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多部位创伤患儿行 PanCT 的辐射暴露与诊断获益的综合分析

A Comprehensive Analysis of the Radiation Exposure and the Diagnostic Benefit of PanCT in Pediatric Cases with Multiple Trauma.

机构信息

Department of Emergency Medicine, Faculty of Medicine, Hitit University, Çorum 19040, Turkey.

Department of Pediatric Surgery, Faculty of Medicine, Hitit University, Çorum 19040, Turkey.

出版信息

Medicina (Kaunas). 2023 Jun 30;59(7):1228. doi: 10.3390/medicina59071228.

DOI:10.3390/medicina59071228
PMID:37512040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10384405/
Abstract

: The primary objective of this study was to obtain quantitative data, taking into account the amount of radiation exposure, about the clinical and diagnostic benefit obtained from panCT in pediatric trauma cases. Thus, we aim to create greater awareness in all physicians and primarily emergency medicine physicians regarding correct selection in terms of the patient group where this effective radiological method is to be applied, and to protect children from the adverse effects of radiation. : The computed tomography (CT) images were retrieved from the hospital radiological archive system (PACS). The effective dose (Ed) was calculated using the standardized method including the tissue weighted parameters. The radiological pathologies determined as a result of CT imaging of the cases were categorized according to clinical significance in accordance with the Modified CT Colonography Reporting and Data System (C-RADS). : The data for a total of 268 patients were analyzed, comprising 89 (33.2%) females and 179 (66.8%) males with a mean age of 8.81 ± 5.21 years. The mean Ed was determined to be 18.14 ± 10.44 mSv. The Ed was determined to be statistically significantly higher in the 1-5 years age group than in the 15-18 years age group ( = 0.024). A statistically significant difference was determined between the age groups in terms of the pathologies determined ( = 0.028). : In order to prevent performing unnecessary CT imaging, trauma teams in Emergency Departments (ED) should work in harmony and individual decision-making should be based on the severity of the trauma mechanism, the severity of the predicted injury, and the clinical status of the injured child.

摘要

本研究的主要目的是获取定量数据,考虑到辐射暴露量,了解在儿科创伤病例中进行 panCT 获得的临床和诊断效益。因此,我们旨在提高所有医生,尤其是急诊医生的意识,使其正确选择应用这种有效放射方法的患者群体,并保护儿童免受辐射的不良影响。

从医院放射学档案系统(PACS)中检索到计算机断层扫描(CT)图像。使用包括组织加权参数的标准化方法计算有效剂量(Ed)。根据改良 CT 结肠成像报告和数据系统(C-RADS),根据临床意义对病例 CT 成像确定的放射病理学进行分类。

共分析了 268 例患者的数据,包括 89 例(33.2%)女性和 179 例(66.8%)男性,平均年龄为 8.81 ± 5.21 岁。平均 Ed 为 18.14 ± 10.44 mSv。1-5 岁年龄组的 Ed 明显高于 15-18 岁年龄组(=0.024)。年龄组之间的病理学差异具有统计学意义(=0.028)。

为了防止进行不必要的 CT 成像,急诊部(ED)的创伤小组应协调工作,个体决策应基于创伤机制的严重程度、预计损伤的严重程度以及受伤儿童的临床状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f00c/10384405/e97aded39e28/medicina-59-01228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f00c/10384405/e97aded39e28/medicina-59-01228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f00c/10384405/e97aded39e28/medicina-59-01228-g001.jpg

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