Stefanoyiannis A P, Ioannidou S P, Round W H, Carinou E, Mavros M N, Liotsou T, Geronikola-Trapali X, Armeniakos I, Chatziioannou S N
Nuclear Medicine Unit, University General Hospital of Athens "Attikon," 1 Rimini St, Athens 12462, Greece
Nuclear Medicine Unit, University General Hospital of Athens "Attikon," 1 Rimini St, Athens 12462, Greece.
Radiat Prot Dosimetry. 2015 Dec;167(4):542-51. doi: 10.1093/rpd/ncu338. Epub 2014 Nov 27.
The contribution of radionuclide therapies (RNTs) to effective patient treatment is widely appreciated. The administration of high doses has necessitated investigating the potential radiation hazard to caregivers from patients undergoing RNTs. This work aimed to review the literature regarding measured effective doses to caregivers from such patients. The main selection criterion was the presence of real radiation exposure measurements. The results were categorised according to the treatment protocol and dose parameters. Analysis of the collected data demonstrated that the measured effective dose values were within the dose constraints defined by the International Commission on Radiological Protection, provided that the radiation protection instructions were followed by both patients and caregivers. In conclusion, the radiation risk for caregivers was almost negligible. In this context, treatments could be administered more often on an outpatient basis, once cost-effectiveness criteria were established and radiation protection training and procedures were appropriately applied.
放射性核素疗法(RNTs)对患者有效治疗的贡献已得到广泛认可。高剂量的施用使得有必要研究接受RNTs治疗的患者对护理人员的潜在辐射危害。这项工作旨在回顾关于此类患者对护理人员的实测有效剂量的文献。主要选择标准是存在实际辐射暴露测量值。结果根据治疗方案和剂量参数进行分类。对收集到的数据的分析表明,只要患者和护理人员都遵循辐射防护指导,实测有效剂量值就在国际放射防护委员会定义的剂量限制范围内。总之,护理人员面临的辐射风险几乎可以忽略不计。在这种情况下,一旦确立了成本效益标准并适当应用了辐射防护培训和程序,治疗就可以更频繁地在门诊进行。