Miller Donald L
Department of Radiology and Radiological Sciences, Uniformed Services University, Bethesda, MD 20814, USA.
Health Phys. 2008 Nov;95(5):638-44. doi: 10.1097/01.HP.0000326341.86359.0b.
Interventional fluoroscopy procedures are increasingly important in medical practice. As new procedures are introduced and validated, they tend to replace the equivalent surgical procedure. There is wide variation in patient dose, both among procedures and for a specific procedure. Stochastic risk is present, but interventional fluoroscopy procedures may also present deterministic risk. Radiation risk/benefit analyses are different for interventional fluoroscopy procedures than they are for diagnostic imaging procedures. The radiation risk component of an interventional fluoroscopy procedure is substantially less than the other procedural risks, and there is always clear and measurable benefit to the patient from a successful procedure. Optimizing patient dose will require both improvements in equipment technology and greater attention from regulators, accrediting bodies and medical organizations. Ensuring adequate operator training is essential.
介入性荧光透视检查程序在医学实践中越来越重要。随着新程序的引入和验证，它们往往会取代等效的外科手术程序。患者剂量在不同程序之间以及特定程序中存在很大差异。存在随机风险，但介入性荧光透视检查程序也可能存在确定性风险。介入性荧光透视检查程序的辐射风险/效益分析与诊断成像程序不同。介入性荧光透视检查程序的辐射风险部分远低于其他程序风险，并且成功的程序总会给患者带来明显且可衡量的益处。优化患者剂量既需要设备技术的改进，也需要监管机构、认证机构和医疗组织给予更多关注。确保操作人员得到充分培训至关重要。
