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正反观点:心脏 CT 成像中的剂量相关问题。

Point/counterpoint: dose-related issues in cardiac CT imaging.

机构信息

Department of Radiology, Lucile Packard Children's Hospital, Stanford University School of Medicine, 725 Welch Road, Stanford, CA 94305-5913, USA.

出版信息

Pediatr Radiol. 2011 Sep;41 Suppl 2:528-33. doi: 10.1007/s00247-011-2153-9. Epub 2011 Aug 17.

DOI:10.1007/s00247-011-2153-9
PMID:21847735
Abstract

This manuscript reviews some of the more controversial dose-related issues in cardiac CT imaging. Discussion covers the relative merits of cardiac CT versus MR, advantages and concerns regarding gated versus nongated cardiac CT and advantages and concerns regarding the use of breast shields in girls undergoing cardiac CT imaging.

摘要

这篇手稿回顾了心脏 CT 成像中一些更具争议的与剂量相关的问题。讨论涵盖了心脏 CT 与 MR 的相对优势、门控与非门控心脏 CT 的优缺点以及在女孩进行心脏 CT 成像时使用乳房屏蔽的优缺点。

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Point/counterpoint: dose-related issues in cardiac CT imaging.正反观点:心脏 CT 成像中的剂量相关问题。
Pediatr Radiol. 2011 Sep;41 Suppl 2:528-33. doi: 10.1007/s00247-011-2153-9. Epub 2011 Aug 17.
2
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Pediatr Radiol. 2012 Apr;42(4):399-401. doi: 10.1007/s00247-011-2331-9.

本文引用的文献

1
Pacemakers and magnetic resonance imaging: no longer an absolute contraindication when scanned correctly.起搏器与磁共振成像:扫描方法正确时,不再是绝对禁忌。
Isr Med Assoc J. 2010 Jul;12(7):391-5.
2
A pediatric CT dose and risk estimator.儿科 CT 剂量和风险估算器。
Pediatr Radiol. 2010 Nov;40(11):1816-21. doi: 10.1007/s00247-010-1761-0. Epub 2010 Jul 11.
3
Multidetector CT in children: current concepts and dose reduction strategies.多排 CT 在儿童中的应用:现有概念和剂量降低策略。
Pediatr Radiol. 2010 Aug;40(8):1324-44. doi: 10.1007/s00247-010-1714-7. Epub 2010 Jun 10.
4
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.
5
Baseline correction of phase-contrast images in congenital cardiovascular magnetic resonance.先天性心血管磁共振相位对比图像的基线校正。
J Cardiovasc Magn Reson. 2010 Mar 5;12(1):11. doi: 10.1186/1532-429X-12-11.
6
Congenital heart disease and multi-modality imaging.先天性心脏病与多模态影像技术
Heart Lung Circ. 2010 Mar;19(3):133-44. doi: 10.1016/j.hlc.2010.01.001. Epub 2010 Feb 23.
7
Retrospective versus prospective ECG-gated dual-source CT in pediatric patients with congenital heart diseases: comparison of image quality and radiation dose.回顾性与前瞻性心电图门控双源 CT 在先天性心脏病患儿中的应用:图像质量和辐射剂量的比较。
Int J Cardiovasc Imaging. 2010 Feb;26 Suppl 1:63-73. doi: 10.1007/s10554-009-9579-2. Epub 2010 Jan 1.
8
MR and CT imaging of the pediatric patient with structural heart disease.患有结构性心脏病的儿科患者的磁共振成像和计算机断层扫描成像
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009:99-105. doi: 10.1053/j.pcsu.2009.01.009.
9
Cardiac imaging: MR or CT? Which to use when.
Pediatr Radiol. 2008 Jun;38 Suppl 3:S433-8. doi: 10.1007/s00247-008-0843-8.
10
Reduction of dose to the female breast in thoracic CT: a comparison of standard-protocol, bismuth-shielded, partial and tube-current-modulated CT examinations.胸部CT中降低女性乳腺剂量:标准协议、铋屏蔽、局部和管电流调制CT检查的比较
Eur Radiol. 2008 Aug;18(8):1674-82. doi: 10.1007/s00330-008-0934-9. Epub 2008 Apr 15.