患者剂量监测创新的意义是什么?

Annals of the ICRP Pub Date : 2020-12-01 Epub Date: 2020-08-25 DOI:10.1177/0146645320927858
J Hislop-Jambrich
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引用次数: 0

摘要

《医学未来学家》表示,放射学是医学中发展最快的领域之一,因此,这可能是我们可以期待看到最大发展步伐的专业。那么为什么他们会这么想,这是否适用于剂量监测?从回顾性剂量评估到主动剂量管理方法的转变是一个重要的研究领域。事实上,人工智能和机器学习一直被集成到一流的剂量管理软件解决方案中。临床分析和仪表板的发展已经为运营商的决策提供了支持,这些优化——如果应用到单个机器、单个部门或单个医疗网络之外——有可能推动真正和持久的变化。问题是,这些创新究竟是为谁开发的?病人怎么知道他们的扫描已经达到了技术所能提供的绝对最佳水平?他们知道或关心他们一生中患癌症的风险在检查后改变了多少吗?他们是想要一个个性化的特定尺寸剂量估计,还是想要一个单独的器官剂量评估,在Instagram上分享?让我们真正了解剂量监测的临床应用和监管应用,并阐明应用该技术和相关创新的共同责任。
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What is the point of innovation in patient dose monitoring?

The Medical Futurist says that radiology is one of the fastest growing and developing areas of medicine, and therefore this might be the speciality in which we can expect to see the largest steps in development. So why do they think that, and does it apply to dose monitoring? The move from retrospective dose evaluation to a proactive dose management approach represents a serious area of research. Indeed, artificial intelligence and machine learning are consistently being integrated into best-in-class dose management software solutions. The development of clinical analytics and dashboards are already supporting operators in their decision-making, and these optimisations - if taken beyond a single machine, a single department, or a single health network - have the potential to drive real and lasting change. The question is for whom exactly are these innovations being developed? How can the patient know that their scan has been performed to the absolute best that the technology can deliver? Do they know or even care how much their lifetime risk for developing cancer has changed post examination? Do they want a personalised size-specific dose estimate or perhaps an individual organ dose assessment to share on Instagram? Let's get real about the clinical utility and regulatory application of dose monitoring, and shine a light on the shared responsibility in applying the technology and the associated innovations.

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来源期刊
Annals of the ICRP
Annals of the ICRP Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.10
自引率
0.00%
发文量
3
期刊介绍: The International Commission on Radiological Protection was founded in 1928 to advance for the public benefit the science of radiological protection. The ICRP provides recommendations and guidance on protection against the risks associated with ionising radiation, from artificial sources as widely used in medicine, general industry and nuclear enterprises, and from naturally occurring sources. These reports and recommendations are published six times each year on behalf of the ICRP as the journal Annals of the ICRP. Each issue provides in-depth coverage of a specific subject area.
期刊最新文献
A KEY ELEMENT OF INTERNAL DOSIMETRY FOR MEMBERS OF THE PUBLIC. Specific Absorbed Fractions for Reference Paediatric Individuals. Optimisation of Protection in Medical Imaging: Necessary, Challenging, and Possible. Optimisation of Radiological Protection in Digital Radiology Techniques for Medical Imaging. Discussion of uncertainties and the impact of different neutron RBEs on all solid cancer radiation incidence risks obtained from the Japanese A-bomb survivor data.
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