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首页> 外文期刊>International Journal of Environmental Research and Public Health >Radiation Dose in the Thyroid and the Thyroid Cancer Risk Attributable to CT Scans for Pediatric Patients in One General Hospital of China
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Radiation Dose in the Thyroid and the Thyroid Cancer Risk Attributable to CT Scans for Pediatric Patients in One General Hospital of China

机译:中国一所总医院儿科患者的CT扫描可归因于甲状腺的放射剂量和甲状腺癌风险

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Objective: To quantify the radiation dose in the thyroid attributable to different CT scans and to estimate the thyroid cancer risk in pediatric patients. Methods: The information about pediatric patients who underwent CT scans was abstracted from the radiology information system in one general hospital between 1 January 2012 and 31 December 2012. The radiation doses were calculated using the ImPACT Patient Dosimetry Calculator and the lifetime attributable risk (LAR) of thyroid cancer incidence was estimated based on the National Academies Biologic Effects of Ionizing Radiation VII model. Results: The subjects comprised 922 children, 68% were males, and received 971 CT scans. The range of typical radiation dose to the thyroid was estimated to be 0.61–0.92 mGy for paranasal sinus CT scans, 1.10–2.45 mGy for head CT scans, and 2.63–5.76 mGy for chest CT scans. The LAR of thyroid cancer were as follows: for head CT, 1.1 per 100,000 for boys and 8.7 per 100,000 for girls; for paranasal sinus CT scans, 0.4 per 100,000 for boys and 2.7 per 100,000 for girls; for chest CT scans, 2.1 per 100,000 for boys and 14.1 per 100,000 for girls. The risk of thyroid cancer was substantially higher for girls than for the boys, and from chest CT scans was higher than that from head or paransal sinus CT scans. Conclusions: Chest CT scans caused higher thyroid dose and the LAR of thyroid cancer incidence, compared with paransal sinus or head CT scans. Therefore, physicians should pay more attention to protect the thyroid when children underwent CT scans, especially chest CT scans.
机译:目的:量化由于不同的CT扫描而在甲状腺中的放射剂量,并估计小儿患者的甲状腺癌风险。方法:2012年1月1日至2012年12月31日期间,从一家综合医院的放射学信息系统中提取接受CT扫描的儿科患者的信息。使用ImPACT患者剂量测定计算器和终生归因风险(LAR)计算辐射剂量根据美国国家科学院电离辐射VII模型对甲状腺癌的发病率进行估算。结果:受试者包括922名儿童,其中68%是男性,接受了971次CT扫描。鼻旁窦CT扫描对甲状腺的典型辐射剂量范围估计为0.61-0.92 mGy,头部CT扫描估计为1.10-2.45 mGy,胸部CT检查为2.63-5.76 mGy。甲状腺癌的LAR如下:头部CT,男孩为每十万分之1.1,女孩为十万分之8.7;对于鼻旁窦CT扫描,男孩为每100,000例中为0.4,女孩为每100,000例中为2.7;胸部CT扫描,男孩每100,000例中有2.1例,女孩每100,000例中有14.1例。女孩的甲状腺癌风险显着高于男孩,胸部CT扫描的风险高于头部或par旁窦CT扫描的风险。结论:与鼻窦或头部CT扫描相比,胸部CT扫描导致较高的甲状腺剂量和LAR的甲状腺癌发病率。因此,当儿童进行CT扫描,尤其是胸部CT扫描时,医生应更加注意保护甲状腺。

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