俄罗斯辐射诊断决策支持系统作为确保患者辐射安全的一个要素

Z. A. Lantukh, M. P. Shatenok, Yu. V. Druzhinina, K. V. Tolkachev, I. V. Soldatov, S. A. Ryzhov, A. V. Vodovatov
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引用次数: 0

摘要

一个公认的观点是,病人和工作人员的辐射安全属于放射诊断部门的活动和责任范围。然而,临床医生的反复转诊和不合理的x射线检查可能对患者的辐射负荷和工作人员的工作量造成重大影响。本文中制定的辐射安全要求是为临床决策支持系统这一不合理研究的有效监测工具而设计的。并对该地区的国产软件现代化园区进行了分析。研究发现,国内现有的临床决策支持系统不能完全满足当前制定的辐射安全要求。大多数临床决策支持系统不提供最节省的x射线检查方法的选择(仅31%提供),并且不包含用于决定研究任命的患者累积剂量的信息(仅23%包含)。所开发的评估临床决策支持系统的方法将允许在临床实践中选择和实施最优的辐射安全系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Russian decision support systems in radiation diagnostics as an element of ensuring the radiation safety of patients
There is a well-established opinion that the radiation safety of the patient and staff lies within the scope of the activities and responsibilities of the radiation diagnostics departments. However, repeated referrals and unjustified X-ray examinations from clinicians can make a significant contribution to the radiation load of the patient and the workload of the staff. The radiation safety requirements formulated in the article are designed for an effective monitoring tool for unjustified studies – the Clinical Decision Support System. The modern park of domestic software in this area was also analyzed. It was found, that the existing domestic Clinical Decision Support Systems do not fully meet the formulated current radiation safety requirements. The majority of clinical decision support system do not offer a choice of the most sparing methods of X-ray examinations (only 31% offer), and do not contain information about the accumulated patient dose for making a decision on the appointment of studies (only 23% contain). The developed methodology for assessing the Clinical Decision Support Systems will allow choosing and implementing the most optimal system in terms of radiation safety into clinical practice.
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