State of the art: Technologies for computed tomography dose reduction

被引:82
作者
Gunn M.L.D. [1 ,2 ]
Kohr J.R. [1 ]
机构
[1] Department of Radiology, University of Washington, Seattle, WA
[2] Department of Radiology, Harborview Medical Center, Box 359728, Seattle, WA 98104
关键词
Bismuth shielding; Cardiac CT; Computed tomography (CT); Computed tomography radiation dose; CT Utilization; Emergency radiology; MDCT; Radiation dose reduction; Radiation exposure; Technology;
D O I
10.1007/s10140-009-0850-6
中图分类号
学科分类号
摘要
The utilization of computed tomography (CT) in the emergency department has grown rapidly in the last decade, driven by strong evidence supporting its effectiveness in the rapid diagnosis of an increasing range of diseases. Concerns have been raised about potential cancer induction caused by the increased use of CT and the high radiation dose associated with some multidetector row CT examinations. Recent research into protocol design and new CT scanner technologies enable high-quality examinations to be performed with a significant reduction in radiation dose. These advances are discussed, with emphasis on their application to emergency radiology. © 2009 Am Soc Emergency Radiol.
引用
收藏
页码:209 / 218
页数:9
相关论文
共 42 条
[1]
Guthrie C., How dangerous are CT scans?, Time Magazine, (2008)
[2]
Brenner D.J., Hall E.J., Computed tomography - An increasing source of radiation exposure, New England Journal of Medicine, 357, 22, pp. 2277-2284, (2007)
[3]
Mettler Jr F.A., Thomadsen B.R., Bhargavan M., Et al., Medical radiation exposure in the U.S. in 2006: Preliminary results, Health Phys, 95, pp. 502-507, (2008)
[4]
Broder J., Warshauer D.M., Increasing utilization of computed tomography in the adult emergency department, 2000-2005, Emergency Radiology, 13, 1, pp. 25-30, (2006)
[5]
Gottlieb R.H., La T.C., Erturk E.N., Et al., CT in detecting urinary tract calculi: Influence on patient imaging and clinical outcomes, Radiology, 225, pp. 441-449, (2002)
[6]
Ost D., Khanna D., Shah R., Hall C.S., Shah S., Lesser M., Fein A.M., Impact of spiral computed tomography on the diagnosis of pulmonary embolism in a community hospital setting, Respiration, 71, 5, pp. 450-457, (2004)
[7]
Amis Jr. E.S., Butler P.F., Applegate K.E., Birnbaum S.B., Brateman L.F., Hevezi J.M., Mettler F.A., Morin R.L., Pentecost M.J., Smith G.G., Strauss K.J., Zeman R.K., American College of Radiology white paper on radiation dose in medicine, JACR Journal of the American College of Radiology, 4, 5, pp. 272-284, (2007)
[8]
Wells P.S., Integrated strategies for the diagnosis of venous thromboembolism, Journal of Thrombosis and Haemostasis, 5, SUPPL. 1, pp. 41-50, (2007)
[9]
Goske M.J., Applegate K.E., Boylan J., Et al., Image Gently(SM): A national education and communication campaign in radiology using the science of social marketing, J Am Coll Radiol, 5, pp. 1200-1205, (2008)
[10]
Kalra M.K., Maher M.M., Toth T.L., Hamberg L.M., Blake M.A., Shepard J.-A., Saini S., Strategies for CT Radiation Dose Optimization, Radiology, 230, 3, pp. 619-628, (2004)