儿科光镜手术的诊断参考水平:系统性审查
1Diagnostic Radiology Department, College of Applied Medical Sciences, Taibah University, Al-Madinah, Saudi Arabia.
概括
这次审查发现了儿科光镜诊断参考水平 (DRL) 的显著变化,干预程序显示的辐射剂量和光镜时间高于诊断程序.
科学领域:
- 放射学 放射学是一门学科.
- 医学物理 医学物理
- 儿科成像学 儿科成像学
背景情况:
- 诊断参考水平 (DRL) 对于优化儿科光学中的辐射剂量至关重要.
- 机构间DRL的变化可能会影响患者的安全性和有效剂量.
- 需要进行系统审查,以整合目前用于儿科手术的DRL数据.
研究的目的:
- 系统地审查儿童诊断和干预光镜的现有诊断参考水平 (DRL).
- 分析基于手术类型,年龄和体重的DLR变化.
- 识别导致儿科光学DRL差异的因素.
主要方法:
- 在PubMed/MEDLINE,ScienceDirect和谷歌学者的系统文献搜索 (2012年6月 - 2025年12月).
- 包括14篇报告儿科诊断和干预光镜的DLR的文章.
- 对这两种程序类型的数据分类为特定于年龄和特定于体重的DLR.
主要成果:
- 在剂量区域产品 (DAP) 和光镜时间 (FT) 值中观察到显著的异质性和变化.
- 与诊断程序相比,干预性光学程序的DLRs显著更高.
- 干预程序中较高的DRL与增加的FTs直接相关 (平均9.75分钟与2.3分钟).
结论:
- 医疗机构之间存在DRL (DAP和FT) 的实质差异.
- 增加光镜时间是干预性儿科光镜中较高DRL的主要驱动因素.
- 建议对儿科光学方案进行标准化,以减少剂量变化.
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