干预放射学的诊断参考水平:一个系统的审查.
Iana Quintanilha de Borba1, Rochelle Lykawka2, Nayron Medeiros Soares2,3
1Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
本系统性审查分析了干预放射学诊断参考水平 (DRL) 的证据. 调查结果显示,DRLs往往是局部的,国际标准化有限,需要更广泛的全球努力.
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:
- 诊断参考水平 (DRL) 对于优化医学成像中的辐射剂量至关重要.
- 在干预放射学 (IR) 中建立 DRL 存在独特的挑战,原因是程序的变化.
研究的目的:
- 系统地审查和分析现有的科学证据,以建立干预放射学中的DRL.
- 确定目前的实践,挑战和影响因素,以确定DRL对IR程序的决定.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 搜索了PubMed/Medline和Embase的IR和DRL研究,但不包括CT指导程序和系统审查.
- 两个独立审查员从最初的475篇文章中评估了30篇符合条件的文章,提取了有关程序,DRL值和设备的数据.
主要成果:
- 30篇文章产生了113项手术,其中内血管动脉瘤修复和瘤切除最常见.
- 大多数DRL值 (73%) 报告在地方一级;国家/区域DRL主要是欧洲.
- 影响因素包括技术,操作人员经验和协议;注意到缺乏纵向研究.
结论:
- 为了准确的DLR比较,需要标准化的程序术语.
- 欧洲研究占主导地位,凸显了在IRDRL实施中需要更广泛的国际合作.
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