Wiggins Walter F, Sodickson Aaron D
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Neuroimaging Clin N Am. 2018 Aug;28(3):525-536. doi: 10.1016/j.nic.2018.03.010.
Computed tomography is often the first-line diagnostic imaging modality in the evaluation of patients with neurologic emergencies. A patient-centered approach to radiation dose management in emergent neuroimaging thus revolves around the appropriate use of computed tomography, including clinical decision support for ordering providers, thoughtful protocol design, the use of available technological advances in computed tomography, and radiation exposure monitoring at a population level. A multifaceted approach can help to minimize radiation exposure to individual patients while preserving diagnostic quality imaging.
计算机断层扫描通常是评估神经系统急症患者的一线诊断成像方式。因此，在紧急神经成像中以患者为中心的辐射剂量管理方法围绕着计算机断层扫描的恰当使用展开，包括为开单医生提供临床决策支持、精心设计检查方案、利用计算机断层扫描中现有的技术进步以及在人群层面进行辐射暴露监测。多方面的方法有助于在保持诊断成像质量的同时，将个体患者所受的辐射暴露降至最低。
