在斯里兰卡的牙圆束计算机断层扫描过程中进行辐射剂量评估,以确定剂量参考水平
Madumali Nissanka1, Duminda Satharasinghe1, Jeyasingam Jeyasugiththan1
1Department of Nuclear Science, University of Colombo, Colombo 03, 00300, Sri Lanka.
Radiation protection dosimetry
|November 11, 2024
概括
本研究为斯里兰卡的形束计算断层扫描 (CBCT) 建立了初始诊断参考水平 (DRL). 调查结果显示了显著的剂量变化,突出了对标准化方案和国家DRL更新的需要.
科学领域:
- 放射学 放射学是一门学科.
- 医学物理 医学物理
- 公共卫生 公共卫生
背景情况:
- 形束计算断层扫描 (CBCT) 在牙科和医学中广泛使用.
- 确定诊断参考水平 (DRL) 对于优化医学成像中的辐射剂量至关重要.
- 需要本地化DRL,反映特定的区域实践和设备.
研究的目的:
- 确定斯里兰卡的形束计算断层扫描 (CBCT) 程序的初始诊断参考水平 (DRL).
- 评估CBCT中的当前辐射剂量分布在不同的临床适应症中.
- 为斯里兰卡的CBCT设施提供剂量优化和质量保证的基准.
主要方法:
- 追溯分析来自斯里兰卡四个机构的1162个CBCT扫描.
- 数据收集包括各种临床适应症的数据.
- 计算聚合分布的中位数剂量值以确定DLRs.
主要成果:
- 拟议的DRL范围从1013mGy·cm2 (病理状况) 到1585mGy·cm2 (鼻腔/鼻腔病理,肌痛,面部创伤).
- 在不同的医疗保健机构之间观察到辐射剂量的显著变化.
- 观察到的剂量变化归因于CBCT设备和成像协议的差异.
结论:
- 已建立的DLR作为斯里兰卡CBCT辐射剂量评估的初始基准.
- 建议对CBCT协议进行标准化,以减少机构间剂量变化.
- 建议实施定期更新DRL的国家框架,以确保持续的辐射保护.
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