Wiest Philip W, Locken Julie A, Heintz Philip H, Mettler Fred A
Department of Radiology, University of New Mexico Health Sciences Center Albuquerque, NM 87131, USA.
Semin Ultrasound CT MR. 2002 Oct;23(5):402-10. doi: 10.1016/s0887-2171(02)90011-9.
CT scanning is a relatively high dose procedure that is becoming much more common worldwide. In the mid-1990s, CT scanning accounted for about 4% of procedures and about 40% of the collective dose in diagnostic radiology. With the advent of helical, fluoroscopic, and multi-slice techniques the dose per procedure has not diminished and the use of CT has increased even more. In large hospitals, CT scanning now accounts for about 15% of procedures and 75% of the diagnostic radiation dose received by patients. When multiple CT scans are conducted on the same patient, the absorbed doses are in the range at which small but statistically significant increases in cancer have been found in the atomic bomb survivors.
CT扫描是一种辐射剂量相对较高的检查手段,在全球范围内正变得越来越普遍。在20世纪90年代中期,CT扫描约占诊断放射学检查手段的4%,而集体剂量约占40%。随着螺旋、荧光透视和多层扫描技术的出现,每次检查的剂量并未减少,CT的使用反而进一步增加。在大型医院,CT扫描目前约占检查手段的15%,患者接受的诊断辐射剂量的75%。当对同一患者进行多次CT扫描时,其吸收剂量处于已在原子弹幸存者中发现有微小但具有统计学意义的癌症发病率增加的范围内。