{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T05:40:29Z","timestamp":1696311629464},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,12,3]],"date-time":"2013-12-03T00:00:00Z","timestamp":1386028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Duodenojejunal flexure (<jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content>) orientation is often examined routinely during contrast swallow studies, including those performed for purely oesophageal queries. We examine the radiation burden and the incidence of malrotation in patients undergoing contrast swallow, without clinical suspicion for malrotation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred eighteen consecutive contrast swallow studies were reviewed. Patients whose history may potentially suggest malrotation were identified (<jats:italic>n<\/jats:italic>\u2009=\u200990), and remaining children were grouped based on whether <jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content> was examined (Group 1; <jats:italic>n<\/jats:italic>\u2009=\u200988) or not (Group 2; <jats:italic>n<\/jats:italic>\u2009=\u200940). Data extracted include demographics, radiographic parameters (dosage, screening time, number of images obtained) and examination findings. Outcome measures comprised: (i) prevalence of clinically incidental malrotation; and (ii) influence of additional evaluation of <jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content> on patient dosage (mean\u2009\u00b1\u2009<jats:styled-content style=\"fixed-case\">SEM<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Malrotation was identified in 2 of 90 patients (2.2%) examined with clinical indications for possible malrotation, but none in Group 1 (13% already had normal <jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content> confirmed on previous examinations). Groups 1 and 2 were comparable with respect to age and gender (<jats:italic>P<\/jats:italic>\u2009=\u2009ns). Additional evaluation of <jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content> (Group 1) meant that 54% more images were acquired (48.5\u2009\u00b1\u20092.9 vs. 31.4\u2009\u00b1\u20093.4 images in group 2; <jats:italic>P<\/jats:italic>\u2009=\u20090.0002) and 24.9% increased screening time (130.8\u2009\u00b1\u20099.3 vs. 104.7\u2009\u00b1\u200913.0 seconds in group 2; <jats:italic>P<\/jats:italic>\u2009=\u20090.089), resulting in 32.6% increased patient dosage (1.36\u2009\u00b1\u20090.21 vs. 1.02\u2009\u00b1\u20090.16 microGym<jats:sup>2<\/jats:sup>\/kg in group 2; <jats:italic>P<\/jats:italic>\u2009=\u20090.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study highlights the increased radiation exposures involved with routine screening for <jats:styled-content style=\"fixed-case\">DJF<\/jats:styled-content> position in those patients without clinical suspicion of malrotation, and raises questions about the validity of this practice; however, further research is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12135","type":"journal-article","created":{"date-parts":[[2013,12,4]],"date-time":"2013-12-04T11:01:58Z","timestamp":1386154918000},"page":"298-302","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of clinically silent malrotation detected on barium swallow examination in children"],"prefix":"10.1111","volume":"58","author":[{"given":"Karen L","family":"Atkin","sequence":"first","affiliation":[{"name":"Department of Medical Imaging Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moti M","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658699"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(81)90015-4"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-004-1279-4"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.6.1791429"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900560"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.61.7.682"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-009-1177-x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-008-0762-8"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.265055167"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050012"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02011604"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02011603"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.12.070"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.2181297"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-19727"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-012-2405-3"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-013-2674-5"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1754-9485.12135","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.12135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T08:09:15Z","timestamp":1696234155000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.12135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,3]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["10.1111\/1754-9485.12135"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.12135","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,3]]},"assertion":[{"value":"2013-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-10-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-12-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}