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医学成像的辐射暴露

Radiation Exposure Of Medical Imaging

作者信息

Akram Salman, Chowdhury Yuvraj S.

机构信息

Rawalpindi Medical University

University of Lousiville

PMID:33351446
Abstract

It is a consensus that ionizing radiation is oncogenic. Much of this agreement is based upon observation of the increased incidence of carcinoma in a population surviving a nuclear attack or in uranium miners exposed to radiation at the workplace. The amount of radiation used by imaging modalities is negligible compared to the abovementioned exposures. For instance, in the United States, people are exposed to average annual background radiation levels of about 3 mSv; exposure from a chest X-ray is about 0.1 mSv, and exposure from a whole-body computerized tomography scan is about 10 mSv, and that’s 1 of the reasons why physicians usually miscalculate the potential risks associated with the radiation exposure while performing procedures using radiologic imaging. This topic explains how to quantify radiation, the biological effect of radiation, risks to healthcare workers due to radiation exposure, and certain recommendations and tips for various medical professionals. Radiation is defined as a moving form of energy. It can be classified into 2 categories: ionizing and non-ionizing. Ionizing radiation can be further classified into electromagnetic radiation (matterless) and particulate radiation. See Classification of Radiation. Electromagnetic radiations are energy packets (photons) traveling as a wave. Basic examples of electromagnetic radiation are x-rays and gamma rays. Particulate radiation consists of a beam of particles that can be either charged or neutral. Electromagnetic radiations have high energy and can easily penetrate body tissues. Ionizing radiation is mainly used for diagnostic purposes.

摘要

人们普遍认为电离辐射具有致癌性。这种共识很大程度上基于对经历核攻击后幸存人群或在工作场所接触辐射的铀矿工人中癌症发病率上升的观察。与上述暴露情况相比,成像模态所使用的辐射量微不足道。例如,在美国,人们每年平均受到的背景辐射水平约为3毫希沃特;一次胸部X光检查的辐射量约为0.1毫希沃特,一次全身计算机断层扫描的辐射量约为10毫希沃特,这也是医生在使用放射成像进行检查时通常会误判辐射暴露潜在风险的原因之一。本主题将解释如何量化辐射、辐射的生物效应、医护人员因辐射暴露面临的风险,以及为各类医学专业人员提供的一些建议和提示。辐射被定义为一种移动的能量形式。它可分为两类:电离辐射和非电离辐射。电离辐射可进一步分为电磁辐射(无物质)和粒子辐射。见辐射分类。电磁辐射是以波的形式传播的能量包(光子)。电磁辐射的基本例子是X射线和伽马射线。粒子辐射由一束粒子组成,这些粒子可以是带电的或中性的。电磁辐射能量高,能够轻易穿透人体组织。电离辐射主要用于诊断目的。

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