Amis E Stephen, Butler Priscilla F, Applegate Kimberly E, Birnbaum Steven B, Brateman Libby F, Hevezi James M, Mettler Fred A, Morin Richard L, Pentecost Michael J, Smith Geoffrey G, Strauss Keith J, Zeman Robert K
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
J Am Coll Radiol. 2007 May;4(5):272-84. doi: 10.1016/j.jacr.2007.03.002.
The benefits of diagnostic imaging are immense and have revolutionized the practice of medicine. The increased sophistication and clinical efficacy of imaging have resulted in its dramatic growth over the past quarter century. Although data derived from the atomic bomb survivors in Japan and other events suggest that the expanding use of imaging modalities using ionizing radiation may eventually result in an increased incidence of cancer in the exposed population, this problem can likely be minimized by preventing the inappropriate use of such imaging and by optimizing studies that are performed to obtain the best image quality with the lowest radiation dose. The ACR, which has been an advocate for radiation safety since its inception in 1924, convened the ACR Blue Ribbon Panel on Radiation Dose in Medicine to address these issues. This white paper details a proposed action plan for the college derived from the deliberations of that panel.
诊断成像的益处是巨大的,并且已经彻底改变了医学实践。成像技术日益复杂且临床效果不断提高,导致其在过去四分之一世纪中迅猛发展。尽管来自日本原子弹幸存者及其他事件的数据表明,使用电离辐射的成像方式的广泛应用最终可能导致受照人群中癌症发病率上升,但通过防止此类成像的不当使用以及优化为以最低辐射剂量获得最佳图像质量而进行的检查,这个问题很可能会降至最低。自1924年成立以来一直倡导辐射安全的美国放射学会(ACR)召集了医学辐射剂量问题ACR蓝带小组来解决这些问题。本白皮书详细阐述了源自该小组审议结果的学院拟议行动计划。