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Quantifying the Increase in Radiation Exposure Associated with SPECT/CT Compared to SPECT Alone for Routine Nuclear Medicine Examinations

机译:定量与常规核医学检查相比,与单独使用SPECT相比,与SPECT / CT相关的放射线照射增加

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Purpose. We quantify the additional radiation exposure in terms of effective dose incurred by patients in the CT portion of SPECT/CT examinations.Methods. The effective dose from a variety of common nuclear medicine procedures is calculated and summarized. The extra exposure from the CT portion of the examination is summarized by examination and body part. Two hundred forty-eight scans from 221 patients are included in this study. The effective dose from the CT examination is also compared to average background radiation.Results. We found that the extra effective dose is not sufficient to cause deterministic effects. However, the stochastic effects may be significant, especially in patients undergoing numerous follow-up studies. The cumulative effect might increase the radiation exposure compared to patient management with SPECT alone.Conclusions. While the relative increase in radiation exposure associated with SPECT/CT is generally considered acceptable when compared with the benefits to the patient, physicians should make every effort to minimize this effect by using proper technical procedures and educating patients about the exposure they will receive.
机译:目的。我们根据患者在SPECT / CT检查的CT部分产生的有效剂量来量化额外的辐射暴露。计算并总结了来自各种常见核医学程序的有效剂量。通过检查和身体部位汇总检查的CT部分的额外暴露。这项研究包括对221例患者的248次扫描。还可以将CT检查的有效剂量与平均背景辐射进行比较。我们发现额外的有效剂量不足以引起确定性影响。但是,随机作用可能很重要,尤其是在接受大量随访研究的患者中。与仅使用SPECT进行患者管理相比,累积效应可能会增加放射线暴露。尽管与给患者带来的好处相比,通常认为与SPECT / CT相关的放射线照射的相对增加是可以接受的,但医生应尽一切努力通过采用适当的技术程序并使患者了解他们将要接受的放射线来最大程度地降低这种影响。

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