儿童心脏介入患者剂量评估及诊断参考水平研究进展  

Research progress on dose assessment and diagnostic reference levels for pediatric cardiac intervention

作　　者：秦杰林 徐辉[1] 冯泽臣[2] 袁继龙[1] Qin Jielin;Xu Hui;Feng Zechen;Yuan Jilong(Key Laboratory of Radiological Protection and Nuclear Emergency,China CDC,National Institute for Radiological Protection,Chinese Center for Disease Prevention and Control,Beijing 100088,China;Bejing Center for Disease Prevention and Control,Bejing Preventive Medicine Research Center,Bejing 100013,China)

机构地区：[1]中国疾病预防控制中心辐射防护与核安全医学所、辐射防护与核应急中国疾病预防控制中心重点实验室,北京100088 [2]北京市疾病预防控制中心、北京市预防医学研究中心,北京100013

出　　处：《中华放射医学与防护杂志》2025年第2期148-154,共7页Chinese Journal of Radiological Medicine and Protection

摘　　要：随着介入放射学的发展,介入诊疗被广泛应用于儿童心脏类疾病。介入手术中患者接受电离辐射会导致癌症发病风险,这种风险会随着辐射剂量的增加而变大,超过一定阈值时还可能引起有害的组织反应。儿童对于辐射的敏感程度是成人的2~3倍,加强儿童介入手术中的剂量控制,制定相应诊断参考水平并优化介入诊疗程序至关重要。国际上已有部分国家开展了儿童心脏介入剂量监测及评估,并建立了相应诊断参考水平,而我国尚在调查研究阶段。本文对国内外儿童心脏介入诊疗中患者辐射剂量评估方法及诊断参考水平的研究现状进行综述,为进一步开展我国儿童心脏介入患者剂量测量和调查研究提供依据和参考。With advancements in interventional radiology,the interventional diagnosis and treatment are widely applicable for pediatric cardiac diseases.The ionizing radiation during interventional procedures can result in an elevated cancer risk,directly proportional to the radiation dose received.Moreover,it may induce tissue reactions beyond a specific threshold.Given that children are about 2-3 times susceptible to radiation as much as adults,it will be crucial to improve dose control during pediatric interventions,establish the corresponding diagnostic reference level and optimize the diagnosis and treatment procedures.Some countries have carried out dose monitoring and evaluation of pediatric cardiac interventional procedures and established corresponding diagnostic reference levels,but it has yet been in the process of research.This paper reviews the current research status on assessing radiation doses and setting diagnostic reference levels for children receiving congenital heart disease interventions so as to provide a baseline for future measurements and investigations.

关 键 词：心脏介入 辐射剂量 组织反应 诊断参考水平 儿童患者 

分 类 号：R144[医药卫生—公共卫生与预防医学] R725.4