COVID-19患者胸部计算机断层扫描期间辐射剂量与风险评估

Elena Ivanovna Matkevich, Ivan Vasilievich Ivanov
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引用次数: 1

摘要

计算CT期间的有效剂量(ED, mSv)和计算辐射风险是预测辐射暴露对人群长期影响的必要条件。对市诊断中心1003例疑似COVID-19患者的胸部CT检查结果进行分析。单次CT扫描患者的平均ED和置信区间(p≤0.05)为:儿童(12-14岁)2.59±0.19 mSv,青少年(15-19岁)3.23±0.17 mSv,成人(20-64岁)3.43±0.08 mSv,老年人(65岁及以上)3.28±0.19 mSv。女性儿童和女性青少年的最大辐射风险值分别为31.2* 10-5和29.3* 10-5,分别是男性风险值的2.3倍和1.9倍。成年患者的风险男性为11.2* 10-5,女性为17.4* 10-5,是男性的1.6倍。所有这些风险值都在10*10 - 5 - 100*10 - 5的范围内,对应于LOW水平。老年组放射风险为2.6* 10-5,对应水平为1*10 - 10-5 * 10-5,VERY LOW。我们的材料详细展示了评估胸部CT有效辐射剂量的技术,并计算了这种暴露的致癌效应的辐射风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiation Doses and Risk Assessment during Computed Tomography of the Chest in COVID-19 Patients
Accounting for the effective dose (ED, mSv) and calculating the radiation risk during CT is necessary to predict the long-term consequences of radiation exposure on the population. We analyzed the results of 1003 CT examinations of the chest in patients with suspected COVID-19 in the city diagnostic center. The average ED and confidence intervals (p ≤ 0.05) for patients with a single CT scan were: children (12–14 years) 2.59 ± 0.19 mSv, adolescents (15–19 years) 3.23 ± 0.17 mSv, adults (20–64 years), 3.43 ± 0.08 mSv, older persons (65 years and older) 3.28 ± 0.19 mSv. The maximum radiation risk values were 31.2*10–5 in women children and 29.3*10–5 in women adolescents, which exceeds the risk values for men in these age groups by 2.3 and 1.9 times, respectively. For the group of adult patients the risk was 11.2*10–5 in men and 17.4*10–5 in women, which is 1.6 times higher than in men. All these risk values are in the range of 10*10–5–100*10–5, which corresponds to the level LOW. For the group of older age patients, the radiation risk was 2.6*10–5, which corresponds to the level of 1*10–5–10*10–5, VERY LOW. Our materials shows in detail the technique to evaluate effective radiation doses for chest CT and calculate the radiation risk of the carcinogenic effects of this exposure.
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