Gervaise A, Esperabe-Vignau F, Pernin M, Naulet P, Portron Y, Lapierre-Combes M
Service d'imagerie médicale, hôpital d'instruction des armées Legouest, 27, avenue de Plantières, BP 90001, 57077 Metz cedex 3, France.
J Radiol. 2011 Jul-Aug;92(7-8):681-7. doi: 10.1016/j.jradio.2011.03.023. Epub 2011 Jul 5.
To evaluate the knowledge of physicians prescribing CT examinations on the radiation protection of patients.
A questionnaire was distributed to all clinicians on medical staff who prescribe CT examinations. Several questions related to their prescription pattern and their knowledge of radiation protection.
Forty-four questionnaires were analyzed. While 70% of physicians claimed that they considered the risks from exposure to ionizing radiation when prescribing a CT examination, only 25% informed their patients about those risks. Knowledge of the radiation dose delivered during CT evaluation of the abdomen and pelvis was poorly understood and the risks related to small doses of radiation were grossly underestimated. Finally, only a third of clinicians had received training with regards to radiation protection.
While most clinicians claim that they consider the risks from exposure to ionizing radiation when prescribing a CT examination, the risks are either not well known or not known at all. Increased formation of clinicians with regards to the radiation protection of patients, maybe through a dedicated clinical rotation while in medical school, could be a solution to improve the knowledge of hospital clinicians with regards to radiation protection.
评估开具CT检查的医生对患者辐射防护的了解情况。
向所有开具CT检查的医务人员发放问卷。问卷包含几个与他们的处方模式以及辐射防护知识相关的问题。
分析了44份问卷。虽然70%的医生声称在开具CT检查时会考虑电离辐射暴露的风险,但只有25%的医生告知患者这些风险。对腹部和骨盆CT评估期间所产生的辐射剂量了解不足,且对小剂量辐射相关风险严重低估。最后,只有三分之一的临床医生接受过辐射防护方面的培训。
虽然大多数临床医生声称在开具CT检查时会考虑电离辐射暴露的风险,但这些风险要么未被充分了解,要么完全不为人知。增加临床医生在患者辐射防护方面的培训,比如在医学院期间安排专门的临床轮转,可能是提高医院临床医生辐射防护知识的一个解决办法。