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[计算机断层扫描中剂量降低的当前策略]

[Current strategies for dosage reduction in computed tomography].

作者信息

May M S, Wuest W, Lell M M, Uder M, Kalender W A, Schmidt B

机构信息

Radiologisches Institut, Universitätsklinikum Erlangen, Maximiliansplatz 1, 91054, Erlangen, Deutschland.

出版信息

Radiologe. 2012 Oct;52(10):905-13. doi: 10.1007/s00117-012-2338-8.

DOI:10.1007/s00117-012-2338-8
PMID:22914872
Abstract

The potential risks of radiation exposure associated with computed tomography (CT) imaging are reason for ongoing concern for both medical staff and patients. Radiation dose reduction is, according to the as low as reasonably achievable principle, an important issue in clinical routine, research and development. The complex interaction of preparation, examination and post-processing provides a high potential for optimization on the one hand but on the other a high risk for errors. The radiologist is responsible for the quality of the CT examination which requires specialized and up-to-date knowledge. Most of the techniques for radiation dose reduction are independent of the system and manufacturer. The basic principle should be radiation dose optimization without loss of diagnostic image quality rather than just reduction.

摘要

计算机断层扫描(CT)成像所带来的辐射暴露潜在风险,一直是医护人员和患者持续关注的问题。根据合理可行尽量低原则,降低辐射剂量是临床常规、研发中的一个重要问题。准备、检查和后处理之间的复杂相互作用一方面提供了很大的优化潜力,但另一方面也存在很高的出错风险。放射科医生负责CT检查的质量,这需要专业的最新知识。大多数降低辐射剂量的技术与系统和制造商无关。基本原则应该是在不损失诊断图像质量的前提下优化辐射剂量,而不仅仅是降低剂量。

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Attenuation-based automatic kilovolt selection in abdominal computed tomography: effects on radiation exposure and image quality.基于衰减的腹部 CT 千伏自动选择:对辐射剂量和图像质量的影响。
Invest Radiol. 2012 Oct;47(10):559-65. doi: 10.1097/RLI.0b013e318260c5d6.
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Effect of antioxidants on X-ray-induced γ-H2AX foci in human blood lymphocytes: preliminary observations.抗氧化剂对人血淋巴细胞中 X 射线诱导的 γ-H2AX 焦点的影响:初步观察。
Radiology. 2012 Jul;264(1):59-67. doi: 10.1148/radiol.12111730. Epub 2012 Apr 16.
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Radiation dose reduction to the breast in thoracic CT: comparison of bismuth shielding, organ-based tube current modulation, and use of a globally decreased tube current.
Radiologe. 2013 Jun;53(6):535-8. doi: 10.1007/s00117-013-2492-7.
胸部 CT 中对乳房的辐射剂量降低:铋屏蔽、基于器官的管电流调制和使用全局降低的管电流的比较。
Med Phys. 2011 Nov;38(11):6084-92. doi: 10.1118/1.3651489.
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Coronary CT angiography of patients with a normal body mass index using 80 kVp versus 100 kVp: a prospective, multicenter, multivendor randomized trial.冠状动脉 CT 血管造影中,使用 80 kVp 与 100 kVp 管电压对正常体重指数患者的前瞻性、多中心、多厂家随机试验。
AJR Am J Roentgenol. 2011 Nov;197(5):W860-7. doi: 10.2214/AJR.11.6787.
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Computed tomography enteroclysis: a review.计算机断层扫描肠造影:综述。
Jpn J Radiol. 2011 Dec;29(10):673-81. doi: 10.1007/s11604-011-0621-7. Epub 2011 Oct 19.
6
Radiation dose considerations by intra-individual Monte Carlo simulations in dual source spiral coronary computed tomography angiography with electrocardiogram-triggered tube current modulation and adaptive pitch.个体内蒙特卡罗模拟在双源螺旋冠状动脉 CT 血管造影中的心电触发管电流调制和自适应螺距的辐射剂量考虑。
Eur Radiol. 2012 Mar;22(3):569-78. doi: 10.1007/s00330-011-2300-6. Epub 2011 Oct 9.
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Dose reduction to anterior surfaces with organ-based tube-current modulation: evaluation of performance in a phantom study.基于器官的管电流调制减少前表面剂量:体模研究中的性能评估。
AJR Am J Roentgenol. 2011 Sep;197(3):689-95. doi: 10.2214/AJR.10.6061.
8
Automated attenuation-based tube potential selection for thoracoabdominal computed tomography angiography: improved dose effectiveness.基于自动衰减的胸腹部 CT 血管造影管电压选择:提高剂量效率。
Invest Radiol. 2011 Dec;46(12):767-73. doi: 10.1097/RLI.0b013e3182266448.
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Radiology. 2011 Aug;260(2):560-7. doi: 10.1148/radiol.11101575. Epub 2011 May 9.
10
Dose reduction in abdominal computed tomography: intraindividual comparison of image quality of full-dose standard and half-dose iterative reconstructions with dual-source computed tomography.腹部 CT 剂量降低:双源 CT 全剂量标准重建与半剂量迭代重建的个体内图像质量比较。
Invest Radiol. 2011 Jul;46(7):465-70. doi: 10.1097/RLI.0b013e31821690a1.