Exposure to ionizing radiation of medical staff performing vascular and interventional radiology procedures.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-11-06 Epub Date: 2024-09-11 DOI:10.13075/ijomeh.1896.02462
Michał Biegała, Teresa Jakubowska, Joanna Domienik-Andrzejewska
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引用次数: 0

Abstract

Objectives: Vascular and interventional radiology procedures are characterized by high exposure of personnel to ionizing radiation. This study assessed the exposure of medical personnel to ionizing radiation during vascular radiology and mechanical thrombectomy procedures.

Material and methods: During vascular radiology procedures, the exposure of 4 groups of workers participating in the procedures was analyzed, i.e., the main operating physician, an assistant physician, a sterile nurse, and a nurse. Measurements of exposure to ionizing radiation were performed using thermoluminescent dosimetry.

Results: The registered effective dose during 1 treatment in individual groups is, respectively: mean (M) ± standard deviation (SD) 75±15 μSv, 24±5 μSv, 13±3 μSv, and 8±2 μSv. During mechanical thrombectomy, the operating physician receives an effective dose of M±SD 9±2 μSv. The equivalent doses for the lenses for the operating physician and the doctor assisting during vascular radiology procedures are M±SD 1419±285 μSv and 987±198 μSv, respectively, and for the hands, including the left and right hands, M±SD 4605±930 μSv, 1420±284 μSv, 1898±380 μSv, 1371±274 μSv.

Conclusions: If the principles of optimizing radiological protection are not applied during vascular radiology procedures, the permissible dose limits and operational limits equivalent to doses to lenses and hands may be exceeded. Exposure during vascular radiology procedures is comparable to exposure during nuclear medicine procedures in terms of the use of glucose labeled with radioactive fluorine. Int J Occup Med Environ Health. 2024;37(4):403-10.

执行血管和介入放射程序的医务人员的电离辐射暴露。
目的:血管和介入放射学程序的特点是人员暴露于电离辐射的程度较高。本研究评估了医务人员在血管放射学和机械血栓切除术过程中受到的电离辐射:材料和方法:在血管放射治疗过程中,分析了参与治疗过程的 4 组工作人员(即主刀医生、助理医生、无菌护士和护士)的电离辐射暴露情况。使用热释光剂量计测量电离辐射照射量:各组 1 次治疗期间登记的有效剂量分别为:平均值(M)± 标准差(SD)75±15 μSv、24±5 μSv、13±3 μSv 和 8±2 μSv。在机械血栓切除术中,手术医生接受的有效剂量为 M±SD 9±2 μSv。在血管放射治疗过程中,手术医生和辅助医生镜片的等效剂量分别为M±SD 1419±285 μSv和987±198 μSv,手(包括左手和右手)的等效剂量分别为M±SD 4605±930 μSv、1420±284 μSv、1898±380 μSv、1371±274 μSv:如果在血管放射治疗过程中不采用优化放射防护的原则,则可能会超过允许剂量限值以及相当于镜片和手部剂量的操作限值。就使用放射性氟标记的葡萄糖而言,血管放射治疗过程中的辐射量与核医学治疗过程中的辐射量相当。Int J Occup Med Environ Health.2024;37(4).
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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