系统性审查:超声波通过肠道超声波进行回声-脱碳炎性肠病护理
Sara Massironi1, Alessandra Zilli2, Federica Furfaro1
1Medicine and Surgery, Vita e Salute San Raffaele University, Milan, Italy.
肠道超声波 (IUS) 是诊断炎症性肠病 (IBD) 的低碳替代方案,与内镜,CT和MRI相比,显著降低了环境影响. 这促进了可持续的IBD管理和地球健康.
科学领域:
- 医疗保健中的环境科学
- 医学成像的可持续性 医疗成像的可持续性
- 医学中的行星健康.
背景情况:
- 炎症性肠病 (IBD) 的管理需要经常的诊断程序.
- 目前的IBD诊断方法,如内镜,CT和MRI,对环境产生了重大影响.
- IBD诊断途径的碳足迹经常被低估.
研究的目的:
- 系统地评估常见IBD诊断成像模式的碳足迹.
- 评估胃肠道内镜,计算机断层扫描 (CT) 和磁共振成像 (MRI) 对环境的影响.
- 突出肠道超声波 (IUS) 作为IBD诊断的可持续,低碳替代方案.
主要方法:
- 按照PRISMA 2020指南进行了系统审查.
- 在PubMed,Scopus和Embase进行了搜索,截至2025年5月.
- 包括报告GI内镜,CT,MRI和IUS的定量/质量环境数据 (碳足迹,能源,废物) 的研究,并进行了叙事综合.
主要成果:
- 肠道内镜:7.856.4公斤二氧化碳e/程序 (运输,能源,一次性).
- CT: 710公斤CO2e/程序 (直接LCA),最高可达20公斤CO2e (更广泛的估计).
- 核磁共振:17~22公斤二氧化碳/扫描 (大多数研究),高达200~300公斤二氧化碳 (3T系统,全LCA).
- 肠道超声波 (IUS):0.51.5公斤CO2e/扫描,最小的能量/浪费,使得点的护理,减少患者的旅行.
结论:
- 内镜,CT和MRI对于IBD护理至关重要,但给环境带来了巨大的成本.
- 更广泛地采用IUS提供了临床有效的低碳诊断选择.
- IUS支持可持续的IBD管理,并与地球健康目标保持一致.
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