White S K, Castellano E, Gartland N, Patel T, Padley S P G, Rubens M B, Nicol E D
Radiology Department, Royal Brompton Hospital, London, UK.
Radiology Department, Royal Brompton Hospital, London, UK; Imperial College, London, UK; Physics Department, The Royal Marsden, London, UK.
Clin Radiol. 2016 Aug;71(8):729-38. doi: 10.1016/j.crad.2016.01.024.
Cardiovascular computed tomography (CCT) is a cutting-edge imaging technique providing important, non-invasive, diagnostic information. Concerns exist regarding radiation exposure to patient populations, but achieving optimal image quality at the lowest doses can be challenging. This guide provides practical advice about how quality can be assured in any CCT unit or radiology department. Illustrated by real-world vignettes and data analysis from our own experience, we highlight a multidisciplinary team approach to each stage of the patient journey, the effectiveness of regular dose audit overseen by a CT optimisation group, and the importance of underused systolic scanning techniques, in order to drive significant dose reduction without loss of image quality or clinical confidence.
心血管计算机断层扫描(CCT)是一种前沿成像技术,可提供重要的非侵入性诊断信息。人们担心患者群体受到辐射暴露,但在最低剂量下实现最佳图像质量可能具有挑战性。本指南提供了有关如何在任何CCT设备或放射科确保质量的实用建议。通过实际案例和我们自身经验的数据分析进行说明,我们强调在患者就医的每个阶段采用多学科团队方法、由CT优化小组监督的定期剂量审核的有效性,以及未充分利用的收缩期扫描技术的重要性,以便在不损失图像质量或临床信心的情况下大幅降低剂量。