Imanishi Yoshimasa, Fukui Atsushi, Niimi Hiroshi, Itoh Daisuke, Nozaki Kyouko, Nakaji Shunsuke, Ishizuka Kumiko, Tabata Hitoshi, Furuya Yu, Uzura Masahiko, Takahama Hideto, Hashizume Suzuo, Arima Shiro, Nakajima Yasuo
Department of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa-ken 216-8511, Japan.
Eur Radiol. 2005 Jan;15(1):41-6. doi: 10.1007/s00330-004-2459-1. Epub 2004 Sep 4.
As imaging technologies become increasingly advanced, it is possible to obtain detailed morphological information as well as functional imaging data. In some imaging technologies, the radiation dose increases with the ability to obtain better images or more detailed information. We encountered three cases of temporary bandage-shaped hair loss, which was caused by perfusion studies of the head by multi-detector row computed tomography (MDCT) for evaluation of cerebral blood flow in patients with vascular disorders. In all three patients with temporary hair loss, two angiographies of the head had been performed in the period of serial CT examinations. This suggested the possibility that radiation exposure from angiography performed in serial examinations, combined with the perfusion studies of the head with MDCT, played an important role in this temporary, bandage-shaped hair loss. Radiologists should be aware that a cumulative or multiplier effect of radiation exposure from multiple diagnostic techniques may result in hair loss and other types of radiation complications.
随着成像技术日益先进,获取详细的形态学信息以及功能成像数据成为可能。在一些成像技术中,辐射剂量会随着获取更好图像或更详细信息的能力而增加。我们遇到了三例暂时性绷带样脱发的病例,这是由多排探测器计算机断层扫描(MDCT)对头进行灌注研究以评估血管疾病患者的脑血流所导致的。在所有三例出现暂时性脱发的患者中,在系列CT检查期间均进行了两次头部血管造影。这提示了在系列检查中进行的血管造影的辐射暴露,与使用MDCT对头进行灌注研究相结合,在这种暂时性绷带样脱发中起重要作用的可能性。放射科医生应意识到,来自多种诊断技术的辐射暴露的累积或倍增效应可能导致脱发及其他类型的辐射并发症。