Hansen Ronnell A
St. Paul Radiology, USA.
Minn Med. 2009 Dec;92(12):42-4.
Publicized cases of errant high radiation exposure delivered to patients undergoing diagnostic imaging have led to heightened awareness and scrutiny of the costs and benefits of imaging by physicians, the public, and policymakers.The statistical risks associated with the ever-increasing utilization of modalities employing damaging ionizing radiation across the population are compounded by the development of the latest generation of devices, which are capable of delivering greater radiation doses than their predecessors for comparable diagnostic applications.This article reviews the fundamental concepts and risks of medical radiation exposure, trends in imaging utilization, and the role of radiologists and their physician colleagues in managing and appropriately utilizing imaging for patient diagnosis.
已公布的在接受诊断成像的患者中出现高辐射暴露错误的案例,已提高了医生、公众和政策制定者对成像成本和效益的认识及审查力度。随着新一代设备的发展,在人群中使用具有破坏性电离辐射的成像方式的使用率不断增加,与之相关的统计风险也在加剧,这些新一代设备在类似的诊断应用中能够比其前代产品提供更高的辐射剂量。本文回顾了医学辐射暴露的基本概念和风险、成像使用趋势,以及放射科医生及其医生同事在管理和合理使用成像以进行患者诊断方面的作用。