Demirel Ari, Pedersen Peter Heide, Eiskjær Søren Peter
Dan Med J. 2020 Feb;67(2).
Patients undergoing scoliosis management are exposed to repeated radiological imaging. Previous studies have shown an increase in incidence of cancer among these patients. The primary aim of this study was to evaluate the radiographic examinations and cumulative radiation dose to which scoliotic patients are exposed. A secondary aim was to compare in-house algorithms of scoliosis management and radiographic follow-up to international spine centres and current consensus literature.
A single-centre retrospective review evaluating type and frequency of radiographic imaging and total cumulative radiation exposure to patients treated for scoliosis. Inclusions: patients followed for idiopathic scoliosis in the years 2013-2016. A survey asking for information on management and radiological follow-up algorithms was sent to a number of international spine centres for comparison with the in-house algorithm.
Patients who underwent surgery received an approximately ten-fold higher median cumulative radiation dose than those treated conservatively. A variety of radiological follow-up algorithms among eight spine centres was observed.
Cumulative radiation dose during scoliosis treatment varies substantially depending on radiographic follow-up protocol, intraoperative and ancillary imaging. By using low-dose X-ray systems in combination with a low-dose protocol for intraoperative navigation, it is possible to keep exposure to patients at a minimum while still providing optimal care.
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not relevant.
接受脊柱侧弯治疗的患者会反复接受放射成像检查。先前的研究表明，这些患者的癌症发病率有所增加。本研究的主要目的是评估脊柱侧弯患者所接受的放射学检查及累积辐射剂量。次要目的是将脊柱侧弯治疗和放射学随访的内部算法与国际脊柱中心及当前的共识文献进行比较。
一项单中心回顾性研究，评估脊柱侧弯治疗患者的放射成像类型、频率及总累积辐射暴露情况。纳入标准：2013年至2016年期间接受特发性脊柱侧弯治疗的患者。向多个国际脊柱中心发送了一份关于治疗和放射学随访算法信息的调查问卷，以与内部算法进行比较。
接受手术的患者的中位累积辐射剂量比保守治疗的患者高出约10倍。在八个脊柱中心观察到了多种放射学随访算法。
脊柱侧弯治疗期间的累积辐射剂量因放射学随访方案、术中及辅助成像的不同而有很大差异。通过将低剂量X射线系统与术中导航的低剂量方案相结合，可以在为患者提供最佳治疗的同时，将其暴露剂量降至最低。
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不相关。
