Occupational radiation exposure of zoo veterinarians during x-ray procedures: a real-time dosimetry study.

IF 2.8 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Keisuke Nagamoto, Aina Yamamoto, Noriko Takahashi, Ayako Nii, Masaoki Kohzaki, Ryuji Okazaki
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引用次数: 0

Abstract

Objectives: We used real-time dosimetry for the quantitative evaluation of occupational radiation exposure among zoo veterinarians and animal keepers during x-ray procedures to identify key procedural and contextual determinants of exposure variation.

Methods: This retrospective observational study analyzed 251 radiographic procedures at multiple zoological facilities in Japan. Occupational exposure was measured in real time with a semiconductor dosimeter that recorded the personal dose equivalent, Hp(10), at 1-second intervals. Procedural variables included professional role, manual restraint, sedation or anesthesia, equipment type, tube voltage (kVp), and tube current-time product (mAs). Between-group comparisons were conducted using nonparametric tests, and multiple linear regression was used to identify the independent predictors of occupational exposure.

Results: The overall median Hp(10) per procedure was 0.35 (IQR: 0.15-0.99) μSv. Veterinarians received significantly higher doses than animal keepers (P = .006). Elevated Hp(10) values were associated with procedures involving large-bodied carnivores, performed without manual restraint or sedation. Multivariate analysis identified 5 significant predictors-professional role (β = -.75), manual restraint (β = -.24), tube voltage (β = .43), tube current-time product (β = .11), and large-animal group (β = .34)-explaining 60.4% of the variance (adjusted R2 = 0.604).

Conclusions: Despite the overall low exposure levels, some procedures resulted in Hp(10) values exceeding 10 μSv. A combination of procedural and contextual factors influenced exposure. These findings underscore the importance of comprehensive radiation-protection strategies, including optimized workflows, appropriate use of sedation, and standardized operator protocols, in alignment with international dose-optimization principles.

Abstract Image

动物园兽医在x光检查过程中的职业辐射暴露:实时剂量学研究。
目的:我们使用实时剂量法定量评估动物园兽医和动物饲养员在x射线检查过程中的职业辐射暴露,并确定暴露变化的关键程序和环境决定因素。方法:本回顾性观察研究分析了日本多家动物机构的251个x线摄影程序。用半导体剂量计实时测量职业性暴露,每隔一秒记录个人剂量当量Hp(10)。程序变量包括专业角色、人工约束、镇静或麻醉、设备类型、管电压(kVp)和管电流时间积(mAs)。使用非参数检验进行组间比较,并使用多元线性回归来确定职业暴露的独立预测因子。结果:每次手术的总中位Hp(10)为0.35 (IQR: 0.15-0.99) μSv。兽医接受的剂量明显高于动物饲养员(p = 0.006)。Hp(10)值升高与涉及大型食肉动物的手术有关,在没有人工约束或镇静的情况下进行。多变量分析确定了5个显著预测因子——专业作用(β = -0.75)、人工约束(β = -0.24)、管电压(β = 0.43)、管电流时间积(β = 0.11)和大型动物组(β = 0.34)——解释了60.4%的方差(调整后的R2 = 0.604)。结论:尽管总体暴露水平较低,但某些操作导致Hp(10)值超过10 μSv。程序和环境因素共同影响暴露。这些发现强调了综合辐射防护策略的重要性,包括优化工作流程、适当使用镇静和标准化操作规程,与国际剂量优化原则保持一致。
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
Journal of Occupational Health
Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
3.30%
发文量
57
审稿时长
6-12 weeks
期刊介绍: The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.
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