Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889-5600, USA.
Radiology. 2010 Nov;257(2):321-32. doi: 10.1148/radiol.10091269.
The primary goal of radiation management in interventional radiology is to minimize the unnecessary use of radiation. Clinical radiation management minimizes radiation risk to the patient without increasing other risks, such as procedural risks. A number of factors are considered when estimating the likelihood and severity of patient radiation effects. These include demographic factors, medical history factors, and procedure factors. Important aspects of the patient's medical history include coexisting diseases and genetic factors, medication use, radiation history, and pregnancy. As appropriate, these are evaluated as part of the preprocedure patient evaluation; radiation risk to the patient is considered along with other procedural risks. Dose optimization is possible through appropriate use of the basic features of interventional fluoroscopic equipment and intelligent use of dose-reducing technology. For all fluoroscopically guided interventional procedures, it is good practice to monitor radiation dose throughout the procedure and record it in the patient's medical record. Patients who have received a clinically significant radiation dose should be followed up after the procedure for possible deterministic effects. The authors recommend including radiation management as part of the departmental quality assurance program.
放射管理在介入放射学中的主要目标是尽量减少不必要的辐射使用。临床放射管理在不增加其他风险（如程序风险）的情况下，将患者的辐射风险降到最低。在估计患者辐射影响的可能性和严重程度时，会考虑许多因素。这些因素包括人口统计学因素、病史因素和程序因素。患者病史的重要方面包括并存疾病和遗传因素、药物使用、辐射史和妊娠。在适当的情况下，这些因素会作为术前患者评估的一部分进行评估；会同时考虑患者的辐射风险和其他程序风险。通过适当使用介入荧光透视设备的基本功能和智能使用降低剂量技术，可以实现剂量优化。对于所有荧光透视引导的介入程序，在整个程序中监测辐射剂量并将其记录在患者的病历中是一种良好的做法。对于接受了临床显著辐射剂量的患者，应在程序后对可能的确定性效应进行随访。作者建议将放射管理纳入部门质量保证计划的一部分。
