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影像领域卫生工作者的职业辐射防护

Occupational radiation protection of health workers in imaging.

作者信息

Vano E

机构信息

Radiology Department, Medicine Faculty, Complutense University and IdISSC San Carlos Hospital, Madrid 28040, Spain

出版信息

Radiat Prot Dosimetry. 2015 Apr;164(1-2):126-9. doi: 10.1093/rpd/ncu354. Epub 2014 Dec 4.

Abstract

Occupational radiological protection (RP) is still a challenge in several clinical practices. ICRP has included specific recommendations and advice for occupational protection in most of the documents published in recent years and its current programme of work includes the preparation of documents with specific contents on Occupational Protection. Different professional groups and different medical specialists need dedicated training, supervision and advice to optimise their practices. Many medical specialties outside the imaging departments are still using fluoroscopically guided procedures in surgical theatres without the appropriate RP tools. In addition to the stochastic radiation risks, the new thresholds for tissue reactions proposed by ICRP, and especially the ones for the lens of the eyes and the cerebrovascular system, are a matter of concern for some groups of health workers. More support from medical physics and radiation protection experts regarding occupational issues in the medical field will be needed in the coming years.

摘要

职业放射防护(RP)在一些临床实践中仍是一项挑战。国际辐射防护委员会(ICRP)在近年来发布的大多数文件中都纳入了职业防护的具体建议和意见,其当前的工作计划包括编写有关职业防护的特定内容文件。不同的专业群体和不同的医学专家需要专门的培训、监督和建议,以优化他们的实践。影像科以外的许多医学专科仍在手术室使用荧光透视引导程序,却没有适当的放射防护工具。除了随机辐射风险外,ICRP提出的组织反应新阈值,尤其是眼睛晶状体和脑血管系统的阈值,令一些医护人员群体感到担忧。未来几年将需要医学物理和辐射防护专家在医疗领域的职业问题上提供更多支持。

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