SHOULD WE BE CONCERNED ABOUT THE DOSES OF IONIZING RADIATION RELATED TO DIAGNOSTIC AND FOLLOW-UP IMAGING IN PATIENTS WITH SOLITARY PULMONARY NODULES?

被引：1

作者：

Dabrowska, Marta ^{[1
]}

Przybylo, Zuzanna ^{[2
]}

Zukowska, Malgorzata ^{[3
]}

Kobylecka, Malgorzata ^{[4
]}

Maskey-Warzechowska, Marta ^{[1
]}

Krenke, Rafal ^{[1
]}

机构：

[1] Med Univ Warsaw, Dept Internal Med Pulm Dis & Allergy, Banacha 1 A, PL-02097 Warsaw, Poland

[2] Med Univ Warsaw, Students Res Grp Alveolus, Banacha 1 A, PL-02097 Warsaw, Poland

[3] Med Univ Warsaw, Dept Clin Radiol 2, Banacha 1 A, PL-02097 Warsaw, Poland

[4] Med Univ Warsaw, Dept Nucl Med, Banacha 1 A, PL-02097 Warsaw, Poland

来源：

RADIATION PROTECTION DOSIMETRY | 2018年 / 178卷 / 02期

关键词：

ITERATIVE RECONSTRUCTION; CHEST CT; COMPUTED-TOMOGRAPHY; NUCLEAR-MEDICINE; LUNG-CANCER; GUIDELINES; MANAGEMENT; REDUCTION; VOLUMETRY; DOSIMETRY;

D O I：

10.1093/rpd/ncx099

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Diagnosing solitary pulmonary nodules (SPNs) frequently requires radiological follow up associated with exposure to ionizing radiation. The aim of this study was to estimate the effective dose of ionizing radiation in patients diagnosed and followed up due to SPNs, which were found beyond lung cancer screening programs. We estimated the exposure to ionizing radiation as effective doses (ED) of all imaging techniques using ionizing radiation: chest computed tomography (CT), contrast enhanced CT (CECT) and positron emission tomography combined with CT (PET/CT) in each patient. The median ED related to CT, CECT and PET/CT were 27.8, 17.2 and 20.4 mSv, respectively. The total ED related to all imaging examinations performed during 2 years of radiological follow-up was 33.9 mSv (range: 3.2-122.4) per patient. Majority (59%) of radiation exposure resulted from repeated chest CT. In conclusion, diagnosis and follow up of patients with SPN with different radiological techniques is associated with high exposure to ionizing radiation.

引用

页码：201 / 207

页数：7

共 39 条

[1]

American Association of Physicists in Medicine, 204 AAPM

[2]

BEIR VII, 2006, Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2, DOI [DOI 10.17226/11340, 10.17226/11340]

[3] PET/CT: Form and function [J].

Blodgett, Todd M. ;

Meltzer, Carolyn C. ;

Townsend, David W. .

RADIOLOGY, 2007, 242 (02) :360-385

[4] MIRD Pamphlet No. 21: A Generalized Schema for Radiopharmaceutical Dosimetry-Standardization of Nomenclature [J].

Bolch, Wesley E. ;

Eckerman, Keith F. ;

Sgouros, George ;

Thomas, Stephen R. .

JOURNAL OF NUCLEAR MEDICINE, 2009, 50 (03) :477-484

[5] What we know and what we don't know about cancer risks associated with radiation doses from radiological imaging [J].

Brenner, D. J. .

BRITISH JOURNAL OF RADIOLOGY, 2014, 87 (1035)

[6] Risk of cancer after low doses of ionising radiation - retrospective cohort study in 15 countries [J].

Cardis, E ;

Vrijheid, M ;

Blettner, M ;

Gilbert, E ;

Hakama, M ;

Hill, C ;

Howe, G ;

Kaldor, J ;

Muirhead, CR ;

Schubauer-Berigan, M ;

Yoshimura, T .

BMJ-BRITISH MEDICAL JOURNAL, 2005, 331 (7508) :77-80B

[7] Solitary pulmonary nodules: Meta-analytic comparison of cross-sectional imaging modalibes for diagnosis of malignancy [J].

Cronin, Paul ;

Dwamena, Ben A. ;

Kelly, Aine Marie ;

Carlos, Ruth C. .

RADIOLOGY, 2008, 246 (03) :772-782

[8] Simplified Method of Dynamic Contrast-Enhanced Computed Tomography in the Evaluation of Indeterminate Pulmonary Nodules [J].

Dabrowska, Marta ;

Zukowska, Malgorzata ;

Krenke, Rafal ;

Domagala-Kulawik, Joanna ;

Maskey-Warzechowska, Marta ;

Bogdan, Jerzy ;

Pacho, Ryszard ;

Chazan, Ryszarda .

RESPIRATION, 2010, 79 (02) :91-96

[9] Radiation doses from radiological imaging do not increase the risk of cancer. [J].

Doss, M. .

BRITISH JOURNAL OF RADIOLOGY, 2014, 87 (1036)

[10] Biokinetics and dosimetry of commonly used radiopharmaceuticals in diagnostic nuclear medicine - a review [J].

Eberlein, Uta ;

Broeer, Joern Hendrik ;

Vandevoorde, Charlot ;

Santos, Paula ;

Bardies, Manuel ;

Bacher, Klaus ;

Nosske, Dietmar ;

Lassmann, Michael .

EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2011, 38 (12) :2269-2281

← 1 2 3 4 →