[在强龙治疗中心工作人员的健康监测]。

IF 0.4 Q3 Medicine
Alberto Delogu, Giuseppe Taino, Marcello Imbriani
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引用次数: 0

摘要

摘要:Pavia的国家肿瘤中心(CNAO)是意大利唯一能够进行重粒子(碳离子、质子)加速放射治疗的机构;除此之外,它还举办了重要的研究活动,包括基础研究和与健康有关的应用。从放射防护的角度来看,最重要的风险是与外部照射有关的风险,来自三类来源:外部加速光束(除治疗光束外,还有传统的线性加速器)、在治疗或研究活动期间辐照后激活的材料、用于诊断目的的不稳定同位素。CNAO大楼的设计和建造都是为了保证操作人员和病人或访客的最大安全,采用广泛的冗余系统,以排除意外辐射的发生,并最大限度地降低暴露于活性材料的风险。由于分类人员和非分类人员之间的绝对不比例、培训路径的同质性和人口统计学特征,工人队列显示出医疗保健设施的“非典型”特征。根据第230/95号法令,对所有被列为B类的受接触者进行健康监测,其依据是根据工作过程的具体特点,通过了《空气监测机制议定书》。与受照射的CNAO工作人员的健康监测有关的主要关键问题来自所使用的具有重大激活能力的能源,以及接受培训的人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Health surveillance of workers exposed in a hadrontherapy center].

Summary: The Centro Nazionale di Adroterapia Oncologica (CNAO) of Pavia is the only Italian structure capable of administering therapeutic radiotherapy treatments with heavy particles (carbon ions, protons) accelerated; in addition to this, it hosts significant research activity, both as basic research and for health-related applications. From the perspective of radioprotection, the most significant risk profile is that linked to external irradiation, from three categories of sources: accelerated external beams (in addition to the treatment beams there are conventional linear accelerators), materials activated following irradiation during treatment or during research activities, unstable isotopes used for diagnostic purposes. The CNAO building has been designed and built to guarantee maximum safety both to the operator and to the patient or visitor, with widely redundant systems in order to exclude the occurrence of accidental irradiation, and to minimize the risk of exposure to activated materials. The cohort of workers shows "atypical" characteristics for healthcare safacilities due to the absolute disproportion between classified and unclassified personnel, the homogeneity of training paths, and demographic characteristics. The health surveillance of the exposed, all classified in category B pursuant to Legislative Decree 230/95, is based on the adoption of the AIRM Protocol, tempered on the specific characteristics of the work process. The main critical issues related to the health surveillance of the exposed CNAO workers come from the energies used, with significant activation capacity, and from the presence of personnel in training.

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来源期刊
Giornale italiano di medicina del lavoro ed ergonomia
Giornale italiano di medicina del lavoro ed ergonomia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.80
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0.00%
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10
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