Delichas Miltiadis, Psarrakos Kyriakos, Molyvda-Athanassopoulou Elisabeth, Giannoglou Georgios, Sioundas Anastasios, Hatziioannou Konstantinos, Papanastassiou Emmanouil
Medical Physics Department, Medical School, Aristotelian University of Thessaloniki, Thessaloniki 54124, Greece.
Eur J Radiol. 2003 Dec;48(3):268-73. doi: 10.1016/s0720-048x(03)00007-x.
Medical doctors, who practice interventional cardiology, receive a noticeable radiation dose. In this study, we measured the radiation dose to 9 cardiologists during 144 procedures (72 coronary angiographies and 70 percutaneus translumined coronary angioplasties) in two Greek hospitals. Absorbed doses were measured with TLD placed underneath and over the lead apron at the thyroid protective collar. Based on these measurements, the effective dose was calculated using the Niklason method. In addition, dose area product (DAP) was registered. The effective doses, E, were normalised to the total DAP measured in each procedure, producing the E/DAP index. The mean effective dose values were found to be in the range of 1.2-2.7 microSv while the mean E/DAP values are in the range of 0.010-0.035 microSv/Gycm2. The dependence of dose to the X-ray equipment, the exposure parameters and the technique of the cardiologist were examined. Taking under consideration the laboratories' annual workload, the maximum annual dose was estimated to be 1.9 and 2.8 mSv in the two hospitals.
从事介入心脏病学的医生会受到显著的辐射剂量。在本研究中,我们在希腊的两家医院对9位心脏病专家在144例手术(72例冠状动脉造影和70例经皮冠状动脉腔内血管成形术)过程中的辐射剂量进行了测量。吸收剂量通过置于甲状腺防护颈圈处铅围裙下方和上方的热释光剂量计进行测量。基于这些测量结果,使用尼克拉斯森方法计算有效剂量。此外,记录了剂量面积乘积(DAP)。有效剂量E被标准化为每个手术中测量的总DAP,得出E/DAP指数。发现平均有效剂量值在1.2 - 2.7微希沃特范围内,而平均E/DAP值在0.010 - 0.035微希沃特/戈瑞平方厘米范围内。研究了剂量与X射线设备、曝光参数以及心脏病专家技术之间的相关性。考虑到实验室的年度工作量,估计两家医院的最大年度剂量分别为1.9和2.8毫希沃特。