核医学诊断中有效剂量的控制与应用
Control and Application of Effective Dose in Nuclear Medicine Diagnosis
DOI: 10.12677/MD.2019.92008, PDF,   
作者: 韩建冬*, 王美玲, 格根塔娜, 杜艳青, 梁凤英, 额尔敦：内蒙古医科大学，内蒙古 呼和浩特
关键词: 核医学；诊断；有效剂量；Nuclear Medicine； Diagnosis； Effective Dose
摘要: 在过去的十年中，核医学的医疗用途增长非常迅速，截至2017年，核医学的医疗用途是美国人口接触的最大来源。大多数医生难以评估暴露程度或潜在风险。有效剂量提供了电离辐射潜在损害的近似指标，应作为评估涉及电离辐射检查适当性的一个参数。标准射线照相检查的平均有效剂量变化一般在1000 (0.01~10 mSv)左右。计算机断层扫描检查往往范围较窄，但平均有效剂量相对较高(约2~20 mSv)，介入手术的平均有效剂量通常为5~70 mSv。大多数核医学程序的平均有效剂量在0.3和20 mSv之间变化。
Abstract: In the past decade, the medical use of nuclear medicine has grown very rapidly. As of 2017, the medical use of nuclear medicine is the largest source of contact for the United States. Most doctors have difficulty in assessing exposure or potential risks. The effective dose provides an approximate indicator of the potential damage of ionizing radiation and should be used as a parameter to assess the appropriateness of the examination involving ionizing radiation. The average effective dose change for standard radiographic examinations is generally around 1000 (0.01 - 10 mSv). Computed tomography scans tend to be narrower, but the average effective dose is relatively high (about 2 - 20 mSv), and the average effective dose for interventional surgery is usually 5 - 70 mSv. The average effective dose for most nuclear medicine procedures varies between 0.3 and 20 mSv. 
文章引用：韩建冬, 王美玲, 格根塔娜, 杜艳青, 梁凤英, 额尔敦. 核医学诊断中有效剂量的控制与应用[J]. 医学诊断, 2019, 9(2): 42-46. https://doi.org/10.12677/MD.2019.92008

参考文献

[1] Amis, E.S. Jr., Butler, P.F., Applegate, K.E., et al. (2007) American College of Radiology White Paper on Radiation Dose in Medicine. Journal of the American College of Radiology, 4, 272-284. [Google Scholar] [CrossRef] [PubMed]
[2] (1991) 1990 Recommendations of the International Commission on Radiological Protection. Annals of the ICRP, 21, 1-201.
[3] (2007) The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Annals of the ICRP, 37, 1-332.
[4] Aldrich, J.E., Lentle, B.C. and Vo, C. (1997) Radiation Doses from Medical Diagnostic Procedures in Canada. Advisory Committee on Radiological Protection for the Atomic Energy Control Board of Canada, Mississauga.
[5] Angelucci, M., Borio, R., Chiocchini, S., Degli Esposti, P., Dipilato, A.C. and Policani, G. (1999) Patient Doses and Risk Evaluation in Bone Mineral Densi-tometry. Radiation Protection Dosimetry, 86, 191-195. [Google Scholar] [CrossRef] 
[6] Bergeron, P., Carrier, R., Roy, D., Blais, N. and Raymond, J. (1994) Radiation Doses to Patients in Neurointerventional Procedures. American Journal of Neuroradiology, 15, 1809-1812.
[7] Balter, S., Schueler, B.A., Miller, D.L., et al. (2004) Radiation Doses in Interven-tional Radiology Procedures: The RAD-IR Study. III. Dosimetric Performance of the Interventional Fluoroscopy Units. Journal of Vascular and Interventional Radiology, 15, 919-926. [Google Scholar] [CrossRef] 
[8] Bauer, B. and Veit, R. (1995) Initiatives, Achievements and Perspectives in Quality Assurance and Radiation Protection in Diagnostic Radiology, Both on Legal and Practical Level in Germany. Radiation Protection Dosimetry, 57, 43-46.
[9] Betsou, S., Efstathopoulos, E.P., Katritsis, D., Faulkner, K. and Panayiotakis, G. (1998) Patient Radiation Doses during Cardiac Catheterization Procedures. The British Journal of Radiology, 71, 634-639. [Google Scholar] [CrossRef] [PubMed]
[10] Bor, D., Toklu, T., Olgar, T., et al. (2006) Variations of Patient Doses in Interventional Examinations at Different Angiographic Units. CardioVascular and Interventional Radiology, 29, 797-806. [Google Scholar] [CrossRef] [PubMed]
[11] Børretzen, I., Lysdahl, K. and Olerud, H. (2007) Diagnostic Radiology in Norway: Trends in Examination Frequency and Collective Effective Dose. Radiation Protection Dosimetry, 124, 339-347. [Google Scholar] [CrossRef] [PubMed]
[12] Brix, G., Nagel, H.D., Stamm, G., et al. (2003) Radiation Exposure in Multi-Slice versus Single Slice Spiral CT: Results of a Nationwide Survey. European Radiology, 13, 1979-1991. [Google Scholar] [CrossRef] [PubMed]
[13] Brix, G., Nekolla, E. and Griebel, J. (2005) Radiation Exposure of Patients from Diagnostic and Interventional X-Ray Procedures: Facts, Assessment and Trends. Radiologe, 45, 340-349. (In German) [Google Scholar] [CrossRef] [PubMed]
[14] Broadhead, D.A., Chapple, C.L., Faulkner, K., Davies, M.L. and McCallum, H. (1998) Local Reference Doses during Cardiology Procedures. Radiation Protection Dosimetry, 80, 149-150. [Google Scholar] [CrossRef] 
[15] Broadhead, D.A., Chapple, C.L., Faulkner, K., et al. (1997) The Impact of Cardiology on the Collective Effective Dose in the North of England. The British Journal of Radiology, 70, 492-497. [Google Scholar] [CrossRef] [PubMed]
[16] Brugmans, M.J., Buijs, W.C., Geleijns, J. and Lembrechts, J. (2002) Population Exposure to Diagnostic Use of Ionizing Radiation in the Netherlands. Health Physics, 82, 500-509. [Google Scholar] [CrossRef] [PubMed]
[17] Burch, A. and Goodman, D.A. (1998) A Pilot Survey of Radiation Doses Received in the United Kingdom Breast Screening Programme. The British Journal of Radiology, 71, 517-527. [Google Scholar] [CrossRef] [PubMed]
[18] Burling, D., Halligan, S., Taylor, S.A., et al. (2004) CT Colonography Practice in the UK: A National Survey. Clinical Radiology, 59, 39-43. [Google Scholar] [CrossRef] [PubMed]
[19] Agarwal, R., Flynn, J., Pogue, V., Rahman, M., et al. (2014) Assessment and Management of Hypertension in Patients on Dialysis. Journal of the American Society of Nephrology, 25, 1630-1646. [Google Scholar] [CrossRef] 
[20] Calzado, A., Vano, E., Moran, P., Castellote, C., Ruiz, S. and Gonzalez, L. (1991) Estimation of Doses to Patients from “Complex” Conventional X-Ray Examinations. The British Journal of Radiology, 64, 539-546. [Google Scholar] [CrossRef] [PubMed]
[21] Carroll, E.M. and Brennan, P.C. (2003) Investigation into Patient Doses for Intravenous Urography and Proposed Irish Diagnostic Reference Levels. European Radiology, 13, 1529-1533. [Google Scholar] [CrossRef] [PubMed]
[22] Carroll, E. and Brennan, P.C. (2001) Patient Dose Variation Investigated in Four Irish Hospitals for Barium Meal and Barium Enema Examinations. Radiation Protection Dosimetry, 97, 275-278. [Google Scholar] [CrossRef] [PubMed]
[23] Chamberlain, C.C., Huda, W., Hojnowski, L.S., Perkins, A. and Scaramuzzino, A. (2000) Radiation Doses to Patients Undergoing Scoliosis Radiography. The British Journal of Radiology, 73, 847-853. [Google Scholar] [CrossRef] [PubMed]
[24] Chapple, C.L., Faulkner, K. and Harrison, R.M. (1990) An Investigation into the Performance of an Automated Quality Assurance and Dosimetry System in Diagnostic Radiology. The British Journal of Radiology, 63, 635-639. [Google Scholar] [CrossRef] [PubMed]
[25] Chapple, C.L., Faulkner, K., Lee, R.E. and Hunter, E.W. (1993) Radiation Doses to Paediatric Patients Undergoing Less Common Radiological Procedures Involving Fluoroscopy. The British Journal of Radiology, 66, 823-827. [Google Scholar] [CrossRef] [PubMed]
[26] Chapple, C.L., Faulkner, K., Lee, R.E. and Hunter, E.W. (1992) Results of a Survey of Doses to Paediatric Patients Undergoing Common Radiological Examinations. The British Journal of Radiology, 65, 225-231. [Google Scholar] [CrossRef] [PubMed]