心血管成像,气候变化和环境可持续性
Suvai Gunasekaran1, Andrew Szava-Kovats1, Thomas Battey1
1From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
气候变化危害心脏健康,医疗保健,包括心血管成像,有助于排放. 本综述探讨了可持续心脏成像实践的策略,以减轻对环境的影响.
科学领域:
- 环境健康 环境健康
- 心血管医学 心血管医学
- 医学成像医学成像
背景情况:
- 气候变化加剧了环境暴露,如空气质量差和极端温度,与不利的心血管结果有关.
- 医疗保健服务,包括心血管成像,对温室气体 (GHG) 排放作出了重大贡献,加剧了气候危机.
研究的目的:
- 审查气候变化对心血管健康的影响.
- 讨论心血管成像模式的环境足迹.
- 确定提高心脏成像环境可持续性的机会.
主要方法:
- 文献综述综合了当前关于气候变化和心血管健康的知识.
- 分析各种心血管成像技术 (MRI,CT,心声学,核,侵入性) 对环境的影响.
- 在不同的成像模式中识别和分类可持续性策略.
主要成果:
- 优先考虑低温室气体排放成像测试和减少低价值程序是关键的总体策略.
- 具体的机会包括优化的MRI协议,对比介质回收 (CT),明智的药物使用 (心声),改进放射性药物管理 (核) 和可重复使用的供应 (干预).
- 未来的研究应该专注于生命周期评估和人工智能的影响.
结论:
- 心血管成像团队必须解决气候变化对心血管健康的影响及其实践对环境的影响.
- 实施有针对性的可持续性战略可以显著减少心脏成像的环境足迹.
- 整合环境可持续性的积极方法对于心血管护理的未来至关重要.
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