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医学临床研究  2019, Vol. 36 Issue (6): 1117-1119    DOI: 10.3969/j.issn.1671-7171.2019.06.026
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某医院15岁以下少年儿童CT扫描剂量诊断参考水平建立及其意义
曹真伟, 陈东辉, 翟自坡, 彭俊哲, 朱国祯, 闾丘思嘉
湖南省职业病防治院,湖南 长沙 410007
Establishment and Significance of Dose Diagnosis Reference Level of CT Scanning for Children under 15 Years Old in a Hospital
CAO Zhen-wei, CHEN Dong-hui, ZHAI Zi-po,et al
Hunan Prevention and Treatment Center for Occupational Diseases Changsha 410007
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摘要 【目的】分析某医院15岁以下少年儿童CT扫描辐射剂量诊断参考水平(DRL)。【方法】分析相关文献,对某医院15岁以下少年儿童头颅、胸部、腹部经CT扫描剂量数据进行DRL分析,记录不同部位DRL值。【结果】15岁以下少年儿童DRL分析:头颅CT扫描容积CT剂量指数(CTDIvol)的DRL为62.3 mGy,高于我国少年儿童平均DRL 39 mGy,剂量长度乘积(DLP)的DRL为714.4 mGy,低于我国少年儿童平均DLP 804 mGy;胸部CT扫描CTDIvol的DRL为7.4 mGy,高于我国少年儿童平均DRL 4 mGy,DLP的DRL为227.4 mGy,高于我国少年儿童平均DRL 113 mGy;腹部CT扫描CTDIvol的DRL为10.4 mGy,高于我国少年儿童平均DRL 8 mGy,DLP的DRL为395.1 mGy,低于我国少年儿童平均DRL 434 mGy。【结论】15岁以下少年儿童头颅、胸部、腹部CT扫描剂量DRL整体水平高于国家平均水平,需要找出原因并在实际扫描中进行低剂量优化。
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关键词 辐射剂量体层摄影术X线计算机    
Abstract【Objective】To analyze the diagnostic reference level (DRL) of CT scan radiation dose for children under 15 years old in a hospital. 【Methods】 The related literatures were analyzed, and the DRL values of different parts of the skull, chest and abdomen of children under 15 years old in a hospital were recorded. 【Results】DRL analysis of children under 15 years old: The DRL of CTDIvol was 62.3 mGy, higher than the average DRL of Chinese children and adolescents, the DRL of dose-length product (DLP) was 714.4 mGy, lower than the average DLP of Chinese children and adolescents, and the DRL of CTDIvol of chest CT scan was 7.4 mGy, higher than that of me. The average DRL of Chinese children and adolescents is 4 mGy, and that of DLP is 227.4 mGy, which was higher than that of Chinese children and adolescents. The average DRL of CTDIvol on abdominal CT scan was 10.4 mGy, which was higher than that of Chinese children and adolescents. The DRL of DLP was 395.1 mGy, which was lower than that of Chinese children and adolescents. 【Conclusion】 The overall level of DRL in CT scans of the head, chest and abdomen of children under 15 years old is higher than the national average level, so it is necessary to find out the reasons and optimize the low dose in the actual scans.
Key wordsRadiation Dosage    Tomography,X-Ray Computed
收稿日期: 2019-04-28     
PACS:  R814.42  
通讯作者: E-mail:czw219@126.com   
引用本文:   
曹真伟, 陈东辉, 翟自坡, 彭俊哲, 朱国祯, 闾丘思嘉. 某医院15岁以下少年儿童CT扫描剂量诊断参考水平建立及其意义[J]. 医学临床研究, 2019, 36(6): 1117-1119.
CAO Zhen-wei, CHEN Dong-hui, ZHAI Zi-po,et al. Establishment and Significance of Dose Diagnosis Reference Level of CT Scanning for Children under 15 Years Old in a Hospital. JOURNAL OF CLINICAL RESEARCH, 2019, 36(6): 1117-1119.
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