CT设备质量控制的现状与展望
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摘要
随着X射线计算机断层成像(CT)应用的普及,CT设备在临床诊治中的作用不可或缺,而设备的质量控制是保障CT诊断质量与安全必备工作。然而,许多医疗机构对设备质量控制并未引起足够的重视,为此对国内外的CT质量控制工作进行调研综述,提出CT设备管理和使用的质量控制设想,以利于CT质量控制工作的顺利开展,更好地服务于临床。
With the popularity of computed tomography(CT) application, the role of CT in clinical diagnosis and treatment was indispensable. Therefore, the quality control of equipment has been a necessary work that guarantee quality and safety of CT diagnosis. However, many medical institutions didn't pay enough attention to equipment quality control. This paper investigated and summarized CT quality control at home and abroad, and put forward some tentative ideas about quality control of management and usage of CT equipment so as to facilitate the smooth development of CT quality control and serve the clinic better.
With the popularity of computed tomography(CT) application, the role of CT in clinical diagnosis and treatment was indispensable. Therefore, the quality control of equipment has been a necessary work that guarantee quality and safety of CT diagnosis. However, many medical institutions didn't pay enough attention to equipment quality control. This paper investigated and summarized CT quality control at home and abroad, and put forward some tentative ideas about quality control of management and usage of CT equipment so as to facilitate the smooth development of CT quality control and serve the clinic better.
引文
[1]郑钧正.医学影像学的时代重任[J].医学研究杂志,2015,44(5):1-4.
[2]杨珂.山东省CT应用现状及辐射危害控制研究[D].济南:山东大学,2010.
[3]夏春潮,蒲进,何玲,等.128层螺旋CT扫描的室内辐射场分布及辐射剂量[J].中华放射学杂志,2016,50(5):388-390.
[4]钱英,羊月祺.我国大型医用设备管理现状及发展趋势研究[J].医疗卫生装备,2011,32(7):115-116,118.
[5]赵永军.关于大型医疗设备质控管理的探讨[J].医疗装备,2011,24(7):54-55.
[6]马继民,刘小波.CT机应用质量控制及计量检测探讨[J].中国医疗设备,2011,26(2):5-8.
[7]McCullough EC,Payne JT,Baker HL,et al.Performance evaluation and quality assurance of computed tomography scanners,with illustrations from the EMI,ACTA,and Delta scanners[J].Radiology,1976,120(1):88-173.
[8]Huda W.CT quality control[J].Canadian Association of Radiologists Journal,1987,38(2):5-122.
[9]Rockstroh G,Lieberenz S,Straubel U.Quality control in computed tomography[J].Radiology diagnostica,1989,30(3):45-339.
[10]Halpern EJ,Esser PD,Nickoloff EL,et al.A quality-control phantom for digitization of radiographs[J].J Digit Imaging,1990,3(1):8-42.
[11]耿建华,陈英茂.核医学成像设备的质量控制标准及中国质量控制现状[J].中华核医学与分子影像杂志,2015,35(1):75-78.
[12]娄松.108台医用CT机影像质量控制检测结果分析[J].中国保健营养,2014,4(下):2346-2347.
[13]赵进沛,闫妍,丁忠惠,等.北京军区部分CT项目放射防护与应用质量检测情况分析[C].北京军区:全军第十六届放射医学大会:492-494.
[14]张小乐,宋想,田祝娟.贵阳市24台医用CT机质量控制检测结果分析[J].中国卫生产业,2015(13):115-116.
[15]马桥,刘德明.四川省CT机质量控制与辐射防护检测结果分析[J].职业卫生与病伤,2015,6(30):161-163.
[16]路鹤晴,王文刚,李斌.上海市二级乙等医院CT机质量控制检测[J].中国医疗器械杂志,2016,40(6):451-454.
[17]戴晨曦,宋丰言,张和华,等.医用CT机质量控制的标准化探讨[J].中国医疗设备,2015,30(3):114-117.
[18]谭先健.CT远程质量控制体系构建及效果分析[D].武汉:湖北中医药大学,2017:1-66.
[19]谭先健,姚国庆,李怡勇,等.医用CT质量控制现状分析[J].中国医学装备,2017,14(2):106-109.
[20]李怡勇,米永巍,李涛,等.军队医院CT远程质量控制方案的研究与实践[J].医疗卫生装备,2014,35(2):12-15.
[21]李广义,郭执章,程起元,等.CT图像的质量控制与设备维护保养[J].中国医疗器械信息,2017,29(1):59-62,74.
[2]杨珂.山东省CT应用现状及辐射危害控制研究[D].济南:山东大学,2010.
[3]夏春潮,蒲进,何玲,等.128层螺旋CT扫描的室内辐射场分布及辐射剂量[J].中华放射学杂志,2016,50(5):388-390.
[4]钱英,羊月祺.我国大型医用设备管理现状及发展趋势研究[J].医疗卫生装备,2011,32(7):115-116,118.
[5]赵永军.关于大型医疗设备质控管理的探讨[J].医疗装备,2011,24(7):54-55.
[6]马继民,刘小波.CT机应用质量控制及计量检测探讨[J].中国医疗设备,2011,26(2):5-8.
[7]McCullough EC,Payne JT,Baker HL,et al.Performance evaluation and quality assurance of computed tomography scanners,with illustrations from the EMI,ACTA,and Delta scanners[J].Radiology,1976,120(1):88-173.
[8]Huda W.CT quality control[J].Canadian Association of Radiologists Journal,1987,38(2):5-122.
[9]Rockstroh G,Lieberenz S,Straubel U.Quality control in computed tomography[J].Radiology diagnostica,1989,30(3):45-339.
[10]Halpern EJ,Esser PD,Nickoloff EL,et al.A quality-control phantom for digitization of radiographs[J].J Digit Imaging,1990,3(1):8-42.
[11]耿建华,陈英茂.核医学成像设备的质量控制标准及中国质量控制现状[J].中华核医学与分子影像杂志,2015,35(1):75-78.
[12]娄松.108台医用CT机影像质量控制检测结果分析[J].中国保健营养,2014,4(下):2346-2347.
[13]赵进沛,闫妍,丁忠惠,等.北京军区部分CT项目放射防护与应用质量检测情况分析[C].北京军区:全军第十六届放射医学大会:492-494.
[14]张小乐,宋想,田祝娟.贵阳市24台医用CT机质量控制检测结果分析[J].中国卫生产业,2015(13):115-116.
[15]马桥,刘德明.四川省CT机质量控制与辐射防护检测结果分析[J].职业卫生与病伤,2015,6(30):161-163.
[16]路鹤晴,王文刚,李斌.上海市二级乙等医院CT机质量控制检测[J].中国医疗器械杂志,2016,40(6):451-454.
[17]戴晨曦,宋丰言,张和华,等.医用CT机质量控制的标准化探讨[J].中国医疗设备,2015,30(3):114-117.
[18]谭先健.CT远程质量控制体系构建及效果分析[D].武汉:湖北中医药大学,2017:1-66.
[19]谭先健,姚国庆,李怡勇,等.医用CT质量控制现状分析[J].中国医学装备,2017,14(2):106-109.
[20]李怡勇,米永巍,李涛,等.军队医院CT远程质量控制方案的研究与实践[J].医疗卫生装备,2014,35(2):12-15.
[21]李广义,郭执章,程起元,等.CT图像的质量控制与设备维护保养[J].中国医疗器械信息,2017,29(1):59-62,74.