Radiation Dose and Safety in Cardiac Computed Tomography

被引:43
作者
Gerber, Thomas C. [1 ,2 ]
Kantor, Birgit [3 ]
McCollough, Cynthia H. [4 ]
机构
[1] Mayo Clin, Div Cardiovasc Dis, Jacksonville, FL 32224 USA
[2] Mayo Clin, Dept Radiol, Jacksonville, FL 32224 USA
[3] Mayo Clin, Div Cardiovasc Dis, Rochester, MN 55905 USA
[4] Mayo Clin, Dept Radiol, Rochester, MN 55905 USA
关键词
Coronary artery disease; Coronary angiography; Imaging; Computed tomography; Ionizing radiation; Radiation risks; Patient outcomes; Risk/benefit assessment; HEART-ASSOCIATION COMMITTEE; CARDIOVASCULAR RADIOLOGY; CORONARY-ANGIOGRAPHY; SCIENTIFIC STATEMENT; CLINICAL CARDIOLOGY; MAGNETIC-RESONANCE; IMAGE QUALITY; CT; EXPOSURE; INTERVENTION;
D O I
10.1016/j.ccl.2009.06.006
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
As a result of the changes in use of imaging procedures that rely on ionizing radiation, the collective dose has increased by over 700%, and the annual per-capita dose by almost 600% in recent years. It is possible that this growing use may have significant effects on public health. Although uncertainties exist related to the accuracy of estimated radiation exposure and biologic risk, there are measures that can be taken by the referring and the performing health care provider to reduce the potential risks while maintaining diagnostic accuracy. This article reviews the existing data regarding biologic hazards of radiation exposure associated with medical diagnostic testing, the methodologies used to estimate radiation exposure and dose, and the measures that can be taken to effectively reduce that exposure.
引用
收藏
页码:665 / +
页数:14
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