儿科影像检查诊断参考水平欧洲指南及其借鉴

European guidelines on diagnostic reference levels for paediatric imaging and its reference

目的为我国儿科影像检查诊断参考水平制修订工作提供合理可行的建议。方法结合欧盟新的《儿科影像检查诊断参考水平欧洲指南》的基本情况和主要技术内容,分析我国相关标准现状,对我国儿科影像检查诊断参考水平相关标准化工作提出合理建议。结果欧盟委员会通过对全欧洲的调查建立了儿科X射线摄影、荧光透视和CT检查的欧洲诊断参考水平。我国需要研制儿科影像检查诊断参考水平及相关剂量调查的方法学标准,科学有序地开展我国儿科影像检查的剂量调查工作,并鼓励建立及实际应用本地儿科影像检查诊断参考水平。结论应加速建立我国儿科影像检查诊断参考水平。

Objective To provide reasonable and feasible suggestions for the development of diagnostic reference levels of paediatric imaging in China. Method Refer to the basics and main technical contents of the new European guidelines on diagnostic reference levels(DRLs) for paediatric imaging, analyze the status of relevant standards in China and put forward some reasonable and feasible suggestions on the development of DRLs for paediatric imaging in China. Result Based on Europe-wide survey, the European commission has established European DRLs for paediatric radiography, fluoroscopy and CT procedures. There is an urgent in need of national DRLs for paediatric imaging in China and standards for detailed guidance on how to carry out and report patient dose surveys. Scientific and ordered nation-wide surveys should be carried out. In addiction, establishing and practical appling local DRLs for paediatric imaging should be encouraged. Conclusion Accelerate the establishment of DRLs for paediatric imaging in China.