从CT的多模式反复成像,光学引导干预和核医学中累积的辐射暴露
Xinhua Li1, Madan M Rehani2, Theodore A Marschall2
1Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. Xli16@mgh.harvard.edu.
European radiology
|November 13, 2023
概括
在接受多次医学成像检查的患者中,超过5%的患者获得高累积有效剂量 (CED) 超过100mSv,主要来自CT扫描. 年龄在50-74岁之间的肥胖和超重个体占这一群体的大多数.
科学领域:
- 放射学和成像学 放射学和成像学
- 医学物理 医学物理
- 辐射安全 辐射安全
背景情况:
- 多模式循环成像在医疗保健中很普遍.
- 在理解这些检查产生的累积辐射暴露方面存在很大的差距.
- 评估累积有效剂量 (CED) 对患者安全至关重要.
研究的目的:
- 评估四年内累积有效剂量 (CED) 在接受多模式复发成像的患者中.
- 确定导致高辐射剂量的患者人口统计和成像方法.
主要方法:
- 从CT,光学指导干预 (FGI) 和核医学考试 (2018-2021) 中对CED的回顾性分析.
- 患有CED≥100mSv的患者按年龄和体重指数 (BMI) 分类.
- 从单个模式中对CED贡献的比较.
主要成果:
- 在205,425名患者中,5.7%的CED≥100mSv (平均184mSv).
- CT扫描对CED有很大的贡献 (89%).
- 肥胖 (38.6%) 和超重 (31.9%) 的患者,年龄在50-74岁之间 (64%),在高剂量组中占主导地位.
结论:
- 多模态反复成像经常导致高累积辐射剂量,主要来自CT.
- 超重/肥胖患者和老年人患高CED的风险更高.
- 研究结果强调需要优化成像证明和协议,以提高患者的安全性.
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