Molyvda-Athanasopoulou E, Karlatira M, Gotzamani-Psarrakou A, Koulouris Ch, Siountas A
Department of Medical Physics, School of Medicine, Aristotelian University of Thessaloniki, 54124 Thessaloniki, Greece.
Radiat Prot Dosimetry. 2011 Sep;147(1-2):86-9. doi: 10.1093/rpd/ncr271. Epub 2011 Jul 15.
Patients who undergo interventional radiological examinations and the medical doctors who perform them receive a noticeable radiation dose. Twenty-six angiographies and six angioplasties were included in the present study. They were classified as examinations of lower limbs, abdominal aorta and aortic arch/carotid artery. Thermoluminescent dosemeters (TLDs) were placed underneath and over the lead apron of the doctors at all of the 32 examinations as well as next to the eyes and over the thyroid of 22 patients. Dose area product (DAP) values, time duration and other parameters were registered. Patients' effective dose (ED) and doses to the various organs were calculated with the aid of ODS-60 software. The EDs were normalised to DAP measured in each procedure. Based on TLD measurements, the Niklason method was applied for the calculation of doctors' ED. The calculated ED by ODS-60 were in the range of 0.00-1.46, 2.63-49.32 and 0.07-45.12 mSv for the three groups, respectively, while E/DAP indices were 0.023, 0.310 and 0.105 mSv Gy(-1) cm(-2). Very good correlation was found between TLD measurements of the eye and the thyroid of the patients and the relative values calculated by ODS-60. The ED for the radiologists ranged from 0.4 to 47.0 μSv for all the procedures. Taking into consideration the annual number of examinations performed in the department, the estimated dose to the radiologists' eyes is considerably high, so wearing leaded glasses is recommended for the optimisation of the procedure.
接受介入放射学检查的患者以及进行这些检查的医生会受到明显的辐射剂量。本研究纳入了26例血管造影和6例血管成形术。它们被分类为下肢、腹主动脉和主动脉弓/颈动脉检查。在所有32例检查中,热释光剂量计(TLD)放置在医生铅围裙的下方和上方,同时在22例患者的眼睛旁边和甲状腺上方也放置了TLD。记录剂量面积乘积(DAP)值、持续时间和其他参数。借助ODS - 60软件计算患者的有效剂量(ED)和各器官的剂量。将ED归一化为每个程序中测量的DAP。基于TLD测量结果,应用尼克拉斯方法计算医生的ED。ODS - 60计算出的三组ED分别在0.00 - 1.46、2.63 - 49.32和0.07 - 45.12 mSv范围内,而E/DAP指数分别为0.023、0.310和0.105 mSv Gy(-1) cm(-2)。发现患者眼睛和甲状腺的TLD测量值与ODS - 60计算的相对值之间具有很好的相关性。所有程序中放射科医生的ED范围为0.4至47.0 μSv。考虑到科室每年进行的检查数量,放射科医生眼睛的估计剂量相当高,因此建议佩戴铅眼镜以优化该程序。