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日本福岛县福岛第一核电站事故前后儿童放射影像学检查频率的变化。

Changes in radiological imaging frequencies in children before and after the accident at the Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture, Japan.

作者信息

Yoshida Koji, Hayashida Naomi, Fukushima Yoshiko, Ohtsuru Akira, Ohba Takashi, Hasegawa Arifumi, Sato Hisashi, Shishido Fumio, Yasui Kiyotaka, Kumagai Atsushi, Yusa Takeshi, Kudo Takashi, Yamashita Shunichi, Takamura Noboru

机构信息

Department of Global Health, Medicine and Welfare, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Education Center for Disaster Medicine, Fukushima Medical University, Fukushima, Japan.

出版信息

Jpn J Radiol. 2015 Oct;33(10):619-26. doi: 10.1007/s11604-015-0464-8. Epub 2015 Jul 29.

DOI:10.1007/s11604-015-0464-8
PMID:26219903
Abstract

PURPOSE

The accident at the Fukushima Daiichi Nuclear Power Plant has raised concerns about radiation exposure, including medical radiation exposure such as X-ray and CT, in residents of Fukushima.

MATERIALS AND METHODS

We compared the numbers and the ratio of outpatients less than 10 years old who underwent imaging examinations [e.g., CT, X-ray, MRI, ultrasonography (US), etc.] at Fukushima Medical University hospital in Fukushima, Japan before (April 1, 2008-March 31, 2011) and after (April 1, 2011-March 31, 2014) the accident.

RESULTS

The number of outpatients less than 10 years old decreased after the accident. The number of outpatients less than 10 years old who underwent CT and X-ray examinations also significantly decreased after the accident (p < 0.001, p < 0.01, respectively).

CONCLUSION

Our results suggest that the number of pediatric radiological examinations decreased after the accident in Fukushima. We should continue to communicate with patients and their families to ensure that they understand the risks and benefits of radiological imaging in order to overcome their concerns about the nuclear disaster.

摘要

目的

福岛第一核电站事故引发了人们对福岛居民辐射暴露的担忧,包括X射线和CT等医学辐射暴露。

材料与方法

我们比较了日本福岛县福岛医科大学医院事故发生前(2008年4月1日至2011年3月31日)和事故发生后(2011年4月1日至2014年3月31日)10岁以下接受成像检查[如CT、X射线、MRI、超声检查(US)等]的门诊患者数量及比例。

结果

事故发生后10岁以下门诊患者数量减少。事故发生后,接受CT和X射线检查的10岁以下门诊患者数量也显著减少(分别为p<0.001,p<0.01)。

结论

我们的结果表明,福岛事故后儿科放射检查数量减少。我们应继续与患者及其家属沟通,确保他们了解放射成像的风险和益处,以克服他们对核灾难的担忧。

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Has pediatric CT practice in Japan changed since the Fukushima nuclear disaster?自福岛核灾难以来,日本的儿科CT检查实践有变化吗?
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Risk of cancer incidence before the age of 15 years after exposure to ionising radiation from computed tomography: results from a German cohort study.计算机断层扫描电离辐射暴露后15岁前患癌风险:一项德国队列研究的结果
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福岛核电厂事故引发的福岛相关情绪变化-谣言如何左右人们的态度:社交媒体情绪分析。
J Med Internet Res. 2020 Sep 2;22(9):e18662. doi: 10.2196/18662.
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Influence of the Fukushima Daiichi Nuclear Power Plant Accident on the Use of Computed Tomography in Children With Mild Head Injuries.福岛第一核电站事故对儿童轻度头部外伤行计算机断层扫描的影响。
J Epidemiol. 2020 Dec 5;30(12):542-546. doi: 10.2188/jea.JE20190158. Epub 2019 Dec 7.
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The present state of radiation exposure from pediatric CT examinations in Japan-what do we have to do?日本儿科CT检查的辐射暴露现状——我们必须做些什么?
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福岛核反应堆事故综述:辐射对甲状腺的影响及预防策略
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Psychological distress after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant accident: results of a mental health and lifestyle survey through the Fukushima Health Management Survey in FY2011 and FY2012.东日本大地震及福岛第一核电站事故后的心理困扰:2011财年和2012财年通过福岛健康管理调查进行的心理健康与生活方式调查结果
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