Protecting sensitive patient groups from imaging using ionizing radiation: effects during pregnancy, in fetal life and childhood
| Autor: | Claudio Granata, Paolo Tomà, Vittorio Cannatà, Owen J. Arthurs, Alessandra Bartoloni, Sergio Salerno, Andrea Magistrelli |
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| Přispěvatelé: | Tomà, Paolo, Bartoloni, Alessandra, Salerno, Sergio, Granata, Claudio, Cannatà, Vittorio, Magistrelli, Andrea, Arthurs, Owen J |
| Rok vydání: | 2019 |
| Předmět: |
Risk
medicine.medical_specialty Neoplasms Radiation-Induced Radiation Dosage Radiation Tolerance Risk Assessment Pediatric radiology 030218 nuclear medicine & medical imaging Ionizing radiation 03 medical and health sciences Fetus 0302 clinical medicine Reference Values Pregnancy Radiation Ionizing medicine Humans Radiology Nuclear Medicine and imaging Gonads Radiation Injuries Child Intensive care medicine Computed tomography Radiation-induced cancer Neuroradiology Radiation protection medicine.diagnostic_test business.industry Interventional radiology General Medicine Radiation Exposure medicine.disease Radiography Pediatric Radiology Child Preschool Fluoroscopy 030220 oncology & carcinogenesis Female Tomography X-Ray Computed business DNA Damage |
| Zdroj: | La radiologia medica. 124:736-744 |
| ISSN: | 1826-6983 0033-8362 |
| DOI: | 10.1007/s11547-019-01034-8 |
| Popis: | The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the risk depending on dose and phase of pregnancy is reported. Finally, the risk-benefit analysis of each examination, and careful communication of this risk to the patient, is emphasized. |
| Databáze: | OpenAIRE |
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