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低水平电离辐射对职业暴露人群影响的细胞遗传学方法。

A cytogenetic approach to the effects of low levels of ionizing radiations on occupationally exposed individuals.

机构信息

National Radiation Protection Department, Iranian Nuclear Regulatory Authority, Nuclear Science and Research Institute-Agriculture, Medicine & Industry Research School, Tehran, Iran.

出版信息

Eur J Radiol. 2010 Jan;73(1):191-5. doi: 10.1016/j.ejrad.2008.10.015. Epub 2008 Dec 2.

Abstract

The aim of the present study was to assess occupationally induced chromosomal damage in hospital workers exposed to low levels of ionizing radiation. Thirty-two interventional cardiologists, 36 nuclear medicine physicians and 33 conventional radiologists were included in this study, along with 35 healthy age- and sex-matched individuals as the control group. We used conventional metaphase chromosome aberration (CA) analysis, cytokinesis-block micronucleus (MN) assay as important biological indicators of ionizing radiation exposure. Occupational dosimetry records were collected over the last year (ranged from 0.25 to 48mSv) and their whole life exposure (ranged from 1.5 to 147mSv). The results showed significantly higher frequencies of dicentric and acentric CAs (p<0.001) and MN (p<0.01) in all exposed groups than in the controls. Taking all the confounding factors into account, no obvious trend of increased chromosomal damages as a function of either duration of employment, exposed dose, sex or age was observed. Interventional cardiologists had the highest rates of CA and MN frequencies between the worker groups, though the differences were not significant. These results indicate that long term exposure to low dose ionizing radiation could result in DNA damage. Hence, the personnel who work in the hospitals should carefully apply the radiation protection procedures.

摘要

本研究旨在评估暴露于低水平电离辐射的医院工作人员的职业性染色体损伤。本研究纳入了 32 名介入心脏病学家、36 名核医学医师和 33 名常规放射科医师,以及 35 名健康的年龄和性别匹配的个体作为对照组。我们使用传统的中期染色体畸变(CA)分析和胞质分裂阻断微核(MN)测定作为电离辐射暴露的重要生物学指标。收集了过去一年的职业剂量记录(范围为 0.25 至 48mSv)和他们的终生暴露(范围为 1.5 至 147mSv)。结果显示,所有暴露组的双着丝粒和无着丝粒 CA(p<0.001)和 MN(p<0.01)的频率明显高于对照组。考虑到所有混杂因素,未观察到染色体损伤随就业时间、暴露剂量、性别或年龄的增加而明显增加的趋势。介入心脏病学家在工人组中 CA 和 MN 频率最高,但差异无统计学意义。这些结果表明,长期暴露于低剂量电离辐射可能导致 DNA 损伤。因此,在医院工作的人员应谨慎应用辐射防护程序。

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