多重检测,累积辐射剂量和临床指示在接受心肌输液成像的患者
Andrew J Einstein1, Shepard D Weiner, Adam Bernheim
1Department of Medicine, Cardiology Division, Columbia University Medical Center and New York-Presbyterian Hospital, New York, NY 10032, USA. andrew.einstein@columbia.edu
JAMA
|November 17, 2010
概括
心肌输液成像 (MPI) 是一种高辐射负荷测试. 许多患者接受重复的MPI和其他辐射程序,导致大量的累积辐射剂量,特别是那些心脏病患者.
科学领域:
- 放射学 放射学是一门学科.
- 核医学是一种核医学.
- 心脏病学 心脏病学
背景情况:
- 心肌输液成像 (MPI) 对美国人口的辐射暴露做出了重大贡献.
- 有限的数据存在于重复MPI和其他程序的累积辐射负担.
研究的目的:
- 在接受MPI的患者中量化手术计数和累积辐射剂量.
- 分析MPI和重复测试的临床指示.
主要方法:
- 对1097名接受MPI的患者进行了回顾性队列研究.
- 从1988年到2008年对所有电离辐射程序的评估.
- 分析累积有效剂量和测试指示.
主要成果:
- 患者接受了平均15次涉及辐射的手术,其中4次是高剂量手术.
- 31.4%的患者超过了100mSv的累积有效剂量.
- 重复的MPI是常见的 (38.6%),与较高的累积剂量相关,特别是在男性和白人患者中.
结论:
- 多重MPI测试是常见的,有助于高累积辐射剂量.
- 了解纵向辐射负担对于患者安全至关重要.
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