{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T21:58:49Z","timestamp":1783807129300,"version":"3.55.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2017,3]]},"DOI":"10.1016\/j.jpeds.2016.11.051","type":"journal-article","created":{"date-parts":[[2016,12,15]],"date-time":"2016-12-15T09:03:34Z","timestamp":1481792614000},"page":"210-216.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"special_numbering":"C","title":["The Burden of Ionizing Radiation Studies in Children with Ventricular Shunts"],"prefix":"10.1016","volume":"182","author":[{"given":"Maria C.","family":"Antonucci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel S.","family":"Zuckerbraun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3286-1094","authenticated-orcid":false,"given":"Elizabeth C.","family":"Tyler-Kabara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre D.","family":"Furtado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan E.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R.","family":"Marin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2016.11.051_bib0010","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/S0140-6736(12)60815-0","article-title":"Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study","volume":"380","author":"Pearce","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0015","doi-asserted-by":"crossref","first-page":"f2360","DOI":"10.1136\/bmj.f2360","article-title":"Cancer risk in 680\u2009000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians","volume":"346","author":"Mathews","year":"2013","journal-title":"BMJ"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0020","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.jemermed.2013.08.137","article-title":"Cranial computed tomography utilization for suspected ventriculoperitoneal shunt malfunction in a pediatric emergency department","volume":"46","author":"Cohen","year":"2014","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0025","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1007\/s00247-007-0625-8","article-title":"Radiation doses to children with shunt-treated hydrocephalus","volume":"37","author":"Holmedal","year":"2007","journal-title":"Pediatr Radiol"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0030","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/PEC.0b013e3180328c77","article-title":"Emergency department evaluation of ventricular shunt malfunction: is the shunt series really necessary?","volume":"23","author":"Pitetti","year":"2007","journal-title":"Pediatr Emerg Care"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0035","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.pediatrneurol.2005.05.020","article-title":"Failure of cerebrospinal fluid shunts: part I: obstruction and mechanical failure","volume":"34","author":"Browd","year":"2006","journal-title":"Pediatr Neurol"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0040","doi-asserted-by":"crossref","first-page":"202","DOI":"10.3171\/jns.2001.94.2.0202","article-title":"Predicting shunt failure on the basis of clinical symptoms and signs in children","volume":"94","author":"Garton","year":"2001","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0045","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s10140-011-0955-6","article-title":"Detection of ventricular shunt malfunction in the ED: relative utility of radiography, CT, and nuclear imaging","volume":"18","author":"Lehnert","year":"2011","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0050","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1159\/000028778","article-title":"Unique clinical presentation of pediatric shunt malfunction","volume":"3","author":"Lee","year":"1999","journal-title":"Pediatr Neurosurg"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0055","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3171\/2012.9.PEDS1298","article-title":"Revision rate of pediatric ventriculoperitoneal shunts after 15 years","volume":"11","author":"Stone","year":"2013","journal-title":"J Neurosurg Pediatr"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0060","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2015.09.024","article-title":"Emergency department use of computed tomography for children with ventricular shunts","volume":"167","author":"Florin","year":"2015","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0065","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1227\/01.neu.0000325871.60129.23","article-title":"A multicenter study of factors influencing cerebrospinal fluid shunt survival in infants and children","volume":"62","author":"Shah","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0070","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2013-3739","article-title":"Comparison of rapid cranial MRI to CT for ventricular shunt malfunction","volume":"134","author":"Boyle","year":"2014","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0075","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/jns.2000.92.1.0031","article-title":"Risk factors for repeated cerebrospinal shunt failures in pediatric patients with hydrocephalus","volume":"92","author":"Tuli","year":"2000","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0080","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1227\/01.neu.0000316012.20797.04","article-title":"A multi-institutional, 5-year analysis of initial and multiple ventricular shunt revisions in children","volume":"62","author":"Berry","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0085","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1118\/1.1415074","article-title":"Estimates of the cancer risks from pediatric CT radiation are not merely theoretical: comment on \u201cpoint\/counterpoint: in x-ray computed tomography, technique factors should be selected appropriate to patient size. against the proposition\u201d","volume":"28","author":"Brenner","year":"2001","journal-title":"Med Phys"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0090","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.2214\/AJR.12.9720","article-title":"CT radiation dose: current controversies and dose reduction strategies","volume":"201","author":"Costello","year":"2013","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0095","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1053\/j.sult.2014.05.002","article-title":"Techniques that decrease or eliminate ionizing radiation for evaluation of ventricular shunts in children with hydrocephalus","volume":"35","author":"DeFlorio","year":"2014","journal-title":"Semin Ultrasound CT MR"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0100","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jemermed.2007.06.044","article-title":"Utility of radiography in suspected ventricular shunt malfunction","volume":"36","author":"Blumstein","year":"2009","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0105","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1159\/000319365","article-title":"Long-term outcome after treatment of hydrocephalus in children","volume":"46","author":"Appelgren","year":"2010","journal-title":"Pediatr Neurosurg"},{"issue":"suppl 1","key":"10.1016\/j.jpeds.2016.11.051_bib0110","doi-asserted-by":"crossref","first-page":"30","DOI":"10.3171\/2014.7.PEDS14324","article-title":"Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 4: cerebrospinal fluid shunt or endoscopic third ventriculostomy for the treatment of hydrocephalus in children","volume":"14","author":"Limbrick","year":"2014","journal-title":"J Neurosurg Pediatr"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0115","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1542\/peds.114.1.205","article-title":"Reduction of cancer risk associated with pediatric computed tomography by the development of new technologies","volume":"114","author":"Benz","year":"2004","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0120","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1007\/s00381-011-1559-x","article-title":"Radiologic evaluation of pediatric hydrocephalus","volume":"27","author":"Dincer","year":"2011","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0125","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/PEC.0000000000000248","article-title":"Benefits of brain magnetic resonance imaging over computed tomography in children requiring emergency evaluation of ventriculoperitoneal shunt malfunction: reducing lifetime attributable risk of cancer","volume":"31","author":"Kim","year":"2015","journal-title":"Pediatr Emerg Care"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0130","doi-asserted-by":"crossref","DOI":"10.1016\/j.wneu.2012.10.066","article-title":"Rapid sequence magnetic resonance imaging in the assessment of children with hydrocephalus","volume":"80","author":"O'Neill","year":"2013","journal-title":"World Neurosurg"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0135","doi-asserted-by":"crossref","first-page":"440","DOI":"10.3171\/2014.1.PEDS13447","article-title":"Fast-sequence MRI studies for surveillance imaging in pediatric hydrocephalus","volume":"13","author":"Patel","year":"2014","journal-title":"J Neurosurg Pediatr"},{"key":"10.1016\/j.jpeds.2016.11.051_bib0140","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.3174\/ajnr.A3076","article-title":"Strengthening the argument for rapid brain MR imaging: estimation of reduction in lifetime attributable risk of developing fatal cancer in children with shunted hydrocephalus by instituting a rapid brain MR imaging protocol in lieu of Head CT","volume":"33","author":"Koral","year":"2012","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347616313543?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347616313543?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T20:54:26Z","timestamp":1536180866000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347616313543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":27,"alternative-id":["S0022347616313543"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2016.11.051","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Burden of Ionizing Radiation Studies in Children with Ventricular Shunts","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2016.11.051","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}