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使用99mTc放射性药物的核医学检查程序给核医学技术人员带来的外照射剂量。

External radiation doses to nuclear medicine technologists from procedures using 99mTc radiopharmaceuticals.

作者信息

Boutcher S, Haas T

出版信息

Can J Radiogr Radiother Nucl Med. 1985 Oct;16(4):161-5.

Abstract

In the course of their work Nuclear Medicine technologists are exposed to continuous low doses of ionising radiation, most of which is received during the use of 99mTc. This study investigated the radiation exposures received by technologists at a typical Canadian Nuclear Medicine department, during the most commonly performed 99mTC imaging procedures. Exposure rates were measured from both shielded and unshielded syringes containing typical amounts of injected radioactivity. Typical exposure rates received from patients were also measured during actual imaging procedures. From these measurements the cumulative absorbed doses per technologist, per annum, during radionuclide handling and patient imaging was calculated, for each of the procedures investigated. The results show that by far the greatest proportion of a Nuclear Medicine technologist's exposure is received during the imaging process rather than during radionuclide handling. Brain static, and bone, imaging provide the greatest exposures from patients. Cumulative doses can be considerably reduced by keeping technologist-patient distances to a maximum. The use of a lead apron would be most beneficial during close patient contact in bone and brain imaging procedures.

摘要

在工作过程中,核医学技术人员会持续受到低剂量的电离辐射,其中大部分辐射是在使用99mTc的过程中接受的。本研究调查了加拿大一个典型核医学科室的技术人员在最常见的99mTc成像程序中所接受的辐射暴露情况。对含有典型注射放射性剂量的屏蔽和未屏蔽注射器的辐射率进行了测量。在实际成像过程中还测量了技术人员从患者那里接收的典型辐射率。根据这些测量结果,计算了所研究的每个程序中每位技术人员每年在放射性核素处理和患者成像过程中的累积吸收剂量。结果表明,到目前为止,核医学技术人员所接受的辐射中,最大比例是在成像过程中而非放射性核素处理过程中。脑静态成像和骨成像从患者那里带来的辐射暴露最大。通过将技术人员与患者的距离保持在最大程度,可以大幅降低累积剂量。在骨和脑成像程序中与患者密切接触时使用铅围裙将最为有益。

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