SCCT guidelines on radiation dose and dose-optimization strategies in cardiovascular CT

被引:408
作者
Halliburton, Sandra S. [1 ]
Abbara, Suhny [2 ]
Chen, Marcus Y. [3 ]
Gentry, Ralph [4 ]
Mahesh, Mahadevappa [5 ]
Raff, Gilbert L. [4 ]
Shaw, Leslee J. [6 ]
Hausleiter, Joerg [7 ]
机构
[1] Cleveland Clin, Inst Heart & Vasc, Imaging Inst, Cleveland, OH 44195 USA
[2] Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] NIH, Bethesda, MD 20892 USA
[4] William Beaumont Hosp, Royal Oak, MI 48072 USA
[5] Johns Hopkins Univ, Baltimore, MD USA
[6] Emory Univ, Atlanta, GA 30322 USA
[7] Deutsch Herzzentrum Munich, Munich, Germany
关键词
Practice guideline; Radiation dose; Radiation protection; Radiation monitoring; Tomography; x-ray computed; Cardiac-gated imaging techniques; Coronary CT angiography; Coronary calcium scanning; Algorithms; DUAL-SOURCE CT; NONINVASIVE CORONARY-ANGIOGRAPHY; CARDIAC COMPUTED-TOMOGRAPHY; STATISTICAL ITERATIVE RECONSTRUCTION; AMERICAN-HEART-ASSOCIATION; TUBE CURRENT MODULATION; BISMUTH BREAST SHIELDS; IMPROVED IMAGE QUALITY; DIAGNOSTIC-ACCURACY; HIGH-PITCH;
D O I
10.1016/j.jcct.2011.06.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Over the last few years, computed tomography (CT) has developed into a standard clinical test for a variety of cardiovascular conditions. The emergence of cardiovascular CT during a period of dramatic increase in radiation exposure to the population from medical procedures and heightened concern about the subsequent potential cancer risk has led to intense scrutiny of the radiation burden of this new technique. This has hastened the development and implementation of dose reduction tools and prompted closer monitoring of patient dose. In an effort to aid the cardiovascular CT community in incorporating patient-centered radiation dose optimization and monitoring strategies into standard practice, the Society of Cardiovascular Computed Tomography has produced a guideline document to review available data and provide recommendations regarding interpretation of radiation dose indices and predictors of risk, appropriate use of scanner acquisition modes and settings, development of algorithms for dose optimization, and establishment of procedures for dose monitoring. (C) 2011 Society of Cardiovascular Computed Tomography. All rights reserved.
引用
收藏
页码:198 / 224
页数:27
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