电邮这篇文章 COVID-19对莫斯科医疗机构计算机断层扫描期间患者剂量
- 作者: Druzhinina U.V.1,2, Ryzhov S.A.1,3, Vodovatov A.V.4,5, Soldatov I.V.6, Lantukh Z.A.1, Mukhortova A.N.6, Lubencova Y.N.6
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隶属关系:
- Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department
- Russian Medical Academy of Continuous Professional Education
- Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology
- Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V.Ramzaev
- Saint Petersburg State Pediatric Medical University
- Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Health Care Department
- 期: 卷 3, 编号 1 (2022)
- 页面: 5-15
- 栏目: 技术说明
- URL: https://journals.rcsi.science/DD/article/view/87628
- DOI: https://doi.org/10.17816/DD87628
- ID: 87628
如何引用文章
详细
论证。新型冠状病毒感染（COVID-19）在莫斯科的传播导致对患者进行的胸部计算机断层扫描数量大幅增加，这是诊断和评估治疗效果的一部分。莫斯科与COVID-19相关的放射诊断结构的变化导致首都人口集体辐射剂量的范围和结构发生变化，而该过程本身似乎是多向的。由于COVID-19流行病，目前缺乏关于莫斯科人口放射诊断结构和暴露水平变化的可靠信息，促使这项工作开展。
目标是评估疫情对2017-2020年期间莫斯科医疗机构计算机断层扫描研究期间患者剂量负担水平变化动态的影响。
材料与方法。收集并分析了从莫斯科市各种所有权形式的医疗机构得到的2017-2020年填好的第3-DOZ号表格； 2017-2020年第30表格数据和统一放射信息服务(ERIS)的2020年数据.对患者的年度集体和平均个人暴露剂量按身体解剖区域进行了分析。
结果。对这些登记表的分析表明，莫斯科的计算机断层扫描检查显着增加：实际检查数量比预期高31%。与其他时间段相比，2020年的胸部检查次数几乎翻了一番。总起来看，所有这些都影响了平均有效剂量的增长，在2020年也增加了一倍多。
结论。2020年疫情对计算机断层扫描期间患者剂量负担变化的动态以及某些类型的计算机断层扫描研究的贡献（取决于解剖区域）产生了重要影响。该分析有助于确定不同形式的数据收集的一些优势和劣势。
作者简介
Uliya V. Druzhinina
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department; Russian Medical Academy of Continuous Professional Education
Email: yu.druzhinina@npcmr.ru
ORCID iD: 0000-0002-3230-3722
SPIN 代码: 1973-2848
эксперт-физик отдела клинической дозиметрии и медицинской физики, преподаватель кафедры радиационной гигиены им. Ф.Г. Кроткова
俄罗斯联邦, building 1, st. Petrovka, 24, Moscow; MoscowSergey A. Ryzhov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department; 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
MD
俄罗斯联邦, building 1, st. Petrovka, 24, Moscow; MoscowAlexander V. Vodovatov
Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V.Ramzaev; Saint Petersburg State Pediatric Medical University
Email: vodovatoff@gmail.com
ORCID iD: 0000-0002-5191-7535
SPIN 代码: 4560-8978
канд. биол. наук, заведующий лабораторией радиационной гигиены медицинских организаций, ведущий научный сотрудник, доцент кафедры гигиены
俄罗斯联邦, building 1, st. Petrovka, 24, Moscow; 8, Mira street, S.-Petersburg, 197101Iliya V. Soldatov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Health Care Department
Email: i.soldatov@npcmr.ru
ORCID iD: 0000-0002-4867-0746
SPIN 代码: 4065-6048
начальник лаборатории рентгенорадиологического отделение г. Москвы
俄罗斯联邦, building 1, st. Petrovka, 24, MoscowZoya A. Lantukh
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department
Email: z.lantukh@npcmr.ru
ORCID iD: 0000-0001-6623-9610
SPIN 代码: 5486-6496
начальник отдела дозиметрического контроля
俄罗斯联邦, MoscowAnna N. Mukhortova
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Health Care Department
Email: a.mukhortova@npcmr.ru
ORCID iD: 0000-0001-9814-3533
SPIN 代码: 9051-1130
начальник информационно-аналитического отдела
俄罗斯联邦, building 1, st. Petrovka, 24, Moscow, 127051Yuliya N. Lubencova
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Health Care Department
编辑信件的主要联系方式.
Email: lubencova@npcmr.ru
ORCID iD: 0000-0001-6274-9736
SPIN 代码: 5975-7418
начальника отдела координации лабораторной деятельности
俄罗斯联邦, building 1, st. Petrovka, 24, Moscow, 127051参考
- Zhao W, Zhong Z, Xie X, et al. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. AJR. 2020;214(5):1072–1077. doi: 10.2214/AJR.20.22976
- Erturk SM. CT is not a screening tool for corona-virus disease (COVID-19) pneumonia. (letter). AJR. 2020;215(1):W12–W12. doi: 10.2214/AJR.20.23288
- Morozov SP, Protsenko DN, Smetanina SV, et al. Radiation diagnosis of coronavirus disease (COVID-19): organization, methodology, interpretation of results. Issue 65. Version 2 dated 17.04.2020. Moscow; 2020. 78 p. (Series: Best practices of radiation and instrumental diagnostics). (In Russ).
- Ministry of Health of the Russian Federation. Temporary methodological recommendations. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 11 (07.05.2021). Moscow; 2021. 225 p. (In Russ).
- Morozov SP, Reshetnikov RV, Gombolevskiy VA, et al. Diagnostic accuracy of computed tomography for identifying hospitalizations for patients with COVID-19. Digital Diagnostics. 2021;2(1):5−16. (In Russ). doi: 10.17816/DD46818
- Siordia JA. Epidemiology and clinical features of COVID-19. A review of current literature. J Clin Virol. 2020;127:104357. doi: 10.1016/j.jcv.2020.104357
- Morozov SP, Kuzmina ES, Ledikhova NV, et al. Mobilizing the academic and practicalpotential ofdiagnostic radiology duringthe COVID-19 pandemic in Moscow. Digital Diagnostics. 2020;1(1):5−12. (In Russ). doi: 10.17816/DD51043
- Vodovatov AV, Romanovich IK, Historian OA, et al. Preliminary assessment of changes in the structure of the collective dose from CT examinations for the period March-June 2020 in connection with the diagnosis of COVID-19 in the Russian Federation. Preprint [Internet]. (In Russ). Available from: https://covid19-preprints.microbe.ru/article/28. Accessed: 15.01.2022.
- Okhrimenko SE, Ilin LA, Korenkov IP, et al. Optimization of radiation doses to patients in x-ray diagnostics // Hygiene and Sanitation. 2019;98(12):1331–1337. (In Russ). doi: 10.47470/0016-9900-2019-98-12-1331-1337
- Morozov SP, Soldatov IV, Lantukh ZA, et al. Characteristics of the dose load on patients in medical institutions in Moscow [Internet]. (In Russ). Available from: https://tele-med.ai/documents/482/harakteristika_dozovoj_nagruzki_na_pacientov_v_medicinskih_organizaciyah_g_moskvy_1.pdf. Accessed: 15.01.2022.
- Balonov MI, Golikov VYu, Vodovatov AV, et al. Scientific foundations of radiation protection in modern medicine. Ed. by M.I. Ballonov. Vol. 1. Radiation diagnostics. Saint Petersburg: Ramzaev Research Institute; 2019. 320 p. (In Russ).
- Chipiga LA, Bernhardsson C. Patient doses in computed tomography examinations in two regions of the Russian Federation. Radiat Prot Dosimetry. 2016;169(1-4):240–244. doi: 10.1093/rpd/ncv516
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