多相腹腔皮层计算机断层扫描检查的基于机构临床指示的典型剂量值
Süleyman Filiz1,2, Safiye Gürel1,3, Kamil Gürel1,3
1Bolu Abant Izzet Baysal University Faculty of Medicine, Department of Radiology, Bolu, Turkey.
Diagnostic and interventional radiology (Ankara, Turkey)
|February 20, 2024
概括
这项研究确定了多相腹腔皮层CT扫描的典型辐射剂量值. 所有计算的剂量估计都低于确定的诊断参考水平,这表明有效的剂量管理.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 辐射剂量计 辐射剂量计
背景情况:
- 多相腹腔皮层CT扫描对于诊断各种疾病至关重要.
- CT协议中的变化使剂量比较复杂化.
- 确定典型剂量值和尺寸特定剂量估计 (SSDE) 对于质量控制至关重要.
研究的目的:
- 确定基于临床指示的典型剂量值和多相腹腔皮层CT的SSDEs.
- 将这些值与已公布的诊断参考水平 (DRL) 进行比较.
主要方法:
- 多相肝脏,脏,胰腺和半肠缺血CT扫描的回顾性分析 (2018年1月 - 2021年12月).
- 记录的计算机断层扫描剂量指数体积 (CTDIvol) 和剂量长度产物 (DLP).
- 计算SSDE和有效剂量 (ED),使用自动测量SSDE的水等值直径 (Dw).
主要成果:
- 对426名患者的剂量值进行了分析,涉及4个方案.
- 中位数SSDE的范围从8.75mGy (肝脏) 到12.78mGy (间肠).
- 所有计算的剂量值 (CTDIvol,DLP,SSDE,ED) 都低于已公布的DRL值.
结论:
- 在多相腹腔皮层CT中存在显著的协议变化,阻碍了剂量值比较.
- 详细的剂量研究是必要的,以优化机构的协议.
- 建议定期监测机构剂量值.
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