{"title":"诊断性计算机断层成像过程中卫生保健工作者职业辐射暴露及其影响因素的评价。","authors":"Keisuke Nagamoto, Tomonori Kawachino, Yoshiki Suetsugu, Reika Urasaki, Saki Tokumoto, Masaoki Kohzaki, Shun-Ichi Nihei, Ryuji Okazaki","doi":"10.1093/rpd/ncaf049","DOIUrl":null,"url":null,"abstract":"<p><p>This study aimed to identify factors that increase radiation dose to computed tomography (CT) imaging assistants and to propose measures to minimize their effective dose, thereby improving radiation safety. Nine healthcare professionals (five intensivists and four radiological technologists) had their Hp(10) measured during 112 diagnostic CT procedures involving tasks categorized by proximity to the gantry: gantry proximal (e.g. bag-valve-mask (BVM) ventilation) and gantry distal (e.g. patient observation). Multiple regression analysis identified dose-length product (DLP) and tube current as significant predictors of effective dose of CT imaging assistants. The highest effective dose, 26 μSv, occurred during gantry proximal tasks. Intensivists received higher effective doses (35 μSv) than radiological technologists (19 μSv) because the CT imaging procedures they assisted with had higher DLP values. To reduce the effective dose, it is recommended to implement low-dose imaging protocols, optimize imaging coverage, and use radiation protection clothing, such as lead aprons, which significantly reduce Hp(10).</p>","PeriodicalId":20795,"journal":{"name":"Radiation protection dosimetry","volume":" ","pages":""},"PeriodicalIF":0.8000,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of occupational radiation exposure and influencing factors for healthcare workers during diagnostic computed tomography imaging.\",\"authors\":\"Keisuke Nagamoto, Tomonori Kawachino, Yoshiki Suetsugu, Reika Urasaki, Saki Tokumoto, Masaoki Kohzaki, Shun-Ichi Nihei, Ryuji Okazaki\",\"doi\":\"10.1093/rpd/ncaf049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study aimed to identify factors that increase radiation dose to computed tomography (CT) imaging assistants and to propose measures to minimize their effective dose, thereby improving radiation safety. Nine healthcare professionals (five intensivists and four radiological technologists) had their Hp(10) measured during 112 diagnostic CT procedures involving tasks categorized by proximity to the gantry: gantry proximal (e.g. bag-valve-mask (BVM) ventilation) and gantry distal (e.g. patient observation). Multiple regression analysis identified dose-length product (DLP) and tube current as significant predictors of effective dose of CT imaging assistants. The highest effective dose, 26 μSv, occurred during gantry proximal tasks. Intensivists received higher effective doses (35 μSv) than radiological technologists (19 μSv) because the CT imaging procedures they assisted with had higher DLP values. To reduce the effective dose, it is recommended to implement low-dose imaging protocols, optimize imaging coverage, and use radiation protection clothing, such as lead aprons, which significantly reduce Hp(10).</p>\",\"PeriodicalId\":20795,\"journal\":{\"name\":\"Radiation protection dosimetry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-05-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiation protection dosimetry\",\"FirstCategoryId\":\"93\",\"ListUrlMain\":\"https://doi.org/10.1093/rpd/ncaf049\",\"RegionNum\":4,\"RegionCategory\":\"环境科学与生态学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiation protection dosimetry","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1093/rpd/ncaf049","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
Evaluation of occupational radiation exposure and influencing factors for healthcare workers during diagnostic computed tomography imaging.
This study aimed to identify factors that increase radiation dose to computed tomography (CT) imaging assistants and to propose measures to minimize their effective dose, thereby improving radiation safety. Nine healthcare professionals (five intensivists and four radiological technologists) had their Hp(10) measured during 112 diagnostic CT procedures involving tasks categorized by proximity to the gantry: gantry proximal (e.g. bag-valve-mask (BVM) ventilation) and gantry distal (e.g. patient observation). Multiple regression analysis identified dose-length product (DLP) and tube current as significant predictors of effective dose of CT imaging assistants. The highest effective dose, 26 μSv, occurred during gantry proximal tasks. Intensivists received higher effective doses (35 μSv) than radiological technologists (19 μSv) because the CT imaging procedures they assisted with had higher DLP values. To reduce the effective dose, it is recommended to implement low-dose imaging protocols, optimize imaging coverage, and use radiation protection clothing, such as lead aprons, which significantly reduce Hp(10).
期刊介绍:
Radiation Protection Dosimetry covers all aspects of personal and environmental dosimetry and monitoring, for both ionising and non-ionising radiations. This includes biological aspects, physical concepts, biophysical dosimetry, external and internal personal dosimetry and monitoring, environmental and workplace monitoring, accident dosimetry, and dosimetry related to the protection of patients. Particular emphasis is placed on papers covering the fundamentals of dosimetry; units, radiation quantities and conversion factors. Papers covering archaeological dating are included only if the fundamental measurement method or technique, such as thermoluminescence, has direct application to personal dosimetry measurements. Papers covering the dosimetric aspects of radon or other naturally occurring radioactive materials and low level radiation are included. Animal experiments and ecological sample measurements are not included unless there is a significant relevant content reason.