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[成人患者接受计算机断层扫描检查时的剂量]

[Doses to adult patients from computed tomography examinations].

作者信息

Domienik Joanna, Zmyślony Marek

机构信息

Instytut Medycyny Pracy im. prof. J. Nofera, Institute of Occupational Medicine, Łódź, Poland.

出版信息

Med Pr. 2012;63(6):629-35.

Abstract

BACKGROUND

The observed increasing number of computed tomography (CT) examinations and the fact that the doses absorbed in tissues from CT are among the highest in diagnostic radiology show that special attention has to be paid to the optimization of patient protection. The first step in that direction is the assessment of doses delivered to the patients, therefore, this issue was the aim of the presented study. MATERIALS AD METHODS: The study was conducted in one of the major hospitals in Lodz on one CT scanner. The effective doses and the organ doses to eye lens, thyroid and gonads were assessed for the most common examinations of head, chest and abdomen in adult patients.

RESULTS

The highest effective doses were received from abdomen (9.7-75.6 mSv) and the lowest from sinuses (0.6-1.1 mSv) examinations. For the head, neck and chest examinations the doses ranged from 0.9 to 3.1 mSv from 4.6 to 11.8 mSv and from 3.7 to 27.2 mSv, respecvtively. As regards organ doses the highest (10.6-25.5 mGy) doses to the eye lens were received from CT head examination, to thyroid (8.7-41.8 mGy) from chest and to gonads (1.5-36.5 mGy) from abdomen examinations.

CONCLUSIONS

The doses vary significantly even for the same type of examination. Although in some examinations the average effective dose is relatively low, e.g., about 2 mSv (for the head) the absorbed dose to the eye lens can be higher (26 mGy), which might be relevant in repeated or pediatric examinations.

摘要

背景

计算机断层扫描(CT)检查数量呈上升趋势,且CT检查中组织吸收的剂量在诊断放射学中处于较高水平,这表明必须特别关注患者防护的优化。朝着这个方向的第一步是评估给予患者的剂量,因此,本研究旨在解决这一问题。

材料与方法

本研究在罗兹的一家大型医院的一台CT扫描仪上进行。对成年患者头部、胸部和腹部最常见的检查评估了有效剂量以及眼晶状体、甲状腺和性腺的器官剂量。

结果

腹部检查的有效剂量最高(9.7 - 75.6 mSv),鼻窦检查的有效剂量最低(0.6 - 1.1 mSv)。头部、颈部和胸部检查的剂量分别为0.9至3.1 mSv、4.6至11.8 mSv和3.7至27.2 mSv。关于器官剂量,CT头部检查给予眼晶状体的剂量最高(10.6 - 25.5 mGy),胸部检查给予甲状腺的剂量最高(8.7 - 41.8 mGy),腹部检查给予性腺的剂量最高(1.5 - 36.5 mGy)。

结论

即使是同一类型的检查,剂量也有显著差异。虽然在某些检查中平均有效剂量相对较低,例如头部约为2 mSv,但眼晶状体的吸收剂量可能更高(26 mGy),这在重复检查或儿科检查中可能具有相关性。

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