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孕期腹部计算机断层扫描:适应证及胎儿辐射暴露问题综述

Abdominal computed tomography during pregnancy: a review of indications and fetal radiation exposure issues.

作者信息

Shetty Mahesh K

机构信息

Baylor College of Medicine, Houston, TX, USA.

出版信息

Semin Ultrasound CT MR. 2010 Feb;31(1):3-7. doi: 10.1053/j.sult.2009.09.001. Epub 2010 Jan 14.

Abstract

This article reviews the radiation risks to the developing fetus when exposed in utero to diagnostic radiological procedures. The discussion focuses primarily on abdominal computed tomography as this is the examination that delivers the highest radiation dose to the fetus among the diagnostic radiological procedures performed during pregnancy. The review describes the common indications for abdominal computed tomography, the biological risks to the developing fetus, radiation dose, and dose modulation techniques as well as the need for establishing a pregnancy policy to guide performance of radiological investigations in pregnancy.

摘要

本文回顾了子宫内胎儿在接受诊断性放射学检查时所面临的辐射风险。讨论主要集中在腹部计算机断层扫描,因为在孕期进行的诊断性放射学检查中,该项检查对胎儿的辐射剂量最高。该综述描述了腹部计算机断层扫描的常见适应证、对发育中胎儿的生物学风险、辐射剂量、剂量调制技术,以及制定妊娠政策以指导孕期放射学检查操作的必要性。

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