在放射诊断中监测患者剂量负荷的软件的能力

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使用电离辐射的诊断程序（计算机断层扫描、介入程序、核医学的应用等）数量的增加导致辐射负载的增加，从而导致患者集体和个人辐射剂量的增加。

诊断测试的管理和剂量优化问题在国际专业界受到了广泛关注。全球实践借助用于监测患者剂量的软件解决了这一问题，以便在进行各种类型的诊断研究时自动收集、分析和计算患者剂量。该软件允许从X射线放射程序中获取患者剂量数据和有关研究的详细信息，跟踪患者的总累积剂量，进行设备、放射技师、医疗机构的统计数据，并分析收集的剂量数据，得出剂量读数和检查条件的因果关系，确保设备的效率得到监测。

本文调查了全球可用的患者剂量监测软件的基本能力。确定了实际工作所需软件功能的关键技术要求。

现代剂量监测软件具有广泛的功能，可自动收集、存储和控制放射科患者剂量负荷数据。患者剂量监测软件有助于提高所提供的医疗服务质量，确保患者安全，并优化医疗机构的工作。

作者简介

Maria P. Shatenok

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: maria.prusova@gmail.com
ORCID iD: 0000-0001-9217-7011
SPIN 代码: 5165-7113
俄罗斯联邦, Moscow

Sergey A. Ryzhov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Email: s.ryzhov@npcmr.ru
ORCID iD: 0000-0002-0640-7368
SPIN 代码: 6595-4011
俄罗斯联邦, Moscow; Moscow

Zoya A. Lantukh

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: z.lantukh@npcmr.ru
ORCID iD: 0000-0001-6623-9610
SPIN 代码: 5486-6496
俄罗斯联邦, Moscow

Yuliya V. Druzhinina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies; Russian Medical Academy of Continuous Professional Education

Email: yu.druzhinina@npcmr.ru
ORCID iD: 0000-0002-3230-3722
SPIN 代码: 1973-2848
俄罗斯联邦, Moscow; Moscow

Kirill V. Tolkachev

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

编辑信件的主要联系方式.
Email: k.tolkachev@npcmr.ru
ORCID iD: 0000-0001-8871-8700
SPIN 代码: 3196-7497
俄罗斯联邦, Moscow

参考

  1. Parakh A, Kortesniemi M, Schindera ST. CT radiation dose management: a comprehensive optimization process for improving patient safety. Radiology. 2016;280(3):663–673. doi: 10.1148/radiol.2016151173
  2. Druzhinina YV, Ryzhov SA, Vodovatov AV, et al. COVID-19: changes in CT radiation burden across Moscow medical facilities. Digital Diagnostics. 2022;3(1):5–15. (In Russ). doi: 10.17816/DD87628
  3. Morozov SP, Soldatov IV, Lantukh ZA, et al. Characteristics of the dose load on patients in medical organizations in Moscow [Internet]. (In Russ). Available from: https://www.elibrary.ru/item.asp?id=42395967. Accessed: 15.03.2022.
  4. Rehani MM, Yang K, Melick ER, et al. Patients undergoing recurrent CT scans: assessing the magnitude. Eur Radiol. 2020;30(4):1828–1836. doi: 10.1007/s00330-019-06523-y
  5. Brenner DJ, Hall EJ. Computed tomography an increasing source of radiation exposure. N Engl J Med. 2007;357(22):2277–2284. doi: 10.1056/NEJMra072149
  6. Pasov VV, Korotkov VA. Surgical treatment of early radiation ulcer formed after endovascular intervention. Radiation Risk. 2020;29(4):158–163. (In Russ). doi: 10.21870/0131-3878-2020-29-4-158-163
  7. Ivanov VA, Belyakin SA, Permyakov SV, et al. Local radiation damage to the skin and thoracic vertebrae after endovascular angioplasty of the coronary arteries. Diagnostic Int Radiol. 2010;29(4):73–76. (In Russ).
  8. Ryzhov SA. Radiation accidents and errors in medicine. Terms and definitions. Med Physics. 2019;81(1):73–90. (In Russ).
  9. European Commission. Council Directive 2013/59/EURATOM of December 5, 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation, and repealing Directives 89/618/Euratom, 90/641/Euratom, 96/29/Euratom, 97/43/Euratom and 2003/122/Euratom. OJ of the EU. 2014;13(57):1–80. Available from: http://eur-lex.europa.eu/eli/dir/2013/59/oj. Accessed: 15.03.2022.
  10. Loose RW, Vano E, Mildenberger P, et al. Radiation dose management systems-requirements and recommendations for users from the ESR EuroSafe Imaging initiative. Eur Radiol. 2021;31(4):2106–2114. doi: 10.1007/s00330-020-07290-x
  11. Lantukh ZA, Druzhinina YuV, Vodovatov AV, et al. The use of reference diagnostic levels for adult patients in radiation diagnostics. Ed. by S.P. Morozov. Vol. 86. Moscow: Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies; 2020. 36 p. (Series: Best practices of radiation and Instrumental diagnostics) (In Russ).
  12. Vañó E, Miller DL, Martin CJ, et al. ICRP Publication 135: diagnostic reference levels in medical imaging. Ann ICRP. 201746(1):1–144. doi: 10.1177/0146645317717209
  13. Anonymous, Size-specific Dose Estimates (SSDE) in Pediatric and Adult Body CT examinations. In: American Association of Physicists in Medicine, TG-204. MD: AAPM; 2011.
  14. Habibzadeh MA, Ay MR, Asl AR, et al. Impact of miscentering on patient dose and image noise in x-ray CT imaging: phantom and clinical studies. Phys Med. 2012;28(3):191–199. doi: 10.1016/j.ejmp.2011.06.002
  15. Barreto I, Lamoureux R, Olguin C, et al. Impact of patient centering in CT on organ dose and the effect of using a positioning compensation system: Evidence from OSLD measurements in postmortem subjects. J Appl Clin Med Phys. 2019;20(6):141–151. doi: 10.1002/acm2.12594
  16. Xu XG. An exponential growth of computational phantom research in radiation protection, imaging, and radiotherapy: a review of the fifty-year history. Phys Med Biol. 2014;59(18):R233–R302. doi: 10.1088/0031-9155/59/18/R233
  17. Iriuchijima A, Fukushima Y, Ogura A. Comparison of organ dose calculation using monte carlo simulation and in-phantom dosimetry in CT examination. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2018;74(2):166–171. doi: 10.6009/jjrt.2018_JSRT_74.2.166
  18. Fitousi N. Patient dose monitoring systems: a new way of managing patient dose and quality in the radiology department. Phys Med. 2017;44:212–221. doi: 10.1016/j.ejmp.2017.06.013
  19. Tsalafoutas IA, Hassan Kharita M, Al-Naemi H, Kalra MK. Radiation dose monitoring in computed tomography: status, options and limitations. Phys Med. 2020;79:1–15. doi: 10.1016/j.ejmp.2020.08.020
  20. Heilmaier C, Zuber N, Bruijns B, et al. Implementation of dose monitoring software in the clinical routine: first experiences. Rofo. 2016;188(1):82–88. doi: 10.1055/s-0041-106071
  21. Nicol RM, Wayte SC, Bridges AJ, Koller CJ. Experiences of using a commercial dose management system (GE DoseWatch) for CT examinations. Br J Radiol. 2016;89(1057):20150617. doi: 10.1259/bjr.20150617

补充文件

附件文件
动作
1. JATS XML
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2. 图1。Dose Report和RDSR示例。

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3. 图2。患者剂量监测软件的典型连接示例。 注：MIS——医疗信息系统；RIS——代表放射信息系统。

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4. 图3。数据表示、DoseTrack、Sectra的表格视图。

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5. 图4。患者剂量监测软件的参考诊断水平图，Radimetrics，Bayer。

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6. 图7。通过DLP值级别形成信号警报，DoseWise Portal，Philips。

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7. 图8。CT参数、Radimetrics、Bayer的颜色指示。

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8. 图9。患者剂量历史，DoseWise Portal，飞利浦。

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9. 图10。设置本地参考诊断水平、DoseTrack、Sectra。

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10. 图11。按DLP范围和CT扫描仪型号分布的检查数量，每台扫描仪的检查总数，DoseWatch，GE。

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11. 图12。包含十个最大剂量研究的示例表，DoseWatch，GE。

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12. 图13。计算机断层扫描患者中心评估，DoseWatch，GE

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13. 图14。介入手术中皮肤峰值剂量的监测和优化，Radimetrics, Bayer。

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14. 图15。患者有效器官剂量分析，DoseWatch，GE。

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15. 图5。通过参数DLP、Teamplay、Siemens Healthineers对剂量分布进行统计分析。

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16. 图6。以分钟为单位的患者间隔直方图，Teamplay，Siemens Healthineers。

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