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基于有效剂量和器官剂量对医疗辐射暴露风险的估计:差异有多大?

Estimation of risk from medical radiation exposure based on effective and organ dose: how much difference is there?

作者信息

Ivanov V K, Kashcheev V V, Chekin S Yu, Menyaylo A N, Pryakhin E A, Tsyb A F, Mettler F A

机构信息

Federal State Institution Medical Radiological Research Center of the Russian Ministry of Health and Social Development, 4 Korolyov Str., Obninsk, Kaluga Region 249036, Russia.

出版信息

Radiat Prot Dosimetry. 2013 Jul;155(3):317-28. doi: 10.1093/rpd/nct008. Epub 2013 Feb 6.

DOI:10.1093/rpd/nct008
PMID:23390145
Abstract

The authors compare radiation risks of potential cancer following diagnostic radiation exposure evaluated with the use of organ and effective doses. Lifetime attributable risk values of CT scanning are estimated with the use of ICRP (Publication 103) risk models and Russian national medical statistics data. For populations under the age of 50, the risk evaluated using organ doses usually differs from that using effective doses by <30 %. In older populations, the difference can be up to a factor of 3. Calculated values of lifetime attributable cancer risk for particular organs are presented as well.

摘要

作者比较了使用器官剂量和有效剂量评估的诊断性辐射暴露后潜在癌症的辐射风险。使用国际辐射防护委员会(第103号出版物)风险模型和俄罗斯国家医学统计数据估算了CT扫描的终生归因风险值。对于50岁以下人群,使用器官剂量评估的风险通常与使用有效剂量评估的风险相差<30%。在老年人群中,差异可能高达3倍。还列出了特定器官终生归因癌症风险的计算值。

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