原能會：CT將納曝露品保設備範疇

[J&James]

原能會：CT將納曝露品保設備範疇
中央社 更新日期:2010/04/20 16:48

（中央社記者林惠君台北20日電）電腦斷層掃描儀（CT）是醫療院所用來診斷腫瘤等疾病的儀器，為確保輻射醫療儀器維持一定品質，行政院原子能委員會預計在民國100年，將CT納為曝露品保設備範疇。

近幾年來，輻射應用日益普及，民眾接受醫療輻射劑量大幅增加，國際上對於醫療輻射防護也越來越重視。

原能會輻射防護處科長陳志平表示，醫療曝露品保的目標就是希望在合理的劑量下，得到最佳的影像，有良好的影像品質，讓醫生作出正確的診斷，而且「正常的部位照到越少越好」。

原能會在97年將乳房攝影納入醫療曝露品質作業，提升每年將近24萬名接受乳房X光篩檢婦女的醫療品質與輻射安全。

由於電腦斷層掃描儀的使用日益普及，衛生署資料顯示，截至97年止，國內接受電腦斷層掃描儀人次，約120幾萬人次，原能會將推動電腦斷層掃描儀醫療品保作業。

陳志平舉國外資料為例，在各項檢查次數中，包括介入性檢查、一般X光攝影及透視檢查、核醫檢查等，電腦斷層掃描檢查占16%，但各項檢查所貢獻的輻射劑量，以電腦斷層掃描占49%，為最高的一項。

陳志平表示，目前原能會已經訓練近 600位電腦斷層掃描儀品保作業員，全台約有450台儀器，已訪查約6成。

此外，原能會說明先前國內兒童（5歲以下）電腦斷層掃描儀劑量偏高的原因，因多數醫院並未執行兒童CT腹部檢查作業，約一半的醫療院所尚未實際執行，而是採取成人檢查條件或原廠提供的較高輸出參數操作，因此，調查數據初步顯示略高。

原能會提早發現這一個問題，為協助醫院合理抑低兒童劑量，並提供醫院兒童斷層掃描建議規範，讓醫院參酌，調整合適檢查參數，保障兒童健康。990420

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