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成人计算机断层扫描尿路造影检查的局部诊断参考水平

Local Diagnostic Reference Levels for Adult Computed Tomography Urography Exams.

作者信息

Husremović Faruk, Muharemović Orhan, Đedović Edis, Efendić Alma, Mušanović Jasmin, Omerović Rifat, Osmanović Hedim, Busuladžić Mustafa

机构信息

Department of Urology, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina.

Department of Radiology, Cantonal Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina.

出版信息

Diagnostics (Basel). 2024 Mar 19;14(6):643. doi: 10.3390/diagnostics14060643.

DOI:10.3390/diagnostics14060643
PMID:38535063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10968864/
Abstract

A Computed Tomography Urography (CTU) scan is a medical imaging test that examines the urinary tract, including the bladder, kidneys, and ureters. It helps diagnose various urinary tract diseases with precision. However, patients undergoing CTU imaging receive a relatively high dose of radiation, which can be a concern. In our research paper, we analyzed the Computed Tomography Dose Index (CTDI) and Dose-Length Product (DLP) for 203 adult patients who underwent CTU at one of the most important regional centers in Bosnia and Herzegovina that sees a large number of patients. Our study included the distribution of age and sex, the number of phases within one examination, and different clinical indications. We compared our findings with the results available in the scientific literature, particularly the recently published results from 20 European countries. Furthermore, we established the local diagnostic reference levels (LDRLs) that can help set the national diagnostic reference levels (NDRLs). We believe our research is a significant step towards optimizing the protocols used in different hospitals in our country.

摘要

计算机断层扫描尿路造影(CTU)扫描是一种医学成像检查,用于检查尿路,包括膀胱、肾脏和输尿管。它有助于精确诊断各种尿路疾病。然而,接受CTU成像的患者会受到相对较高剂量的辐射,这可能是一个令人担忧的问题。在我们的研究论文中,我们分析了203名成年患者的计算机断层扫描剂量指数(CTDI)和剂量长度乘积(DLP),这些患者在波斯尼亚和黑塞哥维那最重要的地区中心之一接受了CTU检查,该中心接待了大量患者。我们的研究包括年龄和性别的分布、一次检查中的相数以及不同的临床适应症。我们将我们的研究结果与科学文献中的结果进行了比较,特别是最近来自20个欧洲国家的公布结果。此外,我们建立了当地诊断参考水平(LDRLs),这有助于设定国家诊断参考水平(NDRLs)。我们相信我们的研究是朝着优化我国不同医院使用的方案迈出的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/4dad66e40095/diagnostics-14-00643-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/a6a100736706/diagnostics-14-00643-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/f46dd0888120/diagnostics-14-00643-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/faf718bda7dc/diagnostics-14-00643-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/84b9778c61be/diagnostics-14-00643-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/842cd1ca2ab8/diagnostics-14-00643-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/4dad66e40095/diagnostics-14-00643-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/a6a100736706/diagnostics-14-00643-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/f46dd0888120/diagnostics-14-00643-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/faf718bda7dc/diagnostics-14-00643-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/84b9778c61be/diagnostics-14-00643-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/842cd1ca2ab8/diagnostics-14-00643-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0985/10968864/4dad66e40095/diagnostics-14-00643-g006.jpg

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本文引用的文献

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Computed Tomography Urography: State of the Art and Beyond.计算机断层尿路造影:现状与展望。
Tomography. 2023 Apr 30;9(3):909-930. doi: 10.3390/tomography9030075.
2
Factors associated with sex differences in the risk of kidney stones.与肾结石风险的性别差异相关的因素。
Nephrol Dial Transplant. 2023 Jan 23;38(1):177-183. doi: 10.1093/ndt/gfac037.
3
Epidemiological studies of CT scans and cancer risk: the state of the science.CT 扫描与癌症风险的流行病学研究:科学现状。
Br J Radiol. 2021 Oct 1;94(1126):20210471. doi: 10.1259/bjr.20210471.
4
Split vs. Single Bolus CT Urography: Comparison of Scan Time, Image Quality and Radiation Dose.对比剂单次团注与分次团注 CT 尿路造影:扫描时间、图像质量和辐射剂量的比较。
Tomography. 2021 May 20;7(2):210-218. doi: 10.3390/tomography7020019.
5
CT protocols and radiation doses for hematuria and urinary stones: Comparing practices in 20 countries.血尿和尿路结石的CT检查方案及辐射剂量:20个国家的实践比较
Eur J Radiol. 2020 May;126:108923. doi: 10.1016/j.ejrad.2020.108923. Epub 2020 Feb 29.
6
Image quality and pathology assessment in CT Urography: when is the low-dose series sufficient?CT 尿路造影中的图像质量和病理学评估:何时低剂量系列就足够了?
BMC Med Imaging. 2019 Aug 9;19(1):64. doi: 10.1186/s12880-019-0363-z.
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What a difference a delay makes! CT urogram: a pictorial essay.延迟造成的差异有多大!CT 尿路造影:影像学研究。
Abdom Radiol (NY). 2019 Dec;44(12):3919-3934. doi: 10.1007/s00261-019-02086-0.
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ICRP Publication 135: Diagnostic Reference Levels in Medical Imaging.国际放射防护委员会第135号出版物:医学成像中的诊断参考水平
Ann ICRP. 2017 Oct;46(1):1-144. doi: 10.1177/0146645317717209.
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Current Techniques and Clinical Applications of Computed Tomography Urography.计算机断层扫描尿路造影的当前技术与临床应用
Curr Probl Diagn Radiol. 2018 Jul-Aug;47(4):245-256. doi: 10.1067/j.cpradiol.2017.07.002. Epub 2017 Jul 8.
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Clin Radiol. 2017 Jan;72(1):11-15. doi: 10.1016/j.crad.2016.10.005. Epub 2016 Oct 31.