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介入放射学中医疗人员所受的辐射剂量。

Radiation dose to medical staff in interventional radiology.

作者信息

Oonsiri Sornjarod, Jumpangern Chotika, Sanghangthum Taweap, Krisanachinda Anchali, Suriyapee Sivalee

机构信息

Department of Radiology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 2007 Apr;90(4):823-8.

Abstract

OBJECTIVE

The purposes of the present study were to determine the dose to medical staff in interventional radiology at different locations on the body measured by thermoluminescent dosimeter (TLD) and to relate the medical staff dose to patient dose measured by the dose-area product (DAP) meter.

MATERIAL AND METHOD

The present study covered 42 patients in three interventional radiology procedures with three x-ray machines. Thermoluminescent dosimeters were stuck at eight positions on the radiologist's skin during the procedure. In addition, direct reading from the DAP meter placed in front of the collimator of the x-ray tube, was recorded to estimate the patient radiation dose.

RESULTS

The surface dose to the primary radiologist showed maximum value at the left forearm of 407 microGy. The ratios between the maximum interventional radiologist surface dose and patient dose are 12.88 microGy per 10 Gycm2 for transarterial oily chemoembolization TOCE (Siemens Polystar), 22.58 microGy per 10 Gycm2 for transarterial oily chemoembolization TOCE (Siemens Neurostar), 148.29 microGy per 10 Gycm2 for percutaneous transhepatic biliary drainage PTBD (Siemens Polystar) and 100.46 microGy per 10 Gycm2for endoscopic retrograde cholangiopancreatography ERCP (GE Advantx).

CONCLUSION

The interventional radiologist surface dose can be estimated from the mentioned ratio if the patient dose is measured. This will help the radiologists to avoid receiving an excess dose during their work.

摘要

目的

本研究的目的是确定使用热释光剂量计(TLD)测量介入放射学中不同身体部位医护人员所接受的剂量,并将医护人员剂量与使用剂量面积乘积(DAP)仪测量的患者剂量相关联。

材料与方法

本研究涵盖了使用三台X光机进行的三种介入放射学手术中的42名患者。在手术过程中,热释光剂量计粘贴在放射科医生皮肤的八个位置。此外,记录放置在X射线管准直器前方的DAP仪的直接读数,以估计患者的辐射剂量。

结果

主放射科医生的体表剂量在左前臂处显示出最大值,为407微戈瑞。介入放射科医生最大体表剂量与患者剂量之比分别为:经动脉油性化疗栓塞术(TOCE,西门子Polystar)为每10 Gycm² 12.88微戈瑞;经动脉油性化疗栓塞术(TOCE,西门子Neurostar)为每10 Gycm² 22.58微戈瑞;经皮经肝胆道引流术(PTBD,西门子Polystar)为每10 Gycm² 148.29微戈瑞;内镜逆行胰胆管造影术(ERCP,GE Advantx)为每10 Gycm² 100.46微戈瑞。

结论

如果测量了患者剂量,则可以根据上述比例估算介入放射科医生的体表剂量。这将有助于放射科医生在工作期间避免接受过量剂量。

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