Pediatric Radilogy: Past, present and future
The radiology department of Kanti Children’s Hospital started with the co- operation of USSR in 1963(2019 Bs).At that time,Russian radilogist and radigraphers run the department and trained few Nepalese people. Until 2026 Kanti hospital had fifty beds and was a general hospital and our department had provided services to all age groups. Later in 1969 A.D. (2026 BS), it was declared as Kanti Children’s Hospital and started to provide service exclusively to children below fourteen years of age.
Gradually, the service was expanded with additional beds and OPD service. In 1984 A.D., the Japanese government had donated advanced equipments to the department, which are one x ray unit with image intensifier, portable x ray machine and two ultrasonography units. Then, the problem was non- availability of skilled manpower to run and maintain the department. Hospital hired part time radiologists, who had provided routine day time services and on call service during the nights. After 1990, the posts of the radiologists and radiographers were created by the government of Nepal and the hospital development board in order to run the department for twenty four hour. In 1993, a new radiology department was built with additional equipments again from grant aid of Japan.
In 2011, where we are?
Now, our department provides a full range of imaging services for newborns, infants, children, and teenagers, young adult and pregnant women at this hospital. On average, the department does 150-200 X-ray examinations, 5 special radiographs, 10 CT and 30 ultrasound scans daily.
Currently available services are:
1. Fully functioning modern MDCT
(16 slice scanner)+ contrast infusion set
a. Fast image acquisition + Thin slice with 3D multiplanner reconstruction (sagittal, cronal and axial)
b. Cerebral angiogram + perfusion scan.
C. CT angiography (all except coronary angiography)
d. CT Portography
e. CT Urography
f. CT interventional procedures.
Emergency CT scans are done twenty four hour in our department for all age groups.
2. Regarding ultrasound, our department provides routine and emergency services. USG of special parts like cranium, scrotum, neck and other superficial areas are also routinely done.
Colour doppler, spectral doppler study and USG guided interventional procedures are also regular in our schedule.
3. Plain radiographs of all type are done for twenty four hours daily.
4. Special x ray investigations like IVU, MCU, Ba series and other contrast studies also we are doing
List of available equipments:
1. Fixed table x- ray (600 mA)-1
2. Fixed table x- ray (300 mA)-1
3. Portable x- ray unit-3
4. USG machines-3
5. MDCT scanner (16-slice)
6. Digital Radiographic system
It is very important to protect staff and patients from hazards of radiation. The walls and doors are very well constructed in the sense of radiation protection. But only this much is not sufficient, we need regular checks and monitoring for radiation leakage from doors and wall, efficiency of x ray machines, personal radiation dosimeters for radiation workers. Radiation exposure is a concern in both adults and children. However there are unique considerations in children:
• Children are more sensitive to radiation than adults
• Children have a longer life expectancy than adults, resulting in a larger
window of opportunity for radiation dosage
• Children receive a higher dose than necessary when adult CT settings are
use for children
Our dream of the future is to get a fully equipped department of Radiology in this hospital so that every needful patient can get the required radiological services (both diagnostic and interventional) easily, cheaply and promptly.
As per our plan ,we already have fully functioning MDCT scanner, digital radiography and Doppler USG in our department.
MRI is also one of the very essential modality to diagnose various childhood diseases and is an integral part of Modern Day Radiological set-up. So, it should obviously be among the priority list of our future plan.
Besides these, fully digitalized radiography system in the hospital with Picture Archieving Computerized System(PACS) in wards and radiology department is our dream of today.This will make the radiological service delivery more effective ,easy, time saving, reliable and integrated. Both service provider and receiver will thus be benefitted.
Development of human resources in pediatric radiology through various trainings is also the need of present situation. With development of modern imaging technologies, our staff’s knowledge and skills need to be upgraded regularly by appropriate trainings.
We are also planning to establish an electronic film library of high quality images of X-ray, CAT and ultrasound images and make available to staff, students and graduates.
’’ You have asked us to provide diagnostic imaging services for your child, and we are promising to Image them Gently’’
Department of Radiology
Kanti Children’s Hospital
Dr Burlakoti T.R.;Dr Adhikari S.P.;Dr Khatiwada P; Parajuli s and Department of Radiology