在儿科和青少年患者中使用形束计算机断层扫描的评估:一个横截面研究
Canan Bayraktar Nahir1, Mesude Çitir2, Sefa Çolak3
1Department of Pediatric Dentistry, Faculty of Dentistry, Tokat Gaziosmanpaşa University, Kaleardi Mahallesi, Muhittin Fisunoglu Caddesi, Omcalik Sokak, Ali Sevki Erek Yerleskesi Dis Hekimligi Fakültes, Merkez, Tokat, 60030, Turkey.
BMC oral health
|September 11, 2024
概括
形束计算断层扫描 (CBCT) 在儿科牙科的使用正在增长. 这项研究澄清了儿童的CBCT指示,强调了辐射剂量风险和需要具体指导方针的需要,特别是当使用更大的视野时.
科学领域:
- 牙大和面部放射学 牙大和面部放射学
- 儿科牙科 儿科牙科
- 辐射瘤学 辐射瘤学
背景情况:
- 圆束计算机断层扫描 (CBCT) 越来越多地用于儿科牙和口和面部诊断.
- 有关儿童CBCT相关的辐射风险存在担忧.
- 迪米特拉项目旨在优化儿童患者的CBCT暴露.
研究的目的:
- 为了澄清儿童和青少年CBCT扫描的指示.
- 为了使CBCT的使用与DIMITRA项目对低剂量辐射的建议保持一致.
- 在儿科人口中分析CBCT利用模式.
主要方法:
- 收集的数据包括患者人口统计数据,请求原因和成像参数 (FOV).
- 根据DIMITRA的建议 (受损的牙,创伤,裂,异常,病理,综合征) 和"其他"类别,对CBCT的指示进行了分类.
- 分析了视野 (FOV) 的尺寸.
主要成果:
- "其他"类别 (34.8%) 是最常见的适应症,包括植入物,关节功能障碍,异常等.
- 在牙异常中,超值牙检测 (68.6%) 是主要的指示.
- 主要使用较大的FOV尺寸 (例如15x15厘米),尽管有更小的选择.
结论:
- 经常使用更大的视野,即使有更小的选项可用.
- 在证明CBCT要求时,必须考虑患者特定的辐射剂量风险.
- 遵守特定的指导方针对于优化儿科患者的CBCT使用至关重要.
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