround time, anecdotally, of our major peer children’s hospitals.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Radiology/Medical Imaging & Interventional Radiology

Here are just some of the reasons families choose us for their child’s care:

  • Expert interpretation for typical and complex childhood diseases. The radiologist with the most expertise in a specific condition interprets your child’s images, or offers a second opinion, regardless of where the exam was performed.
  • Nonradiation interventional radiology techniques. Nemours interventional radiologists are experts in performing the latest ultrasound-guided procedures which use no radiation.
  • Expert radiologists with dual fellowship training. Some of our radiologists are among only a few hundred in the nation who are dual-fellowship-trained in both pediatric diagnostic and interventional radiology.
  • Highly skilled technologists. Our teams know how to work with children and get the right image the first time. This reduces the risk for rescans and unnecessary radiation exposure, as well as decreases the need for sedation/anesthesia for some exams.
  • We’re always here for you. Our teams are available systemwide, 24 hours a day, seven days a week to answer questions, consult with doctors, and provide fast results when needed. 
Learn more about Nemours pediatric radiology/medical imaging and interventional radiology.