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在诊断性计算机断层扫描检查期间直接测量个体器官的辐射暴露剂量。

Direct measurement of radiation exposure dose to individual organs during diagnostic computed tomography examination.

机构信息

Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15 Kuramoto-cho, Tokushima, Tokushima, 770-8503, Japan.

Department of Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan.

出版信息

Sci Rep. 2021 Mar 8;11(1):5435. doi: 10.1038/s41598-021-85060-5.

Abstract

Ionizing radiation from Computed tomography (CT) examinations and the associated health risks are growing concerns. The purpose of this study was to directly measure individual organ doses during routine clinical CT scanning protocols and to evaluate how these measurements vary with scanning conditions. Optically stimulated luminescence (OSL) dosimeters were surgically implanted into individual organs of fresh non-embalmed whole-body cadavers. Whole-body, head, chest, and abdomen CT scans were taken of 6 cadavers by simulating common clinical methods. The dosimeters were extracted and the radiation exposure doses for each organ were calculated. Average values were used for analysis. Measured individual organ doses for whole-body routine CT protocol were less than 20 mGy for all organs. The measured doses of surface/shallow organs were higher than those of deep organs under the same irradiation conditions. At the same tube voltage and tube current, all internal organ doses were significantly higher for whole-body scans compared with abdominal scans. This study could provide valuable information on individual organ doses and their trends under various scanning conditions. These data could be referenced and used when considering CT examination in daily clinical situations.

摘要

来自计算机断层扫描(CT)检查的电离辐射及其相关健康风险日益受到关注。本研究的目的是直接测量常规临床 CT 扫描方案中各个器官的剂量,并评估这些测量值随扫描条件的变化情况。光激励发光(OSL)剂量计通过手术植入到新鲜未防腐的全身尸体的各个器官中。通过模拟常见的临床方法,对 6 具尸体进行全身、头部、胸部和腹部 CT 扫描。取出剂量计并计算每个器官的辐射暴露剂量。分析采用平均值。对于全身常规 CT 方案,所有器官的测量个体器官剂量均小于 20 mGy。在相同的照射条件下,表面/浅层器官的测量剂量高于深层器官。在相同的管电压和管电流下,与腹部扫描相比,全身扫描时所有内部器官的剂量明显更高。本研究可为不同扫描条件下各个器官剂量及其趋势提供有价值的信息。在日常临床情况下考虑 CT 检查时,可以参考和使用这些数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bba/7940429/8d3b38957982/41598_2021_85060_Fig1_HTML.jpg

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