【摘要】 電離輻射是有足夠能量使原子發(fā)生電離的輻射形式，也是臨床上為疾病的診斷和治療提供技術(shù)支持的重要方式。人體接受電離輻射后會因劑量的高低和輻照部位的不同產(chǎn)生明顯或潛在的生物學(xué)效應(yīng)，對群體健康產(chǎn)生長期的影響?，F(xiàn)結(jié)合輻射的基本概念、常見形式對輻射健康風(fēng)險的衡量與描述方法以及合理規(guī)避輻射的健康風(fēng)險進(jìn)行綜述，為臨床合理運用放射線檢查提供借鑒和參考。
引用本文： 曾科,牛挺. 電離輻射的危害及放射線檢查的健康風(fēng)險. 華西醫(yī)學(xué), 2011, 26(12): 1814-1817. doi: 復(fù)制
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- 1. Normile D. Fukushima revives the low-dose debate[J]. Science, 2011, 333(6043): 696.
- 2. Christodouleas JP, Forrest RD, Ainsley CG, et al. short-term and long-term health risks of nuclear-power-plant accidents[J]. N Engl J Med, 2011, 364(24): 2334-2341.
- 3. International Commission on Radiological Protection. The 2007 recommendations of the international commission on radiological protection(ICRP Publication 103)[J]. 2007, Ann ICRP, 37(2-4): 1-332.
- 4. Fliedner TM, Powles R, Sirohi B, et al. Radiologic and nuclear events: the METREPOL severity of effect grading system[J]. Blood, 2008, 111(12): 5440-5445.
- 5. Einstein AJ, Moser KW, Thompson RC, et al. Radiation dose to patient from cardiac diagnostic imaging[J]. Circulation, 2007, 116(11): 1290-1305.
- 6. Martin CJ. The application of effective dose to medical exposures[J]. Radiat Prot Dosimetry, 2008, 128(1): 1-4.
- 7. Mettler FA Jr, Huda W, Yoshizumi TT, et al. Effective doses in radiology and diagnostic nuclear medicine[J]. Radiology, 2008, 248(1): 254-263.
- 8. UNSCEARF(United Nations Scientific Committee on the Effects of Atomic Radiation). UNSCEAR 2008 Report to the General Assembly with Scientific Annex Vol. I [C]. New York: United Nations, 2010: 1-19.
- 9. Committee to Assess Health Risks From Exposure to Low Levels of Ionizing Radiation, National Research Council of the National Academies. Health risks from exposure to low levels of ionizing radiation: BEIR VII phase 2[M]. Washington DC: National Academies Press, 2006: 1-424.
- 10. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure[J]. N Engl J Med, 2007, 357(22): 2277-2284.
- 11. Redberg RF. Cancer risks and radiation exposure from computed tomographic scans: how can we be sure that the benefits outweigh the risks? [J]. Arch Intern Med, 2009, 169(22): 2049-2050.
- 12. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography[J]. JAMA, 2007, 298(3): 317- 323.
- 13. Fazel R, Krumholz HM, Wang Y, et al. Exposure to low-dose ionizing radiation from medical imaging procedures[J]. N Engl J Med, 2009, 361(9): 849-857.
- 14. Hricak H, Brenner DJ, Adelstein SJ, et al. Managing radiation use in medical imaging: a multifaceted challenge[J]. Radiology, 2011, 258(3): 889-905.