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遵循影像学投照选择指南:一项多中心研究。

Compliance with guidelines for choice of radiographic projections: a multicentre study.

作者信息

Matthews I P, Roberts C J, Roberts G M, Field S, Brindle M J

机构信息

Department of Epidemiology and Public Health, University of Wales College of Medicine, Cardiff.

出版信息

Clin Radiol. 1994 Aug;49(8):537-40. doi: 10.1016/s0009-9260(05)82932-0.

DOI:10.1016/s0009-9260(05)82932-0
PMID:7955865
Abstract

A study of compliance with guidelines for choice of radiographic projections was carried out in each of six centres. The study concerned 5851 examinations undertaken by 116 radiographers under the supervision of 29 consultant radiologists. The results showed good compliance between centres for examination of the chest (range 81-93%), abdomen (range 73-100%), thoracic spine (range 82-96%), pelvis/hip (range 78-99%) but not for examination of cervical spine (range 0-85%), paranasal sinus (range 0-100%) and lumbar spine (range 52-84%). The reasons given for these wide variations are discussed and estimates are given for the potential reductions in exposure to the UK population consequent upon national implementation of guidelines such as these.

摘要

在六个中心分别开展了一项关于遵守放射影像投照选择指南情况的研究。该研究涉及116名放射技师在29名放射科顾问医生监督下进行的5851例检查。结果显示,各中心在胸部检查(范围81%-93%)、腹部检查(范围73%-100%)、胸椎检查(范围82%-96%)、骨盆/髋关节检查(范围78%-99%)方面的符合率良好,但在颈椎检查(范围0%-85%)、鼻旁窦检查(范围0%-100%)和腰椎检查(范围52%-84%)方面并非如此。文中讨论了出现这些巨大差异的原因,并估算了若在全国实施此类指南,英国民众辐射暴露量可能减少的幅度。

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