Sidhu Manrita, Strauss Keith J, Connolly Bairbre, Yoshizumi Terry T, Racadio John, Coley Brian D, Utley Tara, Goske Marilyn J
Seattle Children's Hospital, University of Washington, and Seattle Radiologists, Seattle, WA, USA.
Tech Vasc Interv Radiol. 2010 Sep;13(3):158-66. doi: 10.1053/j.tvir.2010.03.004.
Pediatric interventional radiology procedures are becoming increasingly common in the medical community, in part due to the significant medical benefit derived from these studies. At the same time, the medical radiation used for these studies contributes to the radiation dose to this unique population of patients. As children are more sensitive to radiation than adults and have a longer lifetime to manifest those changes, a concerted effort should be made toward radiation protection in this setting. Pediatric interventional procedures may differ from adult examinations in several ways, including the small size of the patient, the proximity of the operator's body and hands to the beam, and small body spaces resulting in precarious wire purchase. We describe specific strategies to improve patient and staff safety. These include staff education, safety checklists, a team approach, and formalized review and quality assurance programs. Practical steps to reduce patient dose are reviewed, and tools to assist in achieving the goal of optimizing radiation safety in children undergoing interventional procedures are provided.
儿科介入放射学程序在医学界正变得越来越普遍，部分原因是这些研究带来了显著的医疗益处。与此同时，用于这些研究的医用辐射增加了这一特殊患者群体的辐射剂量。由于儿童对辐射比成人更敏感，且有更长的寿命来显现这些变化，因此在这种情况下应齐心协力进行辐射防护。儿科介入程序在几个方面可能与成人检查不同，包括患者体型小、操作人员的身体和手部靠近射线束，以及身体空间小导致导丝固定不稳定。我们描述了提高患者和工作人员安全的具体策略。这些策略包括工作人员教育、安全检查表、团队协作方法以及正式的审查和质量保证计划。本文回顾了降低患者剂量的实际步骤，并提供了有助于实现优化接受介入程序儿童辐射安全目标的工具。
