Kalra Mannudeep K, Maher Michael M, Rizzo Stefania, Kanarek David, Shepard Jo-Anne O
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
J Korean Med Sci. 2004 Apr;19(2):159-66. doi: 10.3346/jkms.2004.19.2.159.
Concerns have been raised over alleged overuse of CT scanning and inappropriate selection of scanning methods, all of which expose patients to unnecessary radiation. Thus, it is important to identify clinical situations in which techniques with lower radiation dose such as plain radiography or no radiation such as MRI and occasionally ultrasonography can be chosen over CT scanning. This article proposes the arguments for radiation dose reduction in CT scanning of the chest and discusses recommended practices and studies that address means of reducing radiation exposure associated with CT scanning of the chest.
人们对CT扫描的过度使用以及扫描方法的不当选择表示担忧,所有这些都会使患者暴露于不必要的辐射中。因此,识别出可以选择低辐射剂量技术(如普通X线摄影)或无辐射技术(如MRI,偶尔也可选择超声检查)来替代CT扫描的临床情况非常重要。本文提出了在胸部CT扫描中降低辐射剂量的理由,并讨论了推荐的做法以及针对减少与胸部CT扫描相关辐射暴露方法的研究。