患有神经肌肉早期脊椎病变 (EOS) 的患者接受多少成像研究?
Adrian J Lin1, Vivian Chen1, Cynthis Wong2
1Jackie and Gene Autry Orthopedic Center.
Journal of pediatric orthopedics
|June 28, 2024
概括
患有神经肌肉早期结石症 (EOS) 的儿童经常接受成像检查,大多数扫描是由非骨科专家订购的. 减少辐射暴露需要跨学科的努力,以限制不必要的放射性研究.
科学领域:
- 儿科整形医生 儿科整形医生
- 医疗成像医学成像
- 辐射安全 辐射安全
背景情况:
- 在儿童中,神经肌肉早期结石症 (EOS) 需要经常进行放射性评估.
- 计算机断层扫描 (CT) 扫描涉及明显更高的电离辐射剂量与传统放射学相比.
- 了解辐射暴露的来源对于患者的安全至关重要.
研究的目的:
- 评估为患有神经肌肉早期结症的儿科患者订购的放射性研究的数量和类型.
- 确定哪些医疗专业对这些患者的辐射暴露贡献最大.
主要方法:
- 一个高等儿童医院的医疗记录的回顾性审查 (2010年1月 - 2021年6月).
- 纳入标准:患有神经肌肉性EOS的患者,其次是3年以上的骨科治疗.
- 排除标准:主要在机构之外接受治疗的患者.
主要成果:
- 包括18名患者,平均随访时间为6.4年.
- 总共进行了1312次普通放射和35次CT扫描.
- 非骨科提供者订购了65.3%的X射线图和88.5%的CT扫描,平均每位患者75次X射线图和1.9次CT扫描.
结论:
- 患有神经肌肉性EOS的患者接受了大量的放射性研究,平均75张X射线图和1.9张CT扫描.
- 大多数这些研究是由非骨科专家订购的.
- 跨学科的协调是实施战略,以限制在这个弱势群体中的电离辐射暴露的必要.
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