Pearce Mark S, Salotti Jane A, Howe Nicola L, McHugh Kieran, Kim Kwang Pyo, Lee Choonsik, Craft Alan W, Berrington de Gonzaléz Amy, Parker Louise
Institute of Health & Society, Newcastle University, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
Radiol Res Pract. 2012;2012:594278. doi: 10.1155/2012/594278. Epub 2012 Jun 26.
Background. Although using computed tomography (CT) can be greatly beneficial, the associated relatively high radiation doses have led to growing concerns in relation to potential associations with risk of future cancer. Very little has been published regarding the trends of CT use in young people. Therefore, our objective was to assess temporal and other patterns in CT usage among patients aged under 22 years in Great Britain from 1993 to 2002. Methods. Electronic data were obtained from the Radiology Information Systems of 81 hospital trusts within Great Britain. All included patients were aged under 22 years and examined using CT between 1993 and 2002, with accessible radiology records. Results. The number of CT examinations doubled over the study period. While increases in numbers of recorded examinations were seen across all age groups, the greatest increases were in the older patients, most notably those aged 15-19 years of age. Sixty percent of CT examinations were of the head, with the percentages varying with calendar year and patient age. Conclusions. In contrast to previous data from the North of England, the doubling of CT use was not accompanied by an increase in numbers of multiple examinations to the same individual.
背景。尽管使用计算机断层扫描(CT)可能非常有益,但相关的相对较高辐射剂量已引发人们对其与未来癌症风险潜在关联的日益担忧。关于年轻人CT使用趋势的报道极少。因此,我们的目标是评估1993年至2002年英国22岁以下患者CT使用的时间及其他模式。方法。从英国81家医院信托机构的放射信息系统获取电子数据。所有纳入患者年龄均在22岁以下,于1993年至2002年间接受CT检查且有可获取的放射记录。结果。在研究期间,CT检查数量翻倍。虽然所有年龄组的记录检查数量均有增加,但增幅最大的是年龄较大的患者,最显著的是15 - 19岁的患者。60%的CT检查是头部检查,其百分比随年份和患者年龄而变化。结论。与英格兰北部先前的数据相比,CT使用量翻倍并未伴随同一个体多次检查数量的增加。