15. The American College of Obstetricians and Gynecologists
WOMEN’S HEALTH CARE PHYSICIANS
Guidelines for Diagnostic Imaging During Pregnancy and Lactation, 2017
19. More research needed !!
關於白內障的健康風險:
一般核醫工作人員比醫院內其他單位的輻射
工作人員增加7%。
執行核醫治療的核醫工作人員則增加10%。
The researchers found an increased risk of cataracts among the
technologists who had performed at least one nuclear medicine
procedure, compared with those who had never done a procedure, with
a 7% increase in risk associated with diagnostic exams and a 10%
increase for therapeutic exams.
21. William T. O‘Brien, Sr. Chief, PediNeuroRad, Orlando Health - Arnold Palmer Hospital for Children
22. 此為專業資料,未經同意禁止轉載!
Kim J, Gosnell JE and Roman SA: Geographic influences in the global rise of thyroid cancer. Nat Rev Endocrinol. 2019
2018-年齡標準化後每10萬人甲狀腺癌發生率
健康效應的不當引用:醫用放射線檢查導致甲狀腺癌?!
30. 美國放射醫學會(ACR)更新乳房攝影篩檢
乳癌(乳篩)的相關建議:
Breast Cancer Screening for Women at Higher-than-Average Risk:
Updated Recommendations from the ACR
• 對於具有平均患病風險的女性→應從40歲開始
進行乳腺癌篩查。
• 遺傳風險增加的女性(包括BRCA1帶原者*)估算
終生風險在20%以上的女性,以及年輕時曝露於
胸部輻射的女性→建議從25~30歲開始以乳房
MRI監控。
*前述這些女性依據其風險評估,應在25~40歲開始
每年進行一次乳房 X 光檢查。
• 在50歲之前被診斷患有乳腺癌或有乳腺癌個人
病史和緻密乳房的女性→應該每年進行MRI乳房
篩檢。無法進行 MRI 篩查的高危女性應考慮接
受對比增強的乳房攝影。
• 未懷孕時,自行決定TLD佩章配戴位置!
• 連續5年劑量達一定水準且達一定年紀標準,
輻射工作人員體檢增列「乳房MRI」。
50. A Look Back at the London Smog of 1952 and the Half Century Since, Environ Health Perspect.
Smith JT. Are passive smoking, air pollution and obesity a greater mortality risk than major radiation incidents?, BMC Public Health.