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本文引用的文献

1
Determination of minimum effective height of transparent radiation face shielding for fluoroscopy.透视时透明辐射面屏蔽的最小有效高度的确定。
Health Phys. 2011 Nov;101 Suppl 3:S135-41. doi: 10.1097/HP.0b013e31821ec5bf.
2
Doses to operators during interventional radiology procedures: focus on eye lens and extremity dosimetry.介入放射学程序中操作人员的剂量:关注眼晶状体和四肢剂量测定。
Radiat Prot Dosimetry. 2011 Mar;144(1-4):482-6. doi: 10.1093/rpd/ncq328. Epub 2010 Nov 2.
3
Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology.介入放射学中的职业辐射防护:欧洲心血管和介入放射学会与介入放射学会联合指南
J Vasc Interv Radiol. 2010 May;21(5):607-15. doi: 10.1016/j.jvir.2010.01.007.
4
Cataracts among Chernobyl clean-up workers: implications regarding permissible eye exposures.切尔诺贝利清理工作人员中的白内障:关于眼睛可耐受照射量的启示
Radiat Res. 2007 Feb;167(2):233-43. doi: 10.1667/rr0298.1.
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Identification of less-irradiating tube angulations in invasive cardiology.介入心脏病学中低辐射管腔角度的识别
J Am Coll Cardiol. 2004 Oct 6;44(7):1420-8. doi: 10.1016/j.jacc.2004.06.057.
6
Tumors of the nervous system and pituitary gland associated with atomic bomb radiation exposure.与原子弹辐射暴露相关的神经系统和垂体肿瘤。
J Natl Cancer Inst. 2002 Oct 16;94(20):1555-63. doi: 10.1093/jnci/94.20.1555.
7
The dose-area product and assessment of the occupational dose in interventional radiology.介入放射学中的剂量面积乘积与职业剂量评估
Radiat Prot Dosimetry. 2001;96(1-3):235-6. doi: 10.1093/oxfordjournals.rpd.a006590.
8
The interdependence of staff and patient doses in interventional radiology.介入放射学中工作人员与患者剂量的相互依存关系。
Br J Radiol. 1997 May;70(833):498-503. doi: 10.1259/bjr.70.833.9227232.
9
Radiation exposure to patients and operators during diagnostic catheterization and coronary angioplasty.诊断性心导管插入术和冠状动脉血管成形术期间患者及操作人员所受的辐射暴露。
Cathet Cardiovasc Diagn. 1997 Apr;40(4):348-51. doi: 10.1002/(sici)1097-0304(199704)40:4<348::aid-ccd4>3.0.co;2-9.
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Physical factors determining the utility of radiation safety glasses.
Med Phys. 1980 Jan-Feb;7(1):8-12. doi: 10.1118/1.594661.

在从患者股骨区域、侧面或头部进行操作时,对透视操作人员眼部暴露情况的比较。

Comparison of fluoroscopic operator eye exposures when working from femoral region, side, or head of patient.

作者信息

Ray M Jordan, Mohammad Fawzi, Taylor William B, Cura Marco, Savage Clare

机构信息

Department of Radiology, Baylor University Medical Center at Dallas.

出版信息

Proc (Bayl Univ Med Cent). 2013 Jul;26(3):243-6. doi: 10.1080/08998280.2013.11928971.

DOI:10.1080/08998280.2013.11928971
PMID:23814380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3684287/
Abstract

Operator radiation exposure is an important occupational hazard compounded over the course of an interventional radiologist's career. This study compared operator radiation dose to the eye and head for different positions around the patient. Compared with cases performed from the femoral region, exposures were 1.8 times higher at the side, and 1.6 times higher at the head, using conventional aprons, table shields, and mobile suspended shields. Exposures were 99% lower when using a suspended personal radiation protection system in all positions. In conclusion, standing at the side or head results in higher head exposures in a conventional setup.

摘要

操作人员的辐射暴露是一种重要的职业危害,在介入放射科医生的职业生涯中会不断累积。本研究比较了在患者周围不同位置时操作人员眼部和头部所接受的辐射剂量。与从股部区域进行的操作相比,使用传统围裙、手术台防护屏和移动悬吊防护屏时,在患者侧面操作的辐射暴露量高1.8倍,在患者头部操作的辐射暴露量高1.6倍。在所有位置使用悬吊式个人辐射防护系统时,辐射暴露量降低了99%。总之,在传统设置中站在患者侧面或头部会导致更高的头部辐射暴露。