经常性医学成像中的辐射暴露:识别驾驶员和高风险人群
Juan Chen1,2, Jianjun Zheng1, Qun Zhang3
1Ningbo No. 2 Hospital, Ningbo, China.
Frontiers in public health
|August 4, 2025
概括
由于辐射暴露,反复的医学成像引发了健康问题. 本次审查确定了高风险群体,并提出了个性化的风险评估,以优化成像的安全性和有效性,遵守ALARA原则.
科学领域:
- 放射学和医学物理学的医学物理.
- 公共卫生 公共卫生
- 辐射生物学 辐射生物学
背景情况:
- 医学成像对于诊断和监测至关重要,但涉及累积辐射暴露.
- 有关重复成像程序带来的潜在致癌和非致癌健康风险存在担忧.
- 优化成像技术和剂量管理对于患者安全至关重要.
研究的目的:
- 分析经常性医学成像检查的驱动因素.
- 为了确定从累积辐射暴露中面临高风险的人群.
- 评估潜在的健康风险,并提出剂量管理策略.
主要方法:
- 整合全球辐射暴露数据 (例如,联合国安理会安理会报告).
- 分析多中心临床研究证据.
- 应用文献综述和剂量测量模型.
主要成果:
- 紧急病房患者,慢性病患者,儿童和女性被确定为经常性成像的高风险群体.
- 关键的驱动因素包括临床需求,人口统计,技术滥用和医疗保健差异.
- 短期高频和长期低剂量暴露都会带来不同的健康风险,包括心血管疾病和恶性瘤.
结论:
- 根据线性无值 (LNT) 模型和DNA修复机制,建议进行个性化风险评估和优化成像间隔.
- 建议加强对高风险群体的辐射安全教育和有针对性的管理.
- 这些发现支持更新辐射保护指南,并在临床实践中实施ALARA原则.
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