Martin C J, Magee J S
Health Physics, Gartnavel Royal Hospital, Glasgow, UK.
J Radiol Prot. 2013 Jun;33(2):445-60. doi: 10.1088/0952-4746/33/2/445. Epub 2013 May 7.
A dose limit for the eye of 20 mSv, as proposed by the ICRP, could be exceeded by interventional clinicians. Data on eye dose levels for interventional radiologists and cardiologists provided by medical physicists from hospitals around the UK have been collated. The results indicate that most hospitals would require one or more interventional clinicians to be classified and several would have exceeded a 20 mSv limit. Dose data in the literature have been reviewed to derive factors that might be used to predict eye dose levels based on dose per procedure or kerma-area product workload. These could be used in prior risk assessments to establish monitoring practice. An alternative approach to personnel dose monitoring in radiology applications using a collar dosimeter worn outside the lead apron as the first dosimeter is proposed. The collar dosimeter would provide an assessment of eye dose in terms of Hp(3) and body dose in terms of Hp(10), which could be divided by ten to provide an assessment of effective dose. If Hp(3) exceeded 1 mSv per month, regular monitoring with a head dosimeter would be recommended, and if Hp(10) exceeded 2 mSv per month, then an under-apron dosimeter should also be worn.
国际辐射防护委员会(ICRP)提议的眼部剂量限值为20毫希沃特,但介入临床医生可能会超过这一限值。英国各地医院的医学物理学家提供了介入放射科医生和心脏病专家的眼部剂量水平数据,并进行了整理。结果表明,大多数医院会有一名或多名介入临床医生被归类,有几家医院的剂量会超过20毫希沃特的限值。对文献中的剂量数据进行了审查,以得出可用于根据每次操作的剂量或比释动能面积乘积工作量预测眼部剂量水平的因素。这些因素可用于事前风险评估,以确定监测措施。本文提出了一种在放射学应用中进行人员剂量监测的替代方法,即首先使用佩戴在铅围裙外的领口剂量计。领口剂量计可以提供眼部剂量的Hp(3)评估值和身体剂量的Hp(10)评估值,将后者除以十即可得到有效剂量的评估值。如果Hp(3)每月超过1毫希沃特,建议使用头部剂量计进行定期监测;如果Hp(10)每月超过2毫希沃特,则还应佩戴铅围裙下剂量计。