Ioniserende Straling
Praktische informatie over ioniserende straling bij rontgen en CT onderzoeken.
Stralingsbescherming
Door de (mogelijke) negatieve lange termijn effecten van straling dient bij elk onderzoek kritisch gekeken te worden of het onderzoek geïndiceerd is. Belangrijke vragen zijn:
- Is een röntgenfoto/CT onderzoek de enige methode om de vraagstelling te beantwoorden? Denk bijvoorbeeld aan de alternatieven als echo onderzoek en MRI onderzoek.
- Heeft het onderzoek behandel consequenties? Veranderd de uitkomst het beleid?
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Literatuur: bronnen en auteur
Text & Illustrations
drs. A. van der Plas, MSK radiologist Maastricht UMC+
Sources:
- United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects of ionizing radiation (2008)
- Bethesda. MD. Ionizing radiation exposure of the population of the United States. National Council on Radiation Protection and Measurements. 2009, NCRP No. 160.
- Padole A, Ali Khawaja RD et al. CT Radiation Dose and Iterative Reconstruction Techniques. AJR Am J Roentgenol. (2015)
- Mettler FA Jr, Huda W et al. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology (2008)
- Brenner DJ, Elliston CD et al. Estimated Risks of Radiation-Induced Fatal Cancer from Pediatric CT. AJR Am J Roentgenol. (2001)
- M. Prokop; Spiral and Multislice Computed Tomography of the body (2003)
- Ghiassi-nejadd M, Mortazavi SM et al. Very high background radiation areas of Ramsar Iran: preliminary biological studies. Health Phys. (2002)
- RIVM – Dossier Stralingsbelasting in Nederland.
- Rehani MM. Am Confused About the Cancer Risks Associated With CT: How Can We Summarize What Is Currently Known? AJR Am J Roentgenol. (2015)
- Kleinman PL, Strauss KJ et al. Patient Size Measured on CT Images as a Function of Age at a Tertiary Care Children’s Hospital. AJR Am J Roentgenol. (2010)
- Gezondheidsraad. Risico’s van blootstelling aan ioniserende straling. Den Haag: Gezondheidsraad, 2007 (publicatienr. 2007/03)
- Aliyu AS, Ramli AT. The world’s high background natural radiation areas (HBNRAs) revisited: A broad overview of the dosimetric, epidemiological and radiobiological issues. Radiation Measurements (2015)
- Gordic S, Morsbach F et al. Ultralow-dose chest computed tomography for pulmonary nodule detection: first performance evaluation of single energy scanning with spectral shaping. Invest Radiol. (2014)
- Kleiverda G, van Tienhoven G. Bestraling tijdens de zwangerschap: denk nooit nooit. Ned Tijdschr Oncol (2007)
- Berlin SC, Weinert DM et al. Successful Dose Reduction Using Reduced Tube Voltage With Hybrid Iterative Reconstruction in Pediatric Abdominal CT. AJR Am J Roentgenol. (2015)
- Mahesh M. NCRP Report Number 160: its significance to medical imaging. J Am Coll Radiol. (2009)
- Bethesda, Md. Ionizing radiation exposure of the population of the United States. National Council on Radiation Protection and Measurements (2009)
- Cira-Bielac O, Rehani MM et al. Risk for radiation-induced cataract for staff in interventional cardiology: is there reason for concern? Catheter Cardiovasc Interv. (2010)
- Rajabi AB, Noohi F et al. Ionizing Radiation-Induced Cataract in Interventional Cardiology Staff. Res Cardiovasc Med. (2015)
23/08/2015
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