在CT检查期间完全消除接触屏蔽是合适的吗? 一个基于实验发现的演讲
Jiwei Chen1, Jianchun Tu2, Shengyan Huang3
1Department of Medical Engineering, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, Jiangsu 215300, P.R. China.
Health physics
|October 4, 2023
概括
在CT扫描中不建议完全消除接触屏蔽. 自动暴露控制 (AEC) 对于最大限度地减少辐射剂量至关重要,特别是对于儿科甲状腺和孕妇患者.
科学领域:
- 辐射物理学 辐射物理学
- 医学成像医学成像
- 辐射保护 辐射保护
背景情况:
- 接触屏蔽是CT扫描中常见的做法,以减少辐射暴露.
- 人们对接触屏蔽的有效性和潜在缺点存在担忧,特别是在敏感人群中.
- 这项研究旨在评估CT检查中接触屏蔽的必要性和影响.
研究的目的:
- 为了确定在CT检查期间是否需要完全消除接触屏蔽.
- 评估接触屏蔽对儿童甲状腺和孕妇的影响.
- 在CT程序中识别与接触屏蔽相关的局限性.
主要方法:
- 使用的热发光剂量计 (TLD) 片被放置在幻象的器官和组织中.
- 将四种实验模式进行比较:固定曝光,自动曝光控制 (AEC) 和接触屏蔽 (内部/外部FOV).
- 在视野内外测量吸收剂量,并进行统计分析.
主要成果:
- 在FOV内外,AEC显著降低了剂量 (40% - 60%).
- 在FOV外的接触屏蔽减少了相邻的剂量;然而,FOV内的屏蔽可能会导致人工物并干扰AEC.
- 结合AEC和接触屏蔽显示,减少了50-80%的剂量,但接触屏蔽有缺点.
结论:
- 建议在临床CT中广泛采用AEC模式,以尽量减少患者的辐射暴露.
- 一般应避免在FOV内外的接触屏蔽.
- 接触屏蔽可能适用于儿科甲状腺检查 (儿童<12岁),并且需要对孕妇进行仔细评估,表明不应该完全放弃.
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