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接受核医学诊断检查患者周围环境中的辐射剂量。

Radiation doses in the surroundings of patients undergoing nuclear medicine diagnostic studies.

作者信息

Gomez-Palacios M, Terrón J A, Domínguez P, Vera D R, Osuna R F

机构信息

Radiophysics Department, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani s/n, 41009 Sevilla, Spain.

出版信息

Health Phys. 2005 Aug;89(2 Suppl):S27-34. doi: 10.1097/01.hp.0000165873.12868.59.

Abstract

Dose rate measurements were performed at 0, 0.5, and 1 m from the external surface of 79 patients corresponding to the most frequent studies: 99mTc-cardiac with reinjection, 99mTc-cardiac single injection, 99mTc-bone scan, 99mTc-lung studies, and cardiac studies using 201Tl. Doses to staff, nearby patients, and the collective effective doses were estimated for the different working shifts and hospital areas. The estimated dose for nurses for 1 y was 518 microSv in the cardiology section and 338 microSv in the short stay section. For patients, the mean dose per stay was calculated to be 8.5 microSv in the cardiology section. The maximum dose that a patient could receive from a radioactive patient is 499 microSv for a double injection cardiac patient study. The maximum collective effective dose for the whole hospital was calculated to be 0.063 person-Sv. The probability of staff receiving doses higher than the limits for a working day is negligible. Maximum doses for staff and patients are far below dose limits for the public and therefore no additional radiological protection is needed.

摘要

对79例患者进行了剂量率测量,测量距离为距体表0、0.5和1米,这些患者对应的是最常见的检查项目:99mTc心肌再注射显像、99mTc心肌单次注射显像、99mTc骨扫描、99mTc肺部检查以及使用201Tl的心肌检查。针对不同的工作班次和医院区域,估算了工作人员、附近患者所受剂量以及集体有效剂量。心内科护士1年的估算剂量为518微希沃特,短留观区护士为338微希沃特。对于患者,心内科每次留观的平均剂量计算为8.5微希沃特。在双次注射心肌显像患者检查中,一名放射性患者可能给予另一名患者的最大剂量为499微希沃特。整个医院的最大集体有效剂量计算为0.063人·希沃特。工作人员在一个工作日内接受超过剂量限值的剂量的概率可忽略不计。工作人员和患者的最大剂量远低于公众剂量限值,因此无需额外的辐射防护。

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