• 四川大學(xué)華西醫(yī)院放射科(成都,610041);

【摘要】  多層螺旋CT檢查已經(jīng)成為臨床診斷疾病的重要檢查手段,然而CT檢查產(chǎn)生的輻射劑量也越來越得到研究人員的關(guān)注。通過對MSCT輻射劑量的影響因素,降低MSCT輻射劑量的方法,合理選用CT檢查,規(guī)范化設(shè)置CT檢查方案,普及輻射防護(hù)知識,形成有效管理監(jiān)督機(jī)制的論述、分析,探討MSCT輻射劑量控制與監(jiān)督的臨床價(jià)值。

引用本文: 李真林,鄧開鴻,鄧?yán)蚱? 多層螺旋CT輻射劑量控制與監(jiān)督的臨床意義. 華西醫(yī)學(xué), 2010, 25(8): 1584-1586. doi: 復(fù)制

1. Prokop M. Radiation dose in computed tomography-risks and challenges[J]. Radiologe, 2008, 48(3): 229-242.
2. Catalano C, Francone M, Ascarelli A, et al. Optimizing radiationdose and image quality [J]. European Radiology, 2007, 17(6): 26-32.
3. Ron E. Ionizing radiation and cancer risk: evidence from epidemiology[J]. Pediatric Radiology, 2002, 32(4): 232-237.
4. Hunold P, Vogt FM, Schmermund A, et al. Radiation exposure during cardiac CT: effective doses at multi-detector row CT and electron-beam CT[J]. Radiology, 2003, 226(1): 145-152.
5. Thomas CK, Muhlenbruch G, Wildberger JE, et al. Coronary artery calcium scoring with multislice computed tomography-in vitro assessment of a low tube voltage protocol[J]. Investigative Radiology, 2006, 41(9): 668-673.
6. Herzog C, Mulvihill DM, Nguyen SA, et al. Pediatric cardiovascular CT angiography: radiation dose reduction using automatic anatomic tube current modulation [J]. American Journal of Roentgenology, 2008, 190(5): 1232-1240.
7. 梁長虹, 黃飚. 多層CT技術(shù)飛速發(fā)展, 臨床應(yīng)用不斷創(chuàng)新[J]. 中華放射學(xué)雜志, 2006, 40(9): 901-902.
8. 李坤成. 正確認(rèn)識64層螺旋CT冠狀動(dòng)脈成像的臨床價(jià)值[J]. 中華放射學(xué)雜志, 2007, 41(10): 1009-1010.
9. Hermann F, Martinoff S, Meyer T, et al. Reduction of radiation dose estimates in cardiac 64-slice CT angiography in patients after coronary artery bypass graft surgery[J]. Investigative Radiology, 2008, 43(4): 253-260.
10. Rixe J, Conradi G, Rolf A, et al. Radiation dose exposure of computed tomography coronary angiography: comparison of dual-source, 16-slice and 64-slice CT[J]. Heart, 2009, 95(16): 1337-1342.
11. Weustink AC, Mollet NR, Pugliese F, et al. Optimal electrocardiographic pulsing windows and heart rate: Effect on image quality and radiation exposure at dual-source coronary CT angiography [J]. Radiology, 2008, 248(3): 792-798.
12. Bischoff B, Hein F, Meyer T, et al. Trends in radiation protection in CT: Present and future status [J]. Journal of Cardiovascular Computed Tomography, 2009, 3(Suppl 2): S65-S73.
13. McCollough CH, Primak AN, Natalie Braun BS, et al. Strategies for reducing radiation dose in CT[J]. Radiologic Clinics of North America, 2009, 47(1): 27-40.
  1. 1. Prokop M. Radiation dose in computed tomography-risks and challenges[J]. Radiologe, 2008, 48(3): 229-242.
  2. 2. Catalano C, Francone M, Ascarelli A, et al. Optimizing radiationdose and image quality [J]. European Radiology, 2007, 17(6): 26-32.
  3. 3. Ron E. Ionizing radiation and cancer risk: evidence from epidemiology[J]. Pediatric Radiology, 2002, 32(4): 232-237.
  4. 4. Hunold P, Vogt FM, Schmermund A, et al. Radiation exposure during cardiac CT: effective doses at multi-detector row CT and electron-beam CT[J]. Radiology, 2003, 226(1): 145-152.
  5. 5. Thomas CK, Muhlenbruch G, Wildberger JE, et al. Coronary artery calcium scoring with multislice computed tomography-in vitro assessment of a low tube voltage protocol[J]. Investigative Radiology, 2006, 41(9): 668-673.
  6. 6. Herzog C, Mulvihill DM, Nguyen SA, et al. Pediatric cardiovascular CT angiography: radiation dose reduction using automatic anatomic tube current modulation [J]. American Journal of Roentgenology, 2008, 190(5): 1232-1240.
  7. 7. 梁長虹, 黃飚. 多層CT技術(shù)飛速發(fā)展, 臨床應(yīng)用不斷創(chuàng)新[J]. 中華放射學(xué)雜志, 2006, 40(9): 901-902.
  8. 8. 李坤成. 正確認(rèn)識64層螺旋CT冠狀動(dòng)脈成像的臨床價(jià)值[J]. 中華放射學(xué)雜志, 2007, 41(10): 1009-1010.
  9. 9. Hermann F, Martinoff S, Meyer T, et al. Reduction of radiation dose estimates in cardiac 64-slice CT angiography in patients after coronary artery bypass graft surgery[J]. Investigative Radiology, 2008, 43(4): 253-260.
  10. 10. Rixe J, Conradi G, Rolf A, et al. Radiation dose exposure of computed tomography coronary angiography: comparison of dual-source, 16-slice and 64-slice CT[J]. Heart, 2009, 95(16): 1337-1342.
  11. 11. Weustink AC, Mollet NR, Pugliese F, et al. Optimal electrocardiographic pulsing windows and heart rate: Effect on image quality and radiation exposure at dual-source coronary CT angiography [J]. Radiology, 2008, 248(3): 792-798.
  12. 12. Bischoff B, Hein F, Meyer T, et al. Trends in radiation protection in CT: Present and future status [J]. Journal of Cardiovascular Computed Tomography, 2009, 3(Suppl 2): S65-S73.
  13. 13. McCollough CH, Primak AN, Natalie Braun BS, et al. Strategies for reducing radiation dose in CT[J]. Radiologic Clinics of North America, 2009, 47(1): 27-40.