Radiation Safety in Children With Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization From the Image Gently Alliance.
Radiation Safety in Children With Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization From the Image Gently Alliance.
复制标题
DOI：
10.1016/j.jcmg.2017.04.003
复制
发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Image Gently Alliance
中科院分区：
文献类型：
--
作者：
Hill KD;Frush DP;Han BK;Abbott BG;Armstrong AK;DeKemp RA;Glatz AC;Greenberg SB;Herbert AS;Justino H;Mah D;Mahesh M;Rigsby CK;Slesnick TC;Strauss KJ;Trattner S;Viswanathan MN;Einstein AJ;Image Gently Alliance
在先天性和获得性心脏病(CAHD)儿童的多模式医学成像过程中，有必要对电离辐射剂量优化提出一致的建议。这些儿童通常患有复杂的疾病，并可能因医学成像程序而暴露在相对较高的累积电离辐射负担中，这些程序包括心脏计算机断层扫描、核心脏病学研究以及透视引导的诊断和介入插管及电生理程序。尽管这些成像程序对CAHD儿童的护理都是必不可少的，并对这些患者的预后做出了有意义的改善，但暴露于电离辐射与潜在风险有关，包括增加终身癌症的归因风险。这些建议的目标是鼓励知情成像以最低的可实现剂量达到适当的研究质量。改善护理的其他战略包括以患者为中心的成像方法，强调教育和知情的决策，以及确保适当剂量监测的程序性方法。展望未来，有必要对不同成像方式的剂量度量进行标准化，以鼓励对儿童CAHD进行比较有效性研究。
There is a need for consensus recommendations for ionizing radiation dose optimization during multimodality medical imaging in children with congenital and acquired heart disease (CAHD). These children often have complex diseases and may be exposed to a relatively high cumulative burden of ionizing radiation from medical imaging procedures, including cardiac computed tomography, nuclear cardiology studies, and fluoroscopically guided diagnostic and interventional catheterization and electrophysiology procedures. Although these imaging procedures are all essential to the care of children with CAHD and have contributed to meaningfully improved outcomes in these patients, exposure to ionizing radiation is associated with potential risks, including an increased lifetime attributable risk of cancer. The goal of these recommendations is to encourage informed imaging to achieve appropriate study quality at the lowest achievable dose. Other strategies to improve care include a patient-centered approach to imaging, emphasizing education and informed decision making and programmatic approaches to ensure appropriate dose monitoring. Looking ahead, there is a need for standardization of dose metrics across imaging modalities, so as to encourage comparative effectiveness studies across the spectrum of CAHD in children.
登录
查看更多内容
影响因子：
19.7
作者：
Deak, Paul D.;Smal, Yulia;Kalender, Willi A.
通讯作者：
Kalender, Willi A.
影响因子：
2.3
作者：
Alessio, Adam M.;Phillips, Grace S.
通讯作者：
Phillips, Grace S.
影响因子：
2.3
作者：
Brown, PH;Thomas, RD;Johnson, LM
通讯作者：
Johnson, LM
影响因子：
37.8
作者：
Doukky, Rami;Hayes, Kathleen;Hendel, Robert C.
通讯作者：
Hendel, Robert C.
影响因子：
2.3
作者：
Blumfield, Einat;Moore, Michael M.;Iyer, Ramesh S.
通讯作者：
Iyer, Ramesh S.