临床核分子成像中的辐射问题。

IF 1.9 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Journal of the Chinese Medical Association Pub Date : 2023-07-01 Epub Date: 2023-07-05 DOI:10.1097/JCMA.0000000000000937
Chuang-Hsin Chiu, Skye Hsin-Hsien Yeh, Ming-Rong Chen, Nan-Jing Peng, Wen-Sheng Huang
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引用次数: 0

摘要

辐射在自然界中无处不在,辐射也被广泛应用于医学、农业和工业的各个领域。目前低于100毫西弗的生物剂量被称为低剂量辐射。科学家们对低于这个剂量对人体的影响没有共识,因此衍生出了各种剂量-反应曲线理论。这种做法使公众相信即使是小剂量的辐射也会产生不良的副作用,并因害怕辐射而过度反应,拒绝接受相关的医疗程序。线性非阈值(LNT)模型已在辐射防护中使用了40多年,然而,低剂量、低剂量率(LDDR)照射的不良影响尚未检测到。核分子成像是LDR,利用不同的放射性核素或与特定的配体(载体)结合形成“放射性药物”,对疾病进行功能或病理评价。作为病人护理的一个组成部分,核医学被用于疾病的诊断、管理、治疗、随访和预防。因此,本文讨论文献综述,并提供适当的科学数据和交流,以帮助同行和公众了解其优缺点。
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Radiation issue in clinical nuclear molecular imaging.

Radiation is ubiquitous in nature, and radiation is also widely used in various fields of medicine, agriculture, and industry. Current biological doses below 100 mSv are called low-dose radiation (LDR). Scientists have no consensus of effects on humans below this dose, so a variety of dose-response curve theories have been derived. This approach makes the public believe that even a small dose of radiation has adverse side effects, and overreact to refuse the related medical procedures for fear of radiation. The linear non-threshold (LNT) model has been used in radiation protection for over 40 years however, adverse effects from low dose, low-dose rate (LDDR) exposures are not detectable. Nuclear molecular imaging is LDR, using different radionuclides or combining with specific ligands (carries) to form "radiopharmaceuticals" for functional or pathological evaluations of diseases. As an integral part of patient care, nuclear medicine is used in the diagnosis, management, treatment, follow-up, and prevention of diseases. Therefore, this paper discusses literature review and provides appropriate scientific data and communication to help the peers and the public understand its advantage and disadvantage.

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来源期刊
Journal of the Chinese Medical Association
Journal of the Chinese Medical Association MEDICINE, GENERAL & INTERNAL-
CiteScore
6.20
自引率
13.30%
发文量
320
审稿时长
15.5 weeks
期刊介绍: Journal of the Chinese Medical Association, previously known as the Chinese Medical Journal (Taipei), has a long history of publishing scientific papers and has continuously made substantial contribution in the understanding and progress of a broad range of biomedical sciences. It is published monthly by Wolters Kluwer Health and indexed in Science Citation Index Expanded (SCIE), MEDLINE®, Index Medicus, EMBASE, CAB Abstracts, Sociedad Iberoamericana de Informacion Cientifica (SIIC) Data Bases, ScienceDirect, Scopus and Global Health. JCMA is the official and open access journal of the Chinese Medical Association, Taipei, Taiwan, Republic of China and is an international forum for scholarly reports in medicine, surgery, dentistry and basic research in biomedical science. As a vehicle of communication and education among physicians and scientists, the journal is open to the use of diverse methodological approaches. Reports of professional practice will need to demonstrate academic robustness and scientific rigor. Outstanding scholars are invited to give their update reviews on the perspectives of the evidence-based science in the related research field. Article types accepted include review articles, original articles, case reports, brief communications and letters to the editor
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