Yu Lifeng, Liu Xin, Leng Shuai, Kofler James M, Ramirez-Giraldo Juan C, Qu Mingliang, Christner Jodie, Fletcher Joel G, McCollough Cynthia H
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Imaging Med. 2009 Oct;1(1):65-84. doi: 10.2217/iim.09.5.
Despite universal consensus that computed tomography (CT) overwhelmingly benefits patients when used for appropriate indications, concerns have been raised regarding the potential risk of cancer induction from CT due to the exponentially increased use of CT in medicine. Keeping radiation dose as low as reasonably achievable, consistent with the diagnostic task, remains the most important strategy for decreasing this potential risk. This article summarizes the general technical strategies that are commonly used for radiation dose management in CT. Dose-management strategies for pediatric CT, cardiac CT, dual-energy CT, CT perfusion and interventional CT are specifically discussed, and future perspectives on CT dose reduction are presented.
尽管人们普遍认为,计算机断层扫描(CT)在用于适当的适应症时对患者有极大益处,但由于CT在医学中的使用呈指数级增长,人们对CT诱发癌症的潜在风险也提出了担忧。将辐射剂量保持在与诊断任务相一致的合理可达到的最低水平,仍然是降低这种潜在风险的最重要策略。本文总结了CT中常用的辐射剂量管理的一般技术策略。特别讨论了儿科CT、心脏CT、双能CT、CT灌注和介入CT的剂量管理策略,并介绍了CT剂量降低的未来前景。