Research progress on dose optimization for interventional procedures in children with vascular anomalies
10.13491/j.issn.1004-714X.2024.06.018
- VernacularTitle:儿童脉管性疾病介入诊疗患者剂量优化研究进展
- Author:
Zhenbo XU
1
;
Yingmin CHEN
2
;
Ya MA
1
;
Xiaoshan WANG
1
;
Rui CHEN
1
Author Information
1. School of Preventive Medicine Sciences(Institute of Radiation Medicine), Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan 250117 China.
2. School of Preventive Medicine Sciences(Institute of Radiation Medicine), Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan 250117 China;School of Public Health, Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan 250117 China.
- Publication Type:ReviewArticles
- Keywords:
Interventional procedure;
Vascular anomalies;
Child;
Ionizing radiation;
Dose optimization
- From:
Chinese Journal of Radiological Health
2024;33(6):722-727
- CountryChina
- Language:Chinese
-
Abstract:
The number of interventional procedures has increased significantly due to the advantages of minor trauma, rapid recovery, and low incidence of complications. In 2018, there were approximately 24 million interventional procedures worldwide, representing a six-fold increase compared with 3.6 million procedures in 2008. From 2020 to 2021, the percentage of medical institutions with independent interventional departments in China increased from 50.49% to 63.18%. Interventional procedures inherently involve exposure to ionizing radiation, which poses a greater risk of radiation-related harm to the pediatric population due to their increased sensitivity, Consequently, the radiation dose levels experienced by children undergoing these procedures have become a growing concern, emerging as a focus of research both nationally and internationally. This article summarizes the reports published by the International Commission on Radiological Protection (ICRP), the National Council on Radiation Protection and Measurements (NCRP), and the International Atomic Energy Agency (IAEA) as well as academic articles, and reviews the dose optimization measures in the interventional procedures for pediatric patients. Regular radiation safety training for interventional radiation workers, enhancing radiation safety awareness, optimizing intraoperative techniques, and timely updating imaging equipment can effectively reduce the radiation dose received by pediatric patients. This approach helps reduce the doses to an acceptable range while still meeting interventional procedural requirements, thereby protecting the physical health of pediatric patients.
