低剂量计算机断层扫描在患有结石的儿童中的使用:来自2个三级儿科中心的分析
Ashley Pittman1, Neil Paloian2, Amy Y Pan3
1Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Urology practice
|November 1, 2023
概括
儿科医院更频繁地使用低剂量CT (LDCT) 对患有结石的儿童,而不是外部设施. 患者年龄和BMI等因素也影响了辐射剂量,凸显了优化成像策略的必要性.
科学领域:
- 儿科放射学 儿科放射学
- 医疗成像医学成像
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 超声波 (美国) 是儿科腎病的主要成像方式.
- 计算机断层扫描 (CT) 是当美国是不确定的或不可用时使用.
- 儿科CT治疗结石病的剂量减少策略没有得到充分的记录.
研究的目的:
- 为了比较小剂量CT (LDCT) 在儿科中心和外面的转诊设施之间的怀疑腎病的儿童的利用.
- 为了识别与LDCT在儿科腎病成像中的使用相关的因素.
主要方法:
- 从2013年至2019年,回顾儿童 (≤17岁) 怀疑患有结石病的回顾性图表审查.
- 纳入标准:指数CT扫描用于结石;排除:之前的CT或缺失的辐射剂量数据.
- 主要结局:LDCT定义为辐射剂量<3mGy;主要比较:儿科与转诊中心.
主要成果:
- 155名儿童符合纳入标准;18.7%接受LDCT,81.3%接受标准剂量CT.
- 儿科设施使用LDCT的可能性明显高于转诊中心 (P < .05).
- 高龄和更高的体重指数 (BMI) 与增加的辐射剂量暴露有关.
结论:
- 儿科设施显示,儿科石病的LDCT的采用率更高.
- 患者的年龄和BMI是影响儿科腎病CT成像中辐射剂量的因素.
- 了解这些因素对于推进儿科石病的成像管理至关重要.
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