Ulteriori informazioni
This book considers in depth all the factors that influence the radiation dose and the risk associated with MDCT in children and adults. Only a small proportion of referring clinicians, radiologists, and technologists are aware of both the radiation risks and their underlying mechanisms. The book proposes detailed guidelines for optimization of the radiation dose when using MDCT. It is written by experts of international standing. The number of computed tomography (CT) examinations has increased continuously since 1980 for a variety of reasons, including new indications and growth in the number of CT units. Beyond its use in adults with suspected malignancies and other conditions, CT is now used in young patients, including children, who are suffering from benign diseases and have a long life expectancy.
The consequence of this trend is that CT, and in particular multidetector row CT (MDCT), is now responsible for about two-thirds of the total radiation dose delivered to the population for diagnostic purposes. Because of the associated radiation dose, CT may induce cancers, and the risk of death has been estimated at up to one per 1,000 CT examinations. Even if the balance between the risks related to ionizing radiation and the benefits from an accurate diagnosis provided by CT scanning has always been considered highly positive, it is now mandatory to reduce and/or to optimize the radiation dose. Referring clinicians, radiologists, and technologists should therefore all understand the mechanisms that determine the radiation risk, but it has been shown that only a small proportion of these professionals are aware of both the radiation risks and their underlying mechanisms.
This book is designed to rectify this situation. The first part of the book provides a comprehensive approach to all the factors that influence the radiation dose and subsequently the risk induced by using MDCT in children and adult patients. In the second part, guidelines are proposed for optimization of the radiation dose in order to obtain an image quality sufficient for appropriate diagnostic performance while restricting the dose delivered. The authors are experts of international standing, selected for their acknowledged scientific contributions. This book will appeal to both general and specialized radiologists, including pediatric radiologists, CT technologists, physicists, manufacturers, and all professionals involved in MDCT.
Sommario
Introduction: Clincical Expansion of CT and Radiation Dose; Part I: Radiation Risks in Multidetector CT: Risks from Ionizing Radiations; The Linear-No-Threshold Theory: Background and Limitations; CT Parameters that Influence the Radiation Dose; Collective Radiation Dose from MDCT: Critial Review and Survey Studies; Methods for Reducing the Radiation Dose from MDCT Including Image Quality; Automatic Exposure Control in Multidetector-Row CT; Patient Centering and CT Radiation Dose; Part II: Clinical Approaches of Dose Optimization, and Reduction: Dose Optimization and Reduction in CT of Head and Neck Including Brain; Dose Optimization and Reduction in CT of the Chest; Dose Optimization and Reduction in CT of the Abdomen; Dose Optimization and Reduction in CT Angiography and Cardiac CT; Dose Optimization and Reduction in CT of the Musculoskeletal System Including the Spine; Dose Reduction in CT Fluoroscopy; Dose Optimization and Reduction in CT of Children; Radiation Risk Management in Low Dose MDCT Screening Programs; Subject Index List of Contributors.
Relazione
JAMA Review 2008 "Radiation Dose from Adult and Pediatric Multidetector Computed Tomography provides a timely, concise, clear discussion of the theory and biologic implications of radiation exposure, as well as approaches to minimize radiation dose to patients and medical staff. ... The text informs the reader about the biological risks of ionizing radiation and the parameters that determine radiation dose and describes specific techniques for obtaining clinically useful CT examinations while limiting the dose ... Radiation Dose from Adult and Pediatric Multidetector Computed Tomography provides information for radiologists and clinicians that will enable them to make informed decisions to appropriately use this powerful imaging technology" (H. W. Strauss, MD; JAMA 2008)
