患者接触屏蔽的应用模式的转变:传统和进步之间的平衡行为
Till Schürmann1, Friederike Lang1, Annika Jakobi1
1Department of Diagnostic and Interventional Radiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
European radiology
|September 18, 2025
概括
在X射线成像中对患者进行屏蔽具有不清楚的风险和益处,特别是在CT扫描和易受伤害的患者中. 需要基于证据的个性化指导方针,以确保患者的安全并优化辐射使用.
科学领域:
- 放射学 放射学是一门学科.
- 医学物理 医学物理
背景情况:
- 目前在X射线成像中的患者屏蔽指南缺乏明确性,特别是在计算机断层扫描 (CT) 和敏感人群 (如儿童和孕妇) 中.
- 在临床实践中,患者接触屏蔽的实际风险和益处仍然存在不确定性.
研究的目的:
- 确定现有的患者屏蔽建议中的差距.
- 提供关于医疗成像中患者屏蔽的风险和益处的全面陈述.
- 倡导基于证据的,针对患者的屏蔽指南.
主要方法:
- 在谷歌学者和PubMed.Med的系统文献搜索.
- 审查目前关于患者屏蔽的国家和国际指南.
- 分析重点是投影放射学,干预放射学和CT,重点是儿科和孕妇患者.
主要成果:
- 有限的证据比较患者屏蔽的益处和风险,特别是在CT.
- 在投射放射学和干预放射学中,屏蔽提供了最小的益处,并可能增加辐射剂量.
- 在CT中进行屏蔽具有复杂的风险和好处,并存在重大研究差距.
结论:
- 一般的患者屏蔽建议对于现代技术和个人需求是不够的.
- 屏蔽决策应该是个性化的,基于证据的.
- 迫切需要进行临床研究,以建立精确的,针对患者的屏蔽指南,并评估现实世界的风险.
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