头、胸部CT扫描所致儿童甲状腺剂量估算及其癌症风险预测.pdfVIP

. 854. 中华放射医学与防护杂志 2015 年 11 月第 35 卷第 11 期 Chin J Radiol Med Prot , November 2015 , Vol. 35 ,No. II 头、胸部 CT 扫描所致儿童甲状腺剂量估算 及其癌症风险预测 苏垠平肖国兵陈俊泼傅颖华高超列、全富 [摘要] 目的 估算儿童接受头部、胸部 CT 扫描所致其甲状腺剂量及其癌症风险。方法 通 过医院影像归档和通信系统(PACS) 提取某医院 2012 年接受头部、胸部 CT 扫描儿童 DCIOM 文件， 利用 DCMTK 软件获取患者 CT 扫描参数，使用 CT-Expo 剂量估算软件估算 CT 扫描所致患者甲状腺 剂量，利用美国电离辐射生物效应委员会(BEIR) vn风险模型结合中国 2008 年癌症发病率及寿命表 预测单次头部、胸部 CT 扫描所致儿童甲状腺癌的风险。结果 不同年龄段儿童 CT 扫描参数大致 相同，单次头部 CT 扫描所致儿童(男、女)甲状腺剂量范围为1. 2 - 2. 0 mGy ，其甲状腺癌风险最高 的为新生儿(女 )9.6/10 万人口;单次胸部 CT 扫描所致儿童(男、女)甲状腺剂量范围约为 8. 1 - 38.0 mGy，其甲状腺癌风险最高为新生儿(女 )244.7/10 万人 ;CT 所致儿童甲状腺剂量与癌症风险 均随其年龄的增加而逐渐减小。结论 胸部 CT 扫描所致儿童甲状腺剂量较高，尤其是对于新生儿 患者，应注意儿童接受胸部 CT 扫描时对甲状腺及其他辐射敏感器官的防护。 [关键词] CT; 辐射致癌风险; 终生癌症风险 Estimated radiation dose in the thyroid and thyroid cancer risk attributed to head or chest CT scans for pediatric patients Su Yinping ‘ , Xiao Guobing , Chen }unbo , Fu Yinghua , Gao Chao , Sun Quα旷u. ? Key Laboratory 0/ Radiological Protection αnd Nuclear Emergency , China CDC , National lnstitute /or Radiological Protection , Chinese Center /or Disease Control and Prevention , Beijing 100088 , China Corresponding author: Sun Quanfu , Email: qfusun@ [Abstract] Objective To estimate the radiation dose and cancer risk of thyroid for children who underwent head CT or chest CT scans. Methods The parameters used in the CT scans were accessed from the DICOM files through PACS used DCMTK software , then the thyroid radiation dose was estimated with the CT-Expo@ software and the cancer risk induced by CT scan was projected based on BEIR vn model combined with the Chinese cancer incidence and lifetime table in 2008. Results CT parameters used for different ages were roughly the same , the thyroid equivalent dose for head CT ranged from 1. 2 - 2. 0 mGy , the highest thyroid cancer risk occurs for newborn girls , about 9. 6/100 thousand populatìon; while for chest CT the thyroid equivalent dose ranged from 8. 1 to 38. 0 mGy , the highest thyroid cancer risk was also for newborn girls , ab