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新的临床决策工具能够且应该减少辐射暴露。

New clinical decision instruments can and should reduce radiation exposure.

作者信息

Lagarde Emmanuel

机构信息

Institut National de la Santé et de la Recherche Médicale U897, Université de Bordeaux, Bordeaux, France.

出版信息

PLoS Med. 2015 Oct 6;12(10):e1001884. doi: 10.1371/journal.pmed.1001884. eCollection 2015 Oct.

DOI:10.1371/journal.pmed.1001884
PMID:26440669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4595274/
Abstract

In this Perspective linked to Rodriguez and colleagues, Emmanuel Lagarde discusses the importance of decision instruments that can help physicians avoid subjecting patients to radiation exposure from unnecessary CT scans.

摘要

在这篇与罗德里格斯及其同事相关的观点文章中,埃马纽埃尔·拉加德探讨了决策工具的重要性,这些工具可帮助医生避免让患者遭受不必要的CT扫描带来的辐射暴露。

相似文献

1
New clinical decision instruments can and should reduce radiation exposure.新的临床决策工具能够且应该减少辐射暴露。
PLoS Med. 2015 Oct 6;12(10):e1001884. doi: 10.1371/journal.pmed.1001884. eCollection 2015 Oct.
2
The Ethical Use of Computed Tomography: Minimizing Effects of Radiation Exposure Through Justification and Optimization.计算机断层扫描的伦理使用:通过正当性论证和优化来最小化辐射暴露的影响。
Radiol Technol. 2018 Jan;89(3):322-325.
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Point-of-Care Estimated Radiation Exposure and Imaging Guidelines Can Reduce Pediatric Radiation Burden.床旁估计辐射暴露和成像指南可减轻儿科辐射负担。
J Am Board Fam Med. 2015 May-Jun;28(3):343-50. doi: 10.3122/jabfm.2015.03.140251.
4
Attitudes toward evidence-based clinical decision support tools to reduce exposure to ionizing radiation: The Canadian CT Head Rule.对基于证据的临床决策支持工具以减少电离辐射暴露的态度:加拿大头部CT规则。
J Am Assoc Nurse Pract. 2016 Dec;28(12):659-667. doi: 10.1002/2327-6924.12402. Epub 2016 Sep 22.
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Justification of CT scans using referral guidelines for imaging.使用影像学转诊指南对CT扫描进行合理性论证。
Radiat Prot Dosimetry. 2015 Jul;165(1-4):43-6. doi: 10.1093/rpd/ncv060. Epub 2015 Mar 23.
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Pediatric CT radiation exposure: where we were, and where we are now.儿科CT辐射暴露:我们曾经的情况以及现在的情况。
Pediatr Radiol. 2019 Apr;49(4):469-478. doi: 10.1007/s00247-018-4281-y. Epub 2019 Mar 29.
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Informed decision making trumps informed consent for medical imaging with ionizing radiation.对于使用电离辐射的医学成像,明智的决策比知情同意更为重要。
Radiology. 2012 Jan;262(1):11-4. doi: 10.1148/radiol.11111421.
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Potential Radiation-Related Effects on Radiologists.辐射对放射科医生可能产生的相关影响。
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Exposure Risks Among Children Undergoing Radiation Therapy: Considerations in the Era of Image Guided Radiation Therapy.接受放射治疗的儿童的暴露风险:在图像引导放射治疗时代的考虑因素。
Int J Radiat Oncol Biol Phys. 2016 Apr 1;94(5):978-92. doi: 10.1016/j.ijrobp.2015.12.372. Epub 2016 Jan 5.
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CT Radiation: Key Concepts for Gentle and Wise Use.CT辐射:合理与明智使用的关键概念
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本文引用的文献

1
Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT).钝性创伤中选择性胸部CT的两种决策工具的推导与验证:一项多中心前瞻性观察研究(NEXUS胸部CT)
PLoS Med. 2015 Oct 6;12(10):e1001883. doi: 10.1371/journal.pmed.1001883. eCollection 2015 Oct.
2
Ionising radiation and risk of death from leukaemia and lymphoma in radiation-monitored workers (INWORKS): an international cohort study.辐射监测工作人员的电离辐射与白血病和淋巴瘤死亡风险(INWORKS):一项国际队列研究
Lancet Haematol. 2015 Jul;2(7):e276-81. doi: 10.1016/S2352-3026(15)00094-0.
3
Researchers pin down risks of low-dose radiation.研究人员确定低剂量辐射的风险。
Nature. 2015 Jul 2;523(7558):17-8. doi: 10.1038/523017a.
4
Effect of Reduction in the Use of Computed Tomography on Clinical Outcomes of Appendicitis.减少计算机断层扫描的使用对阑尾炎临床结果的影响。
JAMA Pediatr. 2015 Aug;169(8):755-60. doi: 10.1001/jamapediatrics.2015.0479.
5
Patient preferences and acceptable risk for computed tomography in trauma.创伤患者对计算机断层扫描的偏好及可接受风险
Injury. 2014 Sep;45(9):1345-9. doi: 10.1016/j.injury.2014.03.011. Epub 2014 Mar 27.
6
A novel biomarker panel to rule out acute appendicitis in pediatric patients with abdominal pain.一种新型生物标志物组合,用于排除腹痛患儿的急性阑尾炎。
Am J Emerg Med. 2013 Sep;31(9):1368-75. doi: 10.1016/j.ajem.2013.06.016. Epub 2013 Jul 26.
7
Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting?在重症监护环境中,胸部超声检查是否可以替代传统影像学检查?
Br J Anaesth. 2013 Aug;111(2):152-60. doi: 10.1093/bja/aet076. Epub 2013 Apr 12.
8
S100-B protein as a screening tool for the early assessment of minor head injury.S100-B 蛋白作为一种筛选工具,用于早期评估轻微头部损伤。
Ann Emerg Med. 2012 Mar;59(3):209-18. doi: 10.1016/j.annemergmed.2011.07.027. Epub 2011 Sep 23.
9
Ultrasound detection of obstructive pyelonephritis due to urolithiasis in the ED.ED 中因尿路结石导致的梗阻性肾盂肾炎的超声检测。
Am J Emerg Med. 2011 Sep;29(7):843.e1-3. doi: 10.1016/j.ajem.2010.07.006. Epub 2010 Oct 8.
10
Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998-2007.1998-2007 年期间,美国急诊科因外伤就诊时使用高级放射学检查的情况。
JAMA. 2010 Oct 6;304(13):1465-71. doi: 10.1001/jama.2010.1408.