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肠道和腹部炎症成像的辐射风险。

Radiation risks from imaging of intestinal and abdominal inflammation.

作者信息

Trott K R

机构信息

Dept. of Radiation Biology, St. Bartholomew's Medical College, London, UK.

出版信息

Scand J Gastroenterol Suppl. 1994;203:43-7. doi: 10.3109/00365529409091396.

Abstract

Most abdominal imaging procedures involve some radiation dose to the patient. The types of radiation-induced harm from these techniques are described. The dose received from each of these techniques in clinical practice is thought to be below the threshold required to cause developmental abnormalities in pregnancy. According to the present state of knowledge, there is no significant risk of genetic damage to the patient from any of these procedures. Organs vary considerably in their sensitivity to radiation-induced cancer. The effect of radiation on any organ depends on the radiation dose to that particular organ only. The most radiosensitive organs are bone marrow, lung, stomach and large bowel. The macroscopic and microscopic distribution of radiation dose is discussed for all of the various imaging techniques. There is a large dose variation between individual patients and the mean dose received from each procedure is similar for each of the imaging techniques described, the mean radiation dose is low and the decision as to which test to choose depends more on the diagnostic value of each particular procedure.

摘要

大多数腹部成像检查都会让患者接受一定的辐射剂量。文中描述了这些技术所导致的辐射性伤害类型。临床实践中,患者从每种此类技术所接受的剂量被认为低于导致孕期发育异常所需的阈值。根据目前的知识水平,这些检查中的任何一项都不会给患者带来显著的遗传损伤风险。不同器官对辐射诱发癌症的敏感度差异很大。辐射对任何器官的影响仅取决于该特定器官所接受的辐射剂量。对辐射最敏感的器官是骨髓、肺、胃和大肠。文中针对所有不同的成像技术讨论了辐射剂量的宏观和微观分布情况。个体患者之间的剂量差异很大,并且对于所描述的每种成像技术而言,每次检查的平均接受剂量相似,平均辐射剂量较低,而选择何种检查更多地取决于每种特定检查的诊断价值。

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