瑞典 (2008-2023) 诊断核医学的发展趋势:利用,辐射剂量和方法的洞察力
Anja Almén1,2
1Medical Radiation Physics, Department of Translational Medicine, Lund University, Carl-Bertil, Laurells gata 9, Malmö, SE-20502, Sweden. anja.almen@med.lu.se.
EJNMMI physics
|April 1, 2025
概括
pozitron发射断层扫描 (PET) 程序显著增加,现在在瑞典核医学中对辐射剂量贡献超过50%. 玛摄像头 (GC) 程序的频率下降,突出显示了诊断成像趋势的转变.
科学领域:
- 核医学和诊断成像技术.
- 放射性药物利用和辐射剂量评估.
背景情况:
- 核医学的进步引入了新的放射性药物,影响了供应和患者暴露.
- 了解程序频率和管理活动对于辐射保护至关重要.
- 欧洲指令要求对医学暴露的辐射剂量进行评估.
研究的目的:
- 评估2008-2023年期间瑞典的核医学诊断程序使用情况.
- 分析程序频率,有效剂量和集体有效剂量的趋势.
- 评估子发射断层扫描 (PET) 和玛摄像头 (GC) 程序的影响.
主要方法:
- 分析来自瑞典所有核医学诊所的数据.
- 包括放射性药物类型和管理活动.
- 与联合国原子辐射影响科学委员会 (UNSCEAR) 方法的比较.
主要成果:
- 提供PET手术的诊所增加了三倍,PET的使用量显著增加.
- 在2023年,PET程序占集体有效剂量的50%以上,从15%上升.
- 玛摄像头 (GC) 程序,虽然频繁,显示稳步下降; 93%的程序使用99mTc和18F.
结论:
- 佩特手术越来越占主导地位,对辐射剂量贡献最大.
- 对于PET的内部放射性药物生产在大约40%的诊所中可用.
- 方法论对利用和暴露趋势的评估产生重大影响.
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