医生在儿童计算机断层扫描(CT)中对辐射暴露的了解:以阿加迪尔地区医院中心为例

M. Fahssi, S. Semghouli, M. Massaq, O. Hakam, A. Choukri
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引用次数: 0

摘要

目的:本研究的主要目的是探讨儿科计算机断层扫描(CT)中医生对患者辐射暴露的认识。材料和方法:在这项工作中,从各种问题中制定了一份问卷。这些问题集中在开处方者的做法和他们对病人辐射防护的知识上。它由阿加迪尔地区医院中心的44名不同医学专业的医生分发和完成。结果:对44份问卷进行分析。所有的医生都忽视了辐射防护的三个原则。只有11%的医生在标准胸部放射学检查中正确估计了成人的剂量。一名1岁儿童在标准胸椎放射学检查时给予的剂量被98%的开处方者忽视。16%的医生正确估计了成人胸部CT扫描时的剂量。84%的医生低估了5岁儿童在胸部CT扫描时的剂量。在儿童胸部磁共振成像(MRI)检查期间,五分之一的处方医生指定的照射剂量高于0.01毫西弗。最后,34%的医生选择CT扫描(无指征)作为腹盆腔肿块和癫痫综合征的首选。结论:我国临床医师对CT扫描中的辐射剂量掌握较差,对CT检查的指征应用不正确。在儿童CT扫描中放射暴露后发展为恶性肿瘤的风险已被我们所有的处方医师证实。有必要提高对这一主题的认识,对患者进行初步和持续的辐射防护培训可以显著提高我们的从业人员对患者辐射防护的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physicians Knowledge on Radiation Exposure during Pediatric Computed Tomography (CT): Case of the Regional Hospital Center of Agadir
Purpose: The main objective of this study is to explore the physician's knowledge on patient radiation exposure during pediatric Computed Tomography (CT). Materials and methods: A questionnaire from various questions was developed during this work. The questions have focusing on prescribers' practices and their knowledge of patient radiation protection. It was distributed and completed by 44 doctors of various medical specialties in the regional hospital center of Agadir. Results: Forty-four questionnaires survey were analyzed. All physicians disregard the three principles of radiation protection. Only 11% of physicians estimate correctly the dose delivered for an adult during a standard thoracic radiological examination. The delivered dose for a 1 year old child during a standard thoracic radiological examination was disregard by 98% of prescribers.16% of physicians estimate correctly the dose delivered for an adult during a thoracic CT scan. The dose delivered for a 5-year-old child during a thoracic CT scan was underrated by 84% of physicians. One for five prescribers assigns a dose of irradiation higher than 0.01 mSv during a thoracic Magnetic Resonance Imaging (MRI) exam for child. Finally, 34% of physicians choose CT scan (not indicated) as the first choice for abdomino-pelvic mass and epileptic syndromes. Conclusion: The radiation doses in CT scan are poorly mastered, and indications of CT exams are not correctly applied by our clinicians. The risk of developing a malignant neoplasm after a radiological exposure in pediatric CT scan has been confirmed by all our prescribers. There is a need for arising awareness about this topic and both initial and continuing training in radiation protection for patients could significantly improve our practitioners' knowledge of radiation protection for patients..
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