高剂量的CT检查是否在增加?
Madan M Rehani1, Maria T Mataac1, Parisa Kaviani1
1Massachusetts General Hospital, 55 Fruit Str. Boston, MA, USA.
高剂量CT扫描 (≥50mSv) 显著增加,特别是在超重和肥胖患者中,这是由于新型扫描仪缺乏保护措施. 这一趋势需要制造商,监管机构和用户采取行动,以确保患者的安全.
科学领域:
- 放射学和医学成像学 医学成像学
- 辐射剂量管理
- 患者安全 患者安全
背景情况:
- 高剂量的计算机断层扫描 (CT) 检查可能会带来风险.
- 了解高剂量CT的时间趋势对于辐射安全至关重要.
- 像体重指数 (BMI) 这样的患者因素可能会影响辐射剂量.
研究的目的:
- 在十年内分析高剂量CT检查 (≥50mSv).
- 为了确定时间变化和导致高辐射剂量的因素.
- 调查患者的BMI和高剂量CT检查之间的相关性.
主要方法:
- 对2013-2022年CT剂量数据的回顾性分析.
- 识别CT协议,导致剂量≥50mSv.
- 根据患者的BMI,手术类型,年龄和扫描仪技术进行分层分析.
主要成果:
- 从2017年到2022年,检查≥50mSv增加了244%.
- 超重和肥胖患者占高剂量CT的80%左右,可用BMI数据.
- 高剂量检查在CT血管造影 (大动脉,冠状动脉,头/部) 和胸腔-腹部扫描中是常见的.
结论:
- 高剂量CT的增加与先进的扫描仪和不充分的保护措施相关,特别是在BMI较高的患者中.
- 高剂量CT的频率增加,特别是在特定的患者群体和多相成像中,需要注意.
- 制造商,政策制定者,监管机构和用户必须合作,以应对高剂量CT检查日益增长的趋势.
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