圆束计算机断层扫描 - 中欧和北欧大学 (牙科) 医院的频率和暴露设置
Ralf Schulze1, Samuel Klingler2, Philippe Biel3
1Universität Bern, Division of Oral Diagnostic Sciences, School of Dental Medicine, Freiburgstr. 7, 3010 Bern, Switzerland.
European journal of radiology
|December 19, 2024
概括
欧洲牙科医院的圆束计算机断层扫描 (CBCT) 扫描显示,在10-20岁的患者中使用的峰值. 这种年龄分布需要优化面CBCT协议,考虑到医疗保健系统和中心特征的变化.
科学领域:
- 牙科放射学 牙科放射学
- 医疗成像医学成像
- 公共卫生 公共卫生
背景情况:
- 圆束计算断层扫描 (CBCT) 在牙科中越来越多地用于诊断成像.
- 了解CBCT扫描频率,暴露设置和患者人口统计数据对于辐射安全和协议优化至关重要.
- 欧洲各国医疗保健系统的差异可能会影响CBCT的使用和实践.
研究的目的:
- 确定欧洲大学牙科医院中CBCT扫描的频率.
- 分析CBCT扫描的暴露设置,体积大小和患者人口统计 (年龄,性别).
- 调查不同欧洲国家的CBCT实践的差异.
主要方法:
- 从八个欧洲国家的八个大学牙科医院收集的数据超过一年 (2023年).
- 包括CBCT扫描频率,视野 (FOV),剂量区域产物 (DAP),kV设置以及患者的年龄/性别.
- 使用R统计软件进行统计分析,考虑中心和医疗保健系统的特点.
主要成果:
- 总共有7320个CBCT扫描在8个中心和机器中进行了评估.
- 剂量面积产物 (DAP) 范围从34到4390mGycm2,kV设置从60到120kV之间.
- 患者年龄在10至20岁之间出现了显著的峰值,其中21%的扫描使用了剂量降低技术.
结论:
- 显著的年龄峰值 (10-20岁) 强调了需要优化面CBCT协议的需要.
- 在CBCT实践中观察到的差异在很大程度上归因于医疗保健系统和中心特定特征的变化.
- 对基于年龄和医疗保健背景的量身定制方案进行进一步的研究是有必要的.
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