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我们是否应该在对患者进行有辐射暴露的检查前获得知情同意?

Should we obtain informed consent for examinations that expose patients to radiation?

机构信息

Department of Pediatric Radiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.

出版信息

AJR Am J Roentgenol. 2012 Sep;199(3):664-9. doi: 10.2214/AJR.11.8319.

Abstract

OBJECTIVE

Concern about the radiation-related risks associated with medical imaging is currently a hot topic in both the scientific and lay press as well as gaining a growing awareness from regulatory and legislative organizations. As a result, there is a growing debate about whether or not we should obtain informed consent from patients--in particular, children and their parents--for examinations that expose patients to radiation. In this article, we will discuss the difficulties and challenges of informed decision making and obtaining consent for radiologic examinations.

CONCLUSION

We provide our perspectives about the issue of whether informed consent should be required for diagnostic imaging procedures in children, although many of the points also apply to the adult population, and we discuss the dilemmas related to the process of designing and obtaining informed consent for radiologic procedures.

摘要

目的

目前,医学影像学相关辐射风险的担忧不仅是科学界和大众媒体热议的话题,也引起了监管和立法机构的日益关注。因此,人们越来越关注是否应该让接受放射检查的患者,特别是儿童及其家长,在知情的情况下做出决定。本文将讨论放射检查知情决策和获得同意的困难和挑战。

结论

我们提供了对儿童诊断性影像学检查是否需要知情同意的观点,尽管许多观点也适用于成人人群,还讨论了与放射学操作的设计和知情同意过程相关的困境。

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