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在不注射对比剂的情况下,进行 640 层腹部 CT 检查的有效剂量和辐射风险。

Effective dose and radiation risk under 640-slice abdominal computed tomography examination without contrast medium injection.

机构信息

Department of Medical Imaging and Radiological Sciences, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan, R.O.C.

Division of Radiology and Nuclear Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, R.O.C.

出版信息

J Xray Sci Technol. 2022;30(4):657-666. doi: 10.3233/XST-211101.

Abstract

BACKGROUND

Medical imaging plays a crucial role in modern medicine. In order to provide fast and accurate medical diagnosis, computed tomography (CT) is a commonly used tool in radiological examinations, and 640-slice CT is the most advanced CT imaging modality.

OBJECTIVE

To evaluate the radiation dose and the risk under 640-slice abdominal CT examination.

METHODS

Examinations were performed using a 640-slice CT scanner on an Alderson-Rando anthropomorphic phantom. The used scanning acquisition parameters were the same as those used on abdominal examination without contrast medium injection in clinical practice. To measure the absorbed doses, optically stimulated luminescence dosimeters (OSLDs) were put into liver, stomach, bladder, gonads, colon, small intestine, bone marrow, and skin.

RESULTS

According to the 1990 Recommendations of the International Commission on Radiological Protection (ICRP Publication 60), the calculated effective doses received from this examination were 0.90 mSv in males and 0.89 mSv in females. According to the 2007 Recommendations of the International Commission on Radiological Protection (ICRP Publication 103), the calculated effective dose received from this examination was 0.83 mSv in both sexes.

CONCLUSIONS

Radiation doses obtained from the abdominal 640-slice CT examination are lower than the yearly cumulative doses received from natural radiation, revealing there is no deterministic effect and radiation risk is relatively low; therefore, this CT examination is considered safe.

摘要

背景

医学影像学在现代医学中起着至关重要的作用。为了提供快速准确的医学诊断,计算机断层扫描(CT)是放射学检查中常用的工具,而 640 层 CT 是最先进的 CT 成像方式。

目的

评估 640 层腹部 CT 检查的辐射剂量和风险。

方法

使用 640 层 CT 扫描仪对 Alderson-Rando 人体模型进行检查。使用的扫描采集参数与临床实践中无造影剂注射的腹部检查相同。为了测量吸收剂量,将光激励发光剂量计(OSLD)放入肝脏、胃、膀胱、性腺、结肠、小肠、骨髓和皮肤中。

结果

根据 1990 年国际辐射防护委员会(ICRP 出版物 60)的建议,从该检查中计算出的有效剂量男性为 0.90mSv,女性为 0.89mSv。根据 2007 年国际辐射防护委员会(ICRP 出版物 103)的建议,从该检查中计算出的有效剂量在两性中均为 0.83mSv。

结论

从腹部 640 层 CT 检查中获得的辐射剂量低于从天然辐射中每年累积的剂量,表明没有确定性效应,辐射风险相对较低;因此,这种 CT 检查被认为是安全的。

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