放射科医生对医学成像诊断参考水平的认识,理解和实施:一个范围审查
Ncwane Vukani1, Gumede Lindiwe2, Van Wyk Bronwin3
1Central University of Technology, Free State (CUT), Faculty of Health and Environmental Sciences, Department of Clinical Sciences, South Africa; University of Johannesburg, Faculty of Health Science, Medical Imaging and Radiation Sciences, South Africa.
放射科医生表现出对诊断参考水平 (DRL) 的认识,但理解不同,影响辐射剂量优化. 需要标准化的培训和明确的指导方针来改善DRL实施和患者安全.
科学领域:
- 医疗成像医学成像
- 放射学技术 辐射技术
- 辐射保护 辐射保护
背景情况:
- 诊断参考水平 (DRL) 对于优化医疗辐射暴露至关重要.
- 放射科医生是实施DRL的关键,以优化剂量和图像质量.
- 放射科医生的知识缺口可能会阻碍有效的DRL应用.
研究的目的:
- 探索X光学家对DLR的知识和意识.
- 确定DRL理解和应用中的关键主题和知识差距.
- 为有关DRL实施的实践,政策和研究提供信息.
主要方法:
- 根据阿克西和奥马利框架和PRISMA-ScR指南进行系统范围审查.
- 在PubMed,Google Scholar,ScienceDirect,EBSCOhost中进行了全面的文献搜索 (2010-2025年).
- 对八项包括使用Braun和Clarke方法的研究进行了主题分析.
主要成果:
- 放射科医生具有一般的DLR意识,但对定义,功能和应用的理解有所不同.
- 高等教育与更好的DLR理解相关,但实际应用的不一致性仍然存在.
- 剂量优化原则存在差距,由于教育和政策差异而存在区域差异.
结论:
- DRL实施的挑战包括有限的实践,培训,不清楚的角色和不一致的监督.
- 加强教育,制度政策和协作对于DRL的遵守至关重要.
- 标准化培训,监管监督和明确的指导方针对于提高患者安全和辐射保护至关重要.
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