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儿科神经放射学中辐射安全与剂量降低的最新进展。

Update on radiation safety and dose reduction in pediatric neuroradiology.

作者信息

Mahesh Mahadevappa

机构信息

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 601 N. Caroline St., Baltimore, MD, 21287-0856, USA,

出版信息

Pediatr Radiol. 2015 Sep;45 Suppl 3:S370-4. doi: 10.1007/s00247-015-3379-8. Epub 2015 Sep 7.

DOI:10.1007/s00247-015-3379-8
PMID:26346142
Abstract

The number of medical X-ray imaging procedures is growing exponentially across the globe. Even though the overall benefit from medical X-ray imaging procedures far outweighs any associated risks, it is crucial to take all necessary steps to minimize radiation risks to children without jeopardizing image quality. Among the X-ray imaging studies, except for interventional fluoroscopy procedures, CT studies constitute higher dose and therefore draw considerable scrutiny. A number of technological advances have provided ways for better and safer CT imaging. This article provides an update on the radiation safety of patients and staff and discusses dose optimization in medical X-ray imaging within pediatric neuroradiology.

摘要

全球范围内,医学X射线成像检查的数量正在呈指数级增长。尽管医学X射线成像检查带来的总体益处远远超过任何相关风险,但在不影响图像质量的前提下,采取一切必要措施将儿童所受辐射风险降至最低至关重要。在X射线成像研究中,除介入性荧光透视检查外,CT检查的辐射剂量更高,因此受到了相当多的审视。多项技术进步为更好、更安全的CT成像提供了方法。本文介绍了患者和工作人员辐射安全方面的最新情况,并讨论了儿科神经放射学中医学X射线成像的剂量优化问题。

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2
How I do it: managing radiation dose in CT.方法:管理 CT 中的辐射剂量。
Radiology. 2014 Dec;273(3):657-72. doi: 10.1148/radiol.14132328.
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Journal club: Requiring clinical justification to override repeat imaging decision support: impact on CT use.期刊俱乐部:要求临床理由以推翻重复成像决策支持:对CT使用的影响
J Am Coll Radiol. 2016 Nov;13(11):1337-1342.e11. doi: 10.1016/j.jacr.2016.04.032. Epub 2016 Jun 9.
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Analysis of limited-sequence head computed tomography for children with shunted hydrocephalus: potential to reduce diagnostic radiation exposure.分流性脑积水患儿有限序列头部计算机断层扫描分析:降低诊断性辐射暴露的潜力
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Beware the mask.
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Dual-energy CT-based monochromatic imaging.基于双能 CT 的单能量成像。
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Radiographics. 2011 May-Jun;31(3):835-48. doi: 10.1148/rg.313105079.
9
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Dose reduction and compliance with pediatric CT protocols adapted to patient size, clinical indication, and number of prior studies.根据患者体型、临床指征和既往检查次数调整儿科CT扫描方案并减少辐射剂量,确保患者依从性。
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