Wucherer M, Loose R
Institut für Medizinische Physik, Klinikum Nürnberg-Nord, Nürnberg.
Radiologe. 2005 Mar;45(3):291-302; quiz 303. doi: 10.1007/s00117-005-1185-2.
Since the discovery of X-rays , overexposures and radiation injuries have been reported in both patients and persons exposed in the course of their professional duties. Each year, more than 2,500 million diagnostic radiological examinations, 32 million nuclear medicine examinations or treatment procedures and 5.5 million radiotherapy sessions are performed worldwide. Despite all precautions, avoidable incidents and accidents occur throughout the world every year , albeit with low frequency. Whereas diagnostic radiology is generally safe for patients and staff, interventional procedures (e.g. coronary artery dilatations) involve the risks of occupational overexposure and of skin injuries to patients. In nuclear medicine, radiation protection is focused on the introduction of new procedures with beta-emitters, for example. The increasing frequency of positron emission tomography (PET) requires a special focus on shielding measures. In radiotherapy, occupational overexposure caused by malfunctions and accidents is relatively rare.
自X射线被发现以来,患者和因职业原因受到辐射的人员都曾报告过过度暴露和辐射损伤的情况。全世界每年进行超过25亿次诊断性放射检查、3200万次核医学检查或治疗程序以及550万次放射治疗疗程。尽管采取了所有预防措施,但每年世界各地仍会发生可避免的事件和事故,尽管频率较低。虽然诊断放射学对患者和工作人员一般是安全的,但介入程序(如冠状动脉扩张)存在职业过度暴露和患者皮肤受伤的风险。例如,在核医学中,辐射防护重点在于引入使用β发射体的新程序。正电子发射断层扫描(PET)频率的不断增加需要特别关注屏蔽措施。在放射治疗中,由故障和事故导致的职业过度暴露相对较少。