Radiology：强烈推荐！低剂量CT筛查肾绞痛

2017-09-23 shaosai MedSci原创

本研究旨在验证是否低剂量计算机断层成像（CT）评价肾结石的应用率增高，并确定根据该扫描条件，放射线暴露的变异率，通过查询国家剂量登记表来建立评价肾结石的平均剂量标准，并将结果发表在Radiology上。

本研究旨在验证是否低剂量计算机断层成像（CT）评价肾结石的应用率增高，并确定根据该扫描条件，放射线暴露的变异率，通过查询国家剂量登记表来建立评价肾结石的平均剂量标准，并将结果发表在Radiology上。

本研究资料来自美国放射CT检查剂量等级学会2015年7月-2016年7月间的数据。研究术语与单次非强化CT扫描评价肾结石和RadLex词表相一致。剂量模型包括CT剂量指数、剂量长度乘积和体型特异性剂量评估。利用随机效应模型来评价CT检查的类聚效应。计算z比来评价2015-2016年间低剂量CT检查与2011-2012间数量的差异。

本研究共纳入了340条行CT扫描评价肾结石的词条，涵盖了相关的105334例肾结石CT检查。低剂量CT检查共有8040次（7.6%），比2011-2012增加5.6%（1010/49 903 (2%)）。平均总体剂量长度乘积由2011-2012期间的746 mGy · cm 减少到689 mGy · cm（95% CI： 667，712）。平津剂量长度乘积变化较大，由200 mGy · cm到1600 mGy · cm。

本研究表明，使用低剂量CT评价肾结石自2011-2012以来应用越来越广泛，但应用率仍然较低。与2011-2012相比，2015-2016年间评价肾绞痛的CT放射暴露降低，但仍待有望改善。

原始出处：

Weisenthal K， Karthik P， Shaw M， et al，Evaluation of Kidney Stones with Reduced-Radiation Dose CT： Progress from 2011-2012 to 2015-2016-Not There Yet.Radiology. 2017.DOI： 10.1148/radiol.2017170285

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2018-06-12 ms6747015003810650

#CT筛查#

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2017-09-25 智者为医08

#低剂量CT#

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2017-09-25 ms1292405679162969

#低剂量#

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2017-09-25 hb2008ye

#肾绞痛#

37 0
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2017-09-25 雅文博武

学习了很多先进的医疗技术

62 0
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2017-09-24 thlabcde

好资料学习了!

47 0
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2017-09-24 忠诚向上

好好的学习下

50 0
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2017-09-24 184****9840

建议单位体检加入这一项

53 0
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2017-09-24 1e0f8808m18(暂无匿称)

学习了.谢谢分享.

57 0

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