Sakamoto Hajime, Ikegawa Hiroaki, Kobayashi Hiroshi, Kiuchi Takuya, Sano Yoshitomo, Fukasawa Mizuya, Araki Tsutomu
Department of Radiology, University of Yamanashi Hospital, Japan.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2009 Jan 20;65(1):25-34. doi: 10.6009/jjrt.65.25.
The number of examinations using interventional radiology (IVR) has increased recently. Because of the more advanced and more complex procedures for IVR, longer treatment time is required. Therefore, it is important to determine exposure doses. We measured operator exposure dose during IVR using a thermoluminescence dosimeter. The results revealed the dose equivalent to the operator's hands and fingers to be higher than that of other parts, although the effective dose for the operator was low. Moreover, we looked into the factors that affected exposure dose to the operator's fingers, and examined ways to reduce the dose. In regard to the exposed dose to the operator's fingers, dose reduction was possible as a result of a geometric arrangement of the fluoroscopic unit, the radiation field size, using a radiation protective device and deliberation to exposure dose reduction of the operator. It is possible to carry out IVR more safely using the method of exposure dose reduction to the operator's fingers.
近年来,使用介入放射学(IVR)进行的检查数量有所增加。由于IVR程序更加先进和复杂,所需的治疗时间更长。因此,确定照射剂量很重要。我们使用热释光剂量计测量了IVR过程中操作人员的照射剂量。结果显示,尽管操作人员的有效剂量较低,但手部和手指部位的剂量当量高于其他部位。此外,我们研究了影响操作人员手指照射剂量的因素,并探讨了降低剂量的方法。关于操作人员手指的照射剂量,通过荧光透视装置的几何布置、辐射野大小、使用辐射防护装置以及对操作人员照射剂量降低的考虑,可以实现剂量降低。采用降低操作人员手指照射剂量的方法,可以更安全地进行IVR操作。