Department of Radiology, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111, USA.
Mayo Clin Proc. 2010 Dec;85(12):1142-6; quiz 1146. doi: 10.4065/mcp.2010.0260.
This review provides a practical overview of the excess cancer risks related to radiation from medical imaging. Primary care physicians should have a basic understanding of these risks. Because of recent attention to this issue, patients are more likely to express concerns over radiation risk. In addition, physicians can play a role in reducing radiation risk to their patients by considering these risks when making imaging referrals. This review provides a brief overview of the evidence pertaining to low-level radiation and excess cancer risks and addresses the radiation doses and risks from common medical imaging studies. Specific subsets of patients may be at greater risk from radiation exposure, and radiation risk should be considered carefully in these patients. Recent technical innovations have contributed to lowering the radiation dose from computed tomography, and the referring physician should be aware of these innovations in making imaging referrals.
这篇综述提供了与医疗成像辐射相关的癌症风险的实用概述。初级保健医生应该对这些风险有基本的了解。由于最近对这个问题的关注,患者更有可能表达对辐射风险的担忧。此外,医生可以通过在进行影像转诊时考虑这些风险,在降低患者的辐射风险方面发挥作用。这篇综述简要概述了与低水平辐射和癌症风险相关的证据,并讨论了常见医学影像研究的辐射剂量和风险。特定亚组的患者可能面临更大的辐射风险,因此在这些患者中应仔细考虑辐射风险。最近的技术创新降低了计算机断层扫描的辐射剂量,放射科医生在进行影像转诊时应了解这些创新。