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心脏影像学:辐射有影响吗?

Cardiac imaging: does radiation matter?

机构信息

Cardiology Division, Department of Medicine, Columbia University Medical Center and New York-Presbyterian Hospital, New York, NY, USA.

出版信息

Eur Heart J. 2012 Mar;33(5):573-8. doi: 10.1093/eurheartj/ehr281. Epub 2011 Aug 9.

DOI:10.1093/eurheartj/ehr281
PMID:21828062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3291500/
Abstract

The use of ionizing radiation in cardiovascular imaging has generated considerable discussion. Radiation should not be considered in isolation, but rather in the context of a careful examination of the benefits, risks, and costs of cardiovascular imaging. Such consideration requires an understanding of some fundamental aspects of the biology, physics, epidemiology, and terminology germane to radiation, as well as principles of radiological protection. This paper offers a concise, contemporary perspective on these areas by addressing pertinent questions relating to radiation and its application to cardiac imaging.

摘要

在心血管成像中使用电离辐射引起了广泛的讨论。不应孤立地考虑辐射,而应在仔细检查心血管成像的益处、风险和成本的背景下进行考虑。这种考虑需要了解与辐射相关的生物学、物理学、流行病学和术语的一些基本方面,以及放射防护的原则。本文通过回答与辐射及其在心脏成像中的应用相关的相关问题,提供了对这些领域的简洁、现代的观点。

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Cardiac imaging: does radiation matter?心脏影像学:辐射有影响吗?
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本文引用的文献

1
Impact of reduced patient life expectancy on potential cancer risks from radiologic imaging.减少患者预期寿命对放射影像学潜在癌症风险的影响。
Radiology. 2011 Oct;261(1):193-8. doi: 10.1148/radiol.11102452. Epub 2011 Jul 19.
2
Myocardial perfusion scans: projected population cancer risks from current levels of use in the United States.心肌灌注扫描:当前在美国的使用水平下预测的人群癌症风险。
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Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging.在接受心肌灌注成像的患者中,多重检验、累积辐射剂量和临床适应证。
JAMA. 2010 Nov 17;304(19):2137-44. doi: 10.1001/jama.2010.1664. Epub 2010 Nov 15.
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Cardiac CT: are we underestimating the dose? A radiation dose study utilizing the 2007 ICRP tissue weighting factors and a cardiac specific scan volume.心脏 CT:我们是否低估了剂量?利用 2007 年 ICRP 组织权重因子和心脏专用扫描体积进行的辐射剂量研究。
Clin Radiol. 2010 Dec;65(12):1013-7. doi: 10.1016/j.crad.2010.08.001. Epub 2010 Sep 29.
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Proposed revision to the radiation dosimetry of 82Rb.建议修订 82Rb 的辐射剂量学。
Health Phys. 2010 Dec;99(6):811-3. doi: 10.1097/HP.0b013e3181e47b33.
6
The dose from Compton backscatter screening.康普顿背散射筛查的剂量。
Radiat Prot Dosimetry. 2011 Apr;145(1):75-81. doi: 10.1093/rpd/ncq358. Epub 2010 Nov 9.
7
Human biodistribution and radiation dosimetry of 82Rb.82Rb 的人体生物分布和辐射剂量学。
J Nucl Med. 2010 Oct;51(10):1592-9. doi: 10.2967/jnumed.110.077669. Epub 2010 Sep 16.
8
Guidelines on myocardial revascularization.心肌血运重建指南。
Eur Heart J. 2010 Oct;31(20):2501-55. doi: 10.1093/eurheartj/ehq277. Epub 2010 Aug 29.
9
Cumulative exposure to ionizing radiation from diagnostic and therapeutic cardiac imaging procedures: a population-based analysis.基于人群的分析:诊断和治疗性心脏成像程序的电离辐射累积暴露。
J Am Coll Cardiol. 2010 Aug 24;56(9):702-11. doi: 10.1016/j.jacc.2010.05.014. Epub 2010 Jul 9.
10
Estimating effective dose for CT using dose-length product compared with using organ doses: consequences of adopting International Commission on Radiological Protection publication 103 or dual-energy scanning.使用剂量长度产品与使用器官剂量估算 CT 的有效剂量:采用国际放射防护委员会第 103 号出版物或双能扫描的后果。
AJR Am J Roentgenol. 2010 Apr;194(4):881-9. doi: 10.2214/AJR.09.3462.