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首页> 外文期刊>Journal of digital imaging: the official journal of the Society for Computer Applications in Radiology >Optimization of the radiological protection of patients undergoing digital radiography.
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Optimization of the radiological protection of patients undergoing digital radiography.

机译:优化进行数字射线照相的患者的放射防护。

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摘要

Because of a much higher dynamic range of flat panel detectors, patient dose can vary without change of image quality being perceived by radiologists. This condition makes optimization (OT) of radiation protection undergoing digital radiography (DR) more complex, while a chance to reduced patient dose also exists. In this study, we evaluated the difference of patient radiation and image rejection before and after OT to identify if it is necessary to carry out an OT procedure in a routine task with DR. The study consisted of a measurement of the dose area product (DAP) and entrance surface dose (ESD) received by a reference group of patients for eight common radiographic procedures using the DR system before and after OT. Meanwhile image rejection data during two 2-month periods were collected and sorted according to reason. For every radiographic procedure, t tests showed significant difference in average ESD and DAP before and after OT (p?
机译:由于平板探测器的动态范围更高,因此患者的剂量可以变化,而放射线医生不会察觉到图像质量的变化。这种情况使经过数字射线照相(DR)的辐射防护的优化(OT)更加复杂,同时还存在减少患者剂量的机会。在这项研究中,我们评估了OT前后患者放射线和图像排斥的差异,以确定是否有必要在DR的常规任务中执行OT程序。这项研究包括在OT前后,使用DR系统对八组常见的X线照相程序,对一组参照患者的剂量面积乘积(DAP)和入射表面剂量(ESD)进行测量。同时收集了两个2个月期间的图像剔除数据,并根据原因进行了分类。对于每项射线照相程序,t检验均显示OT前后平均ESD和DAP的显着差异(p≤0.005)。 OT之前大多数检查的ESD值比OT之后高3倍。对于DAP,差异更大。 OT后的图像剔除率显着低于OT之前的图像剔除率(χ(2)α=?36.5,p?<?0.005)。适当的mAs和暴露场可导致OT后剂量的大幅减少。对于DR患者的剂量,低于推荐的诊断参考水平可以满足质量标准和临床诊断。

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