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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >Exposure to diagnostic ionizing radiation in sports medicine: assessing and monitoring the risk.
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Exposure to diagnostic ionizing radiation in sports medicine: assessing and monitoring the risk.

机译:运动医学中诊断性电离辐射的暴露:评估和监测风险。

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摘要

OBJECTIVE: To understand the estimation of both the effective dose and the risk estimate associated with diagnostic ionizing radiation in sports medicine and to appreciate strategies by which this radiation exposure may be minimized. DESIGN: Observational study. SETTING: Sports medicine practice. PATIENTS: A theoretical patient, athlete X (male, aged 20-29 years, 80 kg), was used to illustrate how the effective dose and the corresponding risk estimate are calculated for various common sports medicine investigations. Doses and risk estimates for female and pediatric athletes also are discussed. MAIN OUTCOME MEASURES: The effective dose and corresponding risk estimate associated with common sports medicine investigations. RESULTS: Computed tomography and radiographic examinations of the extremities have significantly lower effective doses than investigations about the trunk region. Bone scanning and computed tomography have a significantly higher effective dose than radiography. The risk estimates associated with the low doses used in diagnostic ionizing radiation procedures are extrapolated from epidemiologic studies on exposures to high doses of radiation, and several uncertainties exist in this estimation. Notwithstanding this, the responsible clinician should be aware of both the effective doses and the risk estimates that are associated with the more common investigations. The principles of justification and optimization for these investigations will help guide clinicians to reduce radiation exposure without compromising the management of their patients. CONCLUSIONS: Certain investigations have a greater effective dose and risk estimate than others. Elite athletes may potentially undergo numerous investigations in their career. An athlete radiation record may be useful to better manage this exposure.
机译:目的:了解运动医学中与诊断电离辐射有关的有效剂量和风险估计的估计,并了解可以最小化这种辐射暴露的策略。设计:观察性研究。地点:运动医学实践。患者:一位理论患者,运动员X(男性,年龄20-29岁,体重80公斤)被用来说明如何为各种常见运动医学研究计算有效剂量和相应的风险估计。还讨论了女运动员和小儿运动员的剂量和风险估计。主要观察指标:与常规运动医学研究相关的有效剂量和相应的风险估计。结果:四肢断层摄影和放射照相检查的有效剂量明显低于躯干区域的检查剂量。骨扫描和计算机断层扫描的有效剂量明显高于放射线照相。诊断电离辐射程序中使用的低剂量相关的风险估算是从流行病学研究中推断的,该流行病学研究涉及高剂量的辐射暴露,该估算存在一些不确定性。尽管如此,负责的临床医生应注意与更常见的检查相关的有效剂量和风险估计。这些研究的合理性和最优化原则将有助于指导临床医生在不影响患者管理的前提下减少放射线照射。结论:某些研究比其他研究具有更大的有效剂量和风险估计。优秀运动员可能会在职业生涯中接受大量调查。运动员的辐射记录可能有助于更好地管理这种暴露。

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