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新生儿甲状腺闪烁扫描的辐射风险。

Radiation risk of thyroid scintigraphy in newborns.

作者信息

Beekhuis H, Piers D A

出版信息

Eur J Nucl Med. 1983;8(8):348-50. doi: 10.1007/BF00253544.

DOI:10.1007/BF00253544
PMID:6311557
Abstract

Tumor risk factors were calculated for newborns who were investigated for congenital hypothyroidism (CHT) with radionuclides by thyroid scintigraphy. Figures for three radiopharmaceuticals, 99mTc-pertechnetate, 123I-and 131I-sodium iodide for adults were extrapolated to newborns. The radiation dose to the normal thyroid gland in newborns was seven times higher for 123I-NaI than for 99mTcO-4, the somatically effective total body dose was two times higher for 123I-NaI than for 99mTcO-4. The use of 123I-NaI was preferred because of better scintigraphic results. Risk estimates for thyroid scintigraphy in newborns in the diagnostic work-up of CHT are given using published age-dependent tumor induction figures derived from atomic bomb survivors.

摘要

对通过甲状腺闪烁扫描术用放射性核素进行先天性甲状腺功能减退症(CHT)检查的新生儿计算肿瘤风险因素。将三种放射性药物(成人用的99m锝高锝酸盐、123I和131I碘化钠)的数据外推至新生儿。新生儿正常甲状腺接受的辐射剂量,123I碘化钠比99m锝高锝酸盐高7倍,躯体有效全身剂量123I碘化钠比99m锝高锝酸盐高2倍。由于闪烁扫描结果更好,优先使用123I碘化钠。利用从原子弹幸存者得出的已发表的年龄依赖性肿瘤诱发数据,给出了CHT诊断检查中新生儿甲状腺闪烁扫描的风险估计值。

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In vivo isotope study of the thyroid with 99mTcO4- in neonatal congenital hypothyroidism.新生儿先天性甲状腺功能减退症中用99m锝高锝酸盐对甲状腺进行的体内同位素研究。
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本文引用的文献

1
[Absorbed dose for children and juveniles in nuclear medical diagnostics (author's transl)].核医学诊断中儿童和青少年的吸收剂量(作者译)
Nuklearmedizin. 1980;19(5):228-31.
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Dose calculations for 123I, 124I, 125I and 131I in the thyroid gland of the mouse, rat and man and comparison with thyroid function for mice and rats.
Phys Med Biol. 1981 Nov;26(6):1035-53. doi: 10.1088/0031-9155/26/6/005.
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Estimation of age-dependent internal dose from radiopharmaceuticals.
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先天性甲状腺功能减退症婴儿的定量123I-碘闪烁扫描及辐射剂量测定
Eur J Nucl Med. 1985;11(4):132-5. doi: 10.1007/BF00265047.
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Clinical applications of nuclear medicine.核医学的临床应用
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Re: decreased salivary gland accumulation of pertechnetate in neonatal hypothyroidism.关于:新生儿甲状腺功能减退症中高锝酸盐唾液腺摄取减少
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Thyroid development and disorders of thyroid function in the newborn.新生儿甲状腺发育及甲状腺功能紊乱
N Engl J Med. 1981 Mar 19;304(12):702-12. doi: 10.1056/NEJM198103193041205.
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MIRD/Dose Estimate Report No. 8. Summary of current radiation dose estimates to normal humans from 99mTc as sodium pertechnetate.医学内照射剂量/剂量估计报告第8号。高锝酸钠中99mTc对正常人体当前辐射剂量估计总结。
J Nucl Med. 1976 Jan;17(1):74-7.
7
Summary of current radiation dose estimates to humans from 123I, 124I, 125I, 126I, 130I, 131I, and 132I as sodium iodide.以碘化钠形式存在的123I、124I、125I、126I、130I、131I和132I对人类当前辐射剂量估计的总结
J Nucl Med. 1975 Sep;16(9):857-60.
8
Technical considerations in in vivo thyroid studies.体内甲状腺研究中的技术考量。
Semin Nucl Med. 1978 Jan;8(1):43-57. doi: 10.1016/s0001-2998(78)80006-3.