在重症监护病房中过度使用辐射
Chiara Zanon1, Costanza Bini1, Alessandro Toniolo1
1Department of Radiology, University Hospital of Padua, 35128 Padua, Italy.
概括
在重症监护室 (ICU) 进行放射性成像是至关重要的,但会增加辐射暴露,特别是在COVID-19大流行期间. 实施剂量降低策略至关重要,以平衡患者护理与长期健康风险.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 关键护理医学 关键护理医学
背景情况:
- 放射性成像对于在重症监护室 (ICU) 治疗急性病人的管理是不可或缺的.
- 由于这些程序,暴露于电离辐射会给健康带来重大风险.
- 由于成像频率增加,COVID-19大流行加剧了辐射暴露.
研究的目的:
- 审查和综合关于ICU环境中的辐射暴露的研究.
- 分析辐射安全值和患者累积剂量.
- 探索用于重症监护成像的剂量降低策略.
主要方法:
- 对ICU中放射性成像现有文献的系统审查.
- 对辐射暴露数据和安全值的分析.
- 对累积有效剂量前性研究的评估.
主要成果:
- 一些ICU患者的辐射暴露超过了诊断参考水平.
- 随着时间的推移,在创伤患者中观察到中位累积有效剂量的增加.
- 创新的剂量降低策略显示出有前途,特别是在神经ICU.
结论:
- 在重症监护中进行放射性成像是必不可少的,但具有固有的辐射风险.
- 严格的辐射管理协议是必要的,以保护患者.
- 将诊断需求与长期健康风险之间的平衡至关重要.
相关概念视频
Biological Effects of Radiation
15.5K
All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
15.5K
Radiological Investigation I: X-ray and CT
238
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
238
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Radiological Investigation III: Pulmonary Angiogram and PET Scan
92
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
92
X-ray Imaging
5.5K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.5K
Radiological Investigation II: MRI and Ventilation Perfusion Scan
119
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
119


