Scholars@Duke
Donald Paul Frush

Donald Paul Frush

Professor of Radiology
Radiology, Pediatric Radiology
donald.frush@duke.edu
Box 3808 Med Ctr, Durham, NC 27710
1904 Childrens Hlth Ctr, Durham, NC 27710

Featured Works

Comparison of radiation dose estimates, image noise, and scan duration in pediatric body imaging for volumetric and helical modes on 320-detector CT and helical mode on 64-detector CT.

Journal article Pediatr Radiol · September 2013 Featured Publication BACKGROUND: Advanced multidetector CT systems facilitate volumetric image acquisition, which offers theoretic dose savings over helical acquisition with shorter scan times. OBJECTIVE: Compare effective dose (ED), scan duration and image noise using 320- an ... Full text Link to item Cite

Comparison of radiation dose estimates and scan performance in pediatric high-resolution thoracic CT for volumetric 320-detector row, helical 64-detector row, and noncontiguous axial scan acquisitions.

Journal article Acad Radiol · September 2013 Featured Publication RATIONALE AND OBJECTIVES: Efforts to decrease radiation exposure during pediatric high-resolution thoracic computed tomography (HRCT), while maintaining diagnostic image quality, are imperative. The objective of this investigation was to compare organ dose ... Full text Link to item Cite

Diagnostic reference ranges for pediatric abdominal CT.

Journal article Radiology · July 2013 Featured Publication PURPOSE: To develop diagnostic reference ranges (DRRs) and a method for an individual practice to calculate site-specific reference doses for computed tomographic (CT) scans of the abdomen or abdomen and pelvis in children on the basis of body width (BW). ... Full text Link to item Cite

Compendium of resources for radiation safety in medical imaging using ionizing radiation.

Journal article J Am Coll Radiol · May 2013 Featured Publication PURPOSE: Diagnostic imaging, including ionizing radiation modalities, maintains a prominent role in the medical evaluation of patients. There is increasing awareness and need for information across varied sectors about low-level radiation and potential ris ... Full text Link to item Cite

Reply: To PMID 22915409.

Journal article AJR Am J Roentgenol · May 2013 Featured Publication Full text Link to item Cite

Basilar artery aneurysm: a new finding in classic infantile Pompe disease.

Journal article Muscle Nerve · April 2013 Featured Publication Full text Link to item Cite

Population of anatomically variable 4D XCAT adult phantoms for imaging research and optimization.

Journal article Med Phys · April 2013 Featured Publication PURPOSE: The authors previously developed the 4D extended cardiac-torso (XCAT) phantom for multimodality imaging research. The XCAT consisted of highly detailed whole-body models for the standard male and female adult, including the cardiac and respiratory ... Full text Link to item Cite

An amazing accomplishment--CT manufacturers deserve our thanks.

Journal article Pediatr Radiol · January 2013 Featured Publication Full text Link to item Cite

CT scans in childhood and risk of leukaemia and brain tumours.

Journal article Lancet · November 17, 2012 Featured Publication Full text Link to item Cite

Radiation dose estimation for prospective and retrospective ECG-gated cardiac CT angiography in infants and small children using a 320-MDCT volume scanner.

Journal article AJR Am J Roentgenol · November 2012 Featured Publication OBJECTIVE: The purpose of this study is to determine patient dose estimates for clinical pediatric cardiac-gated CT angiography (CTA) protocols on a 320-MDCT volume scanner. MATERIALS AND METHODS: Organ doses were measured using 20 metal oxide semiconducto ... Full text Link to item Cite

Effects of protocol and obesity on dose conversion factors in adult body CT.

Journal article Med Phys · November 2012 Featured Publication PURPOSE: In computed tomography (CT), organ dose, effective dose, and risk index can be estimated from volume-weighted CT dose index (CTDI(vol)) or dose-length product (DLP) using conversion coefficients. Studies have investigated how these coefficients va ... Full text Link to item Cite

Automated size-specific CT dose monitoring program: assessing variability in CT dose.

Journal article Med Phys · November 2012 Featured Publication PURPOSE: The potential health risks associated with low levels of ionizing radiation have created a movement in the radiology community to optimize computed tomography (CT) imaging protocols to use the lowest radiation dose possible without compromising th ... Full text Link to item Cite

Radiation dose estimations to the thorax using organ-based dose modulation.

Journal article AJR Am J Roentgenol · July 2012 Featured Publication OBJECTIVE: The purpose of this study was to assess the radiation dose distribution and image quality for organ-based dose modulation during adult thoracic MDCT. MATERIALS AND METHODS: Organ doses were measured using an anthropomorphic adult female phantom ... Full text Link to item Cite

Our responsibility for medical radiation dose determinations.

Journal article J Vasc Interv Radiol · April 2012 Featured Publication Full text Link to item Cite

Evaluation of pediatric skull fracture imaging techniques.

Journal article Forensic Sci Int · January 10, 2012 Featured Publication Radiologic imaging is crucial in the diagnosis of skull fracture, but there is some doubt as to whether different imaging modalities can accurately identify fractures present on a human skull. While studies have been performed to evaluate the efficacy of r ... Full text Link to item Cite

Compendium of national guidelines for imaging of the pediatric patient.

Journal article Pediatr Radiol · January 2012 Featured Publication BACKGROUND: Diagnostic imaging plays an integral role in diagnosing and managing many pediatric disorders, but there is growing concern in both the medical community and the general public about the long-term health effects of ionizing radiation in childre ... Full text Link to item Cite

Compendium of national guidelines for imaging the pregnant patient.

Journal article AJR Am J Roentgenol · October 2011 Featured Publication OBJECTIVE: Diagnostic imaging performed during pregnancy, particularly if it involves the use of ionizing radiation, can be a source of great anxiety for both health care providers and patients. Especially with the growing public awareness of the increasin ... Full text Link to item Cite

Image Gently: progress and challenges in CT education and advocacy.

Journal article Pediatr Radiol · September 2011 Featured Publication Significant progress has been made in radiation protection for children during the last 10 years. This includes increased awareness of the need for radiation protection for pediatric patients with international partnerships through the Alliance for Radiati ... Full text Link to item Cite

Justification and optimization of CT in children: how are we performing?

Journal article Pediatr Radiol · September 2011 Featured Publication It has been 10 years since the original pediatric CT ALARA conference in 2001, so it is fitting that we look back at our progress. The following material will look at how we might quantify our performance regarding the justification and optimization of rad ... Full text Link to item Cite

CT dose and risk estimates in children.

Journal article Pediatr Radiol · September 2011 Featured Publication Pediatric CT radiation dose and risk assessment are important but challenging, especially given inherent uncertainties. It is still necessary for those involved in medical imaging of children to have an understanding of the extent of existing knowledge for ... Full text Link to item Cite

Approaches to promotion and implementation of action on Radiation Protection for children.

Journal article Radiat Prot Dosimetry · September 2011 Featured Publication The Radiation Protection in Medicine conference, reviewed in this journal supplement, outlined nine strategies to promote radiation protection for patients. The Alliance for Radiation Safety in Pediatric Imaging has focused its work on three of those areas ... Full text Link to item Cite

How many strikes does it take till we are out?

Journal article Pediatr Radiol · May 2011 Featured Publication Full text Link to item Cite

Image Gently: Partnerships to promote radiation protection for children worldwide

Journal article Pediatric Radiology · May 1, 2011 Featured Publication Full text Cite

Low dose computerized tomography for detection of urolithiasis--its effectiveness in the setting of the urology clinic.

Journal article J Urol · March 2011 Featured Publication PURPOSE: Low dose noncontrast computerized tomography is becoming a common imaging tool to diagnose urolithiasis. We investigated its usefulness as a diagnostic tool in the outpatient setting. MATERIALS AND METHODS: A total of 62 patients with suspected ur ... Full text Link to item Cite

Managing radiation use in medical imaging: a multifaceted challenge.

Journal article Radiology · March 2011 Featured Publication This special report aims to inform the medical community about the many challenges involved in managing radiation exposure in a way that maximizes the benefit-risk ratio. The report discusses the state of current knowledge and key questions in regard to so ... Full text Link to item Cite

Computer-simulated radiation dose reduction for abdominal multidetector CT of pediatric patients.

Journal article AJR Am J Roentgenol · November 2002 Featured Publication OBJECTIVE: Limiting CT radiation dose is especially critical when imaging children. The purpose of our study was to modify and test an accurate and safe tool for evaluating systematic dose reduction for abdominal multidetector CT (MDCT) in pediatric patien ... Full text Link to item Cite

Pediatric CT: practical approach to diminish the radiation dose.

Journal article Pediatr Radiol · October 2002 Featured Publication Full text Link to item Cite

Eight-channel multidetector computed tomography: unique potential for pediatric chest computed tomography angiography.

Journal article J Thorac Imaging · October 2002 Featured Publication This case report of a possible aortic pseudoaneurysm after coarctectomy in a 12-month-old boy illustrates the unique considerations when performing pediatric cardiovascular CT angiography in young children. With newer (8-channel) multidetector technology, ... Full text Link to item Cite

Introduction: The role of the pediatric radiologist in dose reduction.

Journal article Pediatr Radiol · April 2002 Featured Publication Full text Link to item Cite

Strategies of dose reduction.

Journal article Pediatr Radiol · April 2002 Featured Publication Full text Link to item Cite

Improved pediatric multidetector body CT using a size-based color-coded format.

Journal article AJR Am J Roentgenol · March 2002 Featured Publication OBJECTIVE: CT technique should be adjusted while scanning infants and children. One format that has proven successful in simplifying pediatric care and reducing medical error is the size-based, color-coded Broselow-Luten pediatric system. This color-coded ... Full text Link to item Cite

Hepatic storage of glycogen in Niemann-Pick disease type B.

Journal article J Pediatr · June 2001 Featured Publication We report 2 patients with confirmed Niemann-Pick disease, type B, with previous diagnoses of glycogen storage disease based on excessive glycogen on liver biopsy specimens. These cases emphasize the importance of a complete evaluation, including biochemica ... Full text Link to item Cite

Fallout from recent articles on radiation dose and pediatric CT.

Journal article Pediatr Radiol · June 2001 Featured Publication Full text Link to item Cite

Reliability of CXR for the diagnosis of bronchopulmonary dysplasia.

Journal article Pediatr Radiol · May 2001 Featured Publication BACKGROUND: Bronchopulmonary dysplasia (BPD) continues to be prevalent, despite new treatment, in part because of increased survival in less mature infants. Investigations of new treatments have been hampered by a lack of universally accepted diagnostic cr ... Full text Link to item Cite

Helical CT of the body: are settings adjusted for pediatric patients?

Journal article AJR Am J Roentgenol · February 2001 Featured Publication OBJECTIVE: Our objective was to determine whether adjustments related to patient age are made in the scanning parameters that are determinants of radiation dose for helical CT of pediatric patients. SUBJECTS AND METHODS: This prospective investigation incl ... Full text Link to item Cite

Minimizing radiation dose for pediatric body applications of single-detector helical CT: strategies at a large Children's Hospital.

Journal article AJR Am J Roentgenol · February 2001 Featured Publication Adjustments of the standard helical CT protocols for adults can result in reduced radiation dose when imaging children. It is the radiologist's responsibility to critically evaluate the CT techniques used at their institution. Adjustments to CT protocols s ... Full text Link to item Cite

Reply.

Other J Infect Dis · February 2000 Featured Publication Full text Link to item Cite