常见计算机断层扫描程序的儿科诊断参考水平:系统性审查
1Department of Medical Radiography, Faculty of Health Sciences, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
脑CT扫描的儿科诊断参考水平 (PDRL) 由于不同的扫描协议,显示出两倍的变化. 标准化PDRL建立方法对于全球CT实践优化至关重要.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 辐射保护 辐射保护
背景情况:
- 之前的审查发现了儿科诊断参考水平 (PDRL) 和CT扫描协议的广泛差异.
- 在不同的CT中心中,在常见的儿科手术中发现了PDRLs的显著偏差.
研究的目的:
- 为量化特定儿科CT手术的PDRL变化的程度.
- 确定导致扫描仪和机构之间PDRL变化的因素.
- 为全球CT实践标准化提供信息.
主要方法:
- 在多个数据库 (Science Direct,Medline,PubMed,CINAHL,Google Scholar) 中使用PRISMA指南进行系统的文献搜索.
- 根据既定标准对6573件被检索的物品进行选.
- 来自52篇选定的文章数据的叙述综合.
主要成果:
- 大脑PDRLs在相同的检查和年龄组中表现出高达两倍的变化.
- 扫描协议设置,包括幻影尺寸,剂量参数和年龄组定义,是剂量变化的关键因素.
结论:
- 儿科大脑CT PDRLs存在实质性的变异性,受协议设置的影响.
- 建立PDRLs的标准化方法是必要的.
- 建议与欧盟委员会和ICRP指南保持一致,以优化剂量.
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