儿科 CT：降低辐射剂量的策略。
Pediatric CT: strategies to lower radiation dose.
机构信息
Department of Radiology, University of Washington, Redmond, WA, USA.
出版信息
AJR Am J Roentgenol. 2013 May;200(5):950-6. doi: 10.2214/AJR.12.9026.
Abstract
OBJECTIVE
The introduction of MDCT has increased the utilization of CT in pediatric radiology along with concerns for radiation sequelae. This article reviews general principles of lowering radiation dose, the basic physics that impact radiation dose, and specific CT integrated dose-reduction tools focused on the pediatric population.
CONCLUSION
The goal of this article is to provide a comprehensive review of the recent literature regarding CT dose reduction methods, their limitations, and an outlook on future developments with a focus on the pediatric population. The discussion will initially focus on general considerations that lead to radiation dose reduction, followed by specific technical features that influence the radiation dose.
摘要
目的
随着对辐射后遗症的担忧，多层螺旋 CT 的引入增加了儿科放射学中 CT 的应用。本文回顾了降低辐射剂量的一般原则、影响辐射剂量的基本物理学原理，以及专门针对儿科人群的特定 CT 综合剂量降低工具。
结论
本文的目的是全面回顾关于 CT 剂量降低方法的最新文献，包括其局限性，以及对儿科人群的未来发展展望。讨论将首先集中在导致辐射剂量降低的一般考虑因素上，然后是影响辐射剂量的具体技术特点。
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本文引用的文献
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CT radiation dose reduction: can we do harm by doing good?CT辐射剂量降低：我们能因做好事而造成伤害吗？
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2
Advanced radiologic imaging for pediatric appendicitis, 2005-2009: trends and outcomes.儿科阑尾炎的高级放射影像学检查，2005-2009：趋势和结果。
J Pediatr. 2012 Jun;160(6):1034-8. doi: 10.1016/j.jpeds.2011.11.037. Epub 2011 Dec 20.
3
CT image quality improvement using Adaptive Iterative Dose Reduction with wide-volume acquisition on 320-detector CT.利用 320 排探测器 CT 宽体采集自适应迭代剂量降低技术改善 CT 图像质量。
Eur Radiol. 2012 Feb;22(2):295-301. doi: 10.1007/s00330-011-2271-7. Epub 2011 Sep 17.
4
Radiation dose of non-enhanced chest CT can be reduced 40% by using iterative reconstruction in image space.使用基于图像空间的迭代重建技术，非增强胸部 CT 的辐射剂量可降低 40%。
Clin Radiol. 2011 Nov;66(11):1023-9. doi: 10.1016/j.crad.2011.04.008. Epub 2011 Sep 8.
5
CT dose reduction in practice.CT 剂量降低的实际应用。
Pediatr Radiol. 2011 Sep;41 Suppl 2:488-92. doi: 10.1007/s00247-011-2099-y. Epub 2011 Aug 17.
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