[1]黄成铭,魏传琦,卓瑜,等.植入式医疗电子设备辐射效应的研究进展[J].中国医学物理学杂志,2024,41(12):1543-1549.[doi:DOI:10.3969/j.issn.1005-202X.2024.12.012]
　HUANG Chengming,WEI Chuanqi,ZHUO Yu,et al.Review of radiation effects of implantable medical electronic devices[J].Chinese Journal of Medical Physics,2024,41(12):1543-1549.[doi:DOI:10.3969/j.issn.1005-202X.2024.12.012]
点击复制

植入式医疗电子设备辐射效应的研究进展()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
41卷
期数:
2024年第12期
页码:
1543-1549
栏目:
医学信号处理与医学仪器
出版日期:
2024-12-17

文章信息/Info

Title:
Review of radiation effects of implantable medical electronic devices
文章编号:
1005-202X（2024）12-1543-07
作者:
黄成铭1; 魏传琦2; 卓瑜3; 周永召1; 刘燕扬4; 王建涛4; 5; 张衍4
1.四川大学华西医院全程管理中心， 四川 成都 610041； 2.四川大学华西医院呼吸与危重症医学科， 四川 成都 610041；3.四川大学华西医院心理卫生中心， 四川 成都 610041； 4.四川大学华西医院肺癌中心， 四川 成都 610041； 5.四川大学华西医院放疗科， 四川 成都 610041
Author(s):
HUANG Chengming1;  WEI Chuanqi2;  ZHUO Yu3;  ZHOU Yongzhao1;  LIU Yanyang4;  WANG Jiantao4;  5;  ZHANG Yan4
1. Integrated Care Management Center, West China Hospital, Sichuan University, Chengdu 610041, China 2. Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China 3. Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China 4. Lung Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China 5. Department of Radiation Oncology, West China Hospital, Sichuan University, Chengdu 610041, China
关键词:
植入式医疗电子设备; 可靠性; 辐射效应; 综述
Keywords:
Keywords: implantable medical electronic device reliability radiation effect review
分类号:
R14；R318
DOI:
DOI:10.3969/j.issn.1005-202X.2024.12.012
文献标志码:
A
摘要:
随着医疗电子水平的提高以及社会科技的进步，我国植入式医疗电子设备的使用率呈现逐年上涨的趋势，随着人口老龄化的影响，在可见的未来还将继续维持这一增长趋势，因此即使植入式医疗电子设备拥有极低的失效率，但是由于庞大的患者基数，其可靠性问题引起的临床事故值得给予足够关注。与国外相比，我国植入式医疗电子设备由于辐射类临床治疗与诊断产生的应用风险研究起步较晚，这不仅表现在医学临床研究上，而且在电子设备物理损伤机理、宏观损伤表现上均存在显著的不足。因此开展对植入式医疗电子设备在临床治疗与诊断产生的应用风险研究显得非常重要与迫切，具有很高的临床意义与科学价值。本文对医疗电子设备在面临临床治疗产生的辐射环境下的风险展开文献调研，总结医疗电子设备在总剂量效应、电磁兼容性以及瞬时效应等辐射损伤效应上面临的风险，从物理机理与角度方面对上述行为开展分析，提出有意义的医疗电子工程与临床治疗建议。
Abstract:
Abstract: With the performance improvement of the medical electronics and the progress of social development, the utilization rate of implantable medical electronic devices in China shows an increasing trend in recent years, and will maintain a growing trend in the future as population aging is accelerating. Even though implantable medical electronic devices have extremely low failure rates, the explicit clinical accidents caused by their reliability issues deserve sufficient attention in consideration of the large quantity of patients. Compared with other countries, there is lack of domestic researches on application risk of implantable medical electronic devices due to radiation therapy and diagnosis, which is reflected in not only the clinical research, but also the researches on the underlying physical damage mechanism and macro performance of the devices. Therefore, it is crucial and urgent to explore the application risk of implantable medical electronic devices caused by radiation therapy and diagnosis, which has high clinical and scientific significance. The study conducts a literature survey on the risks of medical electronic devices in the radiation environment generated by clinical treatment, summarizes the risks encountered in the aspects of total dose effect, electromagnetic compatibility and instantaneous effect, analyzes the above behaviors from the physical mechanism and perspective, and puts forward some meaningful suggestions for medical electronic engineering and clinical treatment.

备注/Memo

备注/Memo:
【收稿日期】2024-08-03 【基金项目】四川省科技厅重点研发项目（2023YFS0349）；四川大学华西医院临床研究孵化项目（2024HXFH005） 【作者简介】黄成铭，硕士研究生，研究方向：慢性疾病的全程管理，E-mail: 603623782@qq.com 【通信作者】张衍，硕士生导师，副教授，研究方向：肺癌的内科治疗及生物治疗，E-mail: zhang.yan@scu.edu.cn
更新日期/Last Update: 2024-12-20