کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3858177 1598874 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prospective Assessment of Radiation in Pediatric Urology: The Pediatric Urology Radiation Safety Evaluation Study
ترجمه فارسی عنوان
ارزیابی آینده نگر از تابش در اورولوژی کودکان: مطالعه بررسی ایمنی تشعشع اورولوژی کودکان
کلمات کلیدی
تکنیک های تشخیصی؛ اورولوژی؛ آندوسکوپی؛ سنگ کلیه؛ اطفال؛ قرار گرفتن در معرض تابش BMI، شاخص توده بدن؛ CT، توموگرافی کامپیوتری؛ FPS، فریم در ثانیه. PCNL، نفرولیتوتومی از طریق پوست
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
چکیده انگلیسی

PurposePediatric tissues are exquisitely sensitive to ionizing radiation from diagnostic studies and therapies involving fluoroscopy. We prospectively monitored radiation exposure in our pediatric urology patients during fluoroscopy guided operative procedures with single point dosimeters to quantify radiation dose.Materials and MethodsChildren undergoing fluoroscopy guided urological procedures were prospectively enrolled in the study from 2013 to 2015. Single point dosimeters were affixed to skin overlying the procedural site for the durations of the procedures to record dosimetry data. Patient demographics, procedural variables and fluoroscopic settings were recorded.ResultsA total of 78 patients underwent 96 procedures, including retrograde pyelography, ureteral stent insertion, ureteroscopy and percutaneous nephrolithotomy. Median patient age was 12 years (range 0.3 to 17) and median body mass index percentile for age was 70.7 (1.0 to 99.1). Median skin entrance radiation dose for all procedures performed was 0.56 mGy. Median dosages associated with the 29 diagnostic procedures and 49 definitive interventions were 0.6 mGy (mean 0.8, range 0.1 to 2.2) and 0.7 mGy (1.1, 0.0 to 5.5), respectively. The dose associated with the 18 procedures of temporization was significantly higher by comparison (median 1.0 mGy, mean 2.6, range 0.1 to 10.7, p = 0.02).ConclusionsPediatric radiation exposure is not insignificant during urological procedures. Further multi-institutional work would provide context for our findings. Protocols to optimize fluoroscopic settings and minimize patient exposure, and guidelines for radiation based imaging should have a key role in all pediatric radiation safety initiatives.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Urology - Volume 196, Issue 1, July 2016, Pages 202–206
نویسندگان
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