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揭开 CT 辐射剂量单的神秘面纱。

Demystifying the CT Radiation Dose Sheet.

机构信息

From the Department of Radiology, Northwestern Medicine, 676 N St. Clair St, Suite 800, Chicago, IL 60611.

出版信息

Radiographics. 2022 Jul-Aug;42(4):1239-1250. doi: 10.1148/rg.210107. Epub 2022 Apr 29.

Abstract

The radiation dose sheet generated by the CT scanner is a form that displays important information about an examination. It functions as a road map for the examination, detailing what CT examinations were performed and what parameters were used to perform them. One essential element of the radiation dose sheet, the volume CT dose index (CTDI), is a commonly used radiation dose index that is displayed on most CT scanners. The CTDI is used for quality control and is helpful for comparing the radiation output among different protocols and different scanners. The dose-length product (DLP) is a radiation dose index that builds on the CTDI by incorporation of the scan length. The DLP is combined with a conversion coefficient and used to determine the effective dose from the CT examination. Determining the effective dose is a way to estimate the whole-body radiation dose, even if the CT examination is confined to a smaller part of the body. In addition to these values, other data about the study from the CT scanner manufacturer, including the tube voltage and tube current-time product, usually are displayed on CT scanners. These values are major determinants of the image quality and radiation dose. The radiation dose sheet is a useful tool for radiologists, technologists, and physicists, allowing them to comprehend the technical details of a CT examination. The authors describe the components of the radiation dose sheet, the relationships of these components with one another, and the contributions of these components to the radiation dose. RSNA, 2022.

摘要

CT 扫描仪生成的辐射剂量表是一种显示检查重要信息的表格。它是检查的路线图,详细说明了进行了哪些 CT 检查以及使用了哪些参数来进行检查。辐射剂量表的一个重要元素是容积 CT 剂量指数(CTDI),这是一种常用的辐射剂量指数,大多数 CT 扫描仪上都有显示。CTDI 用于质量控制,有助于比较不同协议和不同扫描仪之间的辐射输出。剂量长度乘积(DLP)是一种基于 CTDI 的辐射剂量指数,通过纳入扫描长度来构建。DLP 与转换系数结合使用,用于确定 CT 检查的有效剂量。确定有效剂量是一种估计全身辐射剂量的方法,即使 CT 检查仅限于身体的较小部分。除了这些值之外,CT 扫描仪制造商还会显示有关研究的其他数据,包括管电压和管电流时间乘积。这些值是图像质量和辐射剂量的主要决定因素。辐射剂量表是放射科医生、技术人员和物理学家的有用工具,使他们能够理解 CT 检查的技术细节。作者描述了辐射剂量表的组成部分、这些组成部分之间的关系以及这些组成部分对辐射剂量的贡献。RSNA,2022 年。

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