Changizi Vahid, Alizadeh Mohammad Hossein, Mousavi Akbar
Associate Professor, Technology of Radiology Department, Allied Medical Sciences School, Tehran University of Medical Sciences, Tehran ,Iran.
MSc Student, Technology of Radiology Department, Allied Medical Sciences School, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2015 Apr 18;29:200. eCollection 2015.
CT scan and nuclear medicine exams deliver a great part of medical exposures. This study examined professional radiation hazards in CT scan and nuclear medicine workers.
In a cross sectional study 30 occupationally exposed workers and 7 controls (all from personnel of a laboratory) were selected. Physical dosimetry was performed for exposed workers. Blood samples were obtained from the experimental and control groups. Three culture mediums for each one were prepared in due to routine chromosome analysis using G-banding and solid stain.
There were significant increased incidence of chromatid gap (ctg) and chromatid break (ctb) with mean±SD frequencies of 3±0.84 and 3.1±1.40 per 100 cells respectively in the nuclear medicine workers versus controls with mean±SD frequencies of 1.9±0.69 and 1.3±0.84 for ctg and ctb, respectively. Chromosome gaps (chrg) were higher significantly in the nuclear medicine population (2.47±0.91) than in controls (1.4±0.9) (p< 0.05). In CT scan group the ctg and ctb were increased with a mean±SD frequency of 2.7±0.79 and 2.6±0.91 per 100 cells respectively compared with control group. The mean±SD frequencies of the chrb were 2.0±0.75 and 0.86±0.690 per 100 cells for exposed workers and control group, respectively.
This study showed chromosome aberrations in peripheral lymphocytes using solid stain method are reasonable biomarker reflecting personnel radiation damage.
CT扫描和核医学检查产生了很大一部分医疗辐射。本研究调查了CT扫描和核医学工作人员的职业辐射危害。
在一项横断面研究中,选取了30名职业暴露工人和7名对照人员(均来自一个实验室的工作人员)。对暴露工人进行了物理剂量测定。从实验组和对照组采集血样。按照常规染色体分析使用G显带和固体染色的方法,为每组制备三种培养基。
核医学工作人员的染色单体间隙(ctg)和染色单体断裂(ctb)发生率显著增加,每100个细胞的平均±标准差频率分别为3±0.84和3.1±1.40,而对照组的ctg和ctb平均±标准差频率分别为1.9±0.69和1.3±0.84。核医学人群的染色体间隙(chrg)(2.47±0.91)显著高于对照组(1.4±0.9)(p<0.05)。在CT扫描组中,与对照组相比,ctg和ctb增加,每100个细胞的平均±标准差频率分别为2.7±0.79和2.6±0.91。暴露工人和对照组每100个细胞的染色体断裂(chrb)平均±标准差频率分别为2.0±0.75和0.86±0.690。
本研究表明,使用固体染色法检测外周淋巴细胞中的染色体畸变是反映人员辐射损伤的合理生物标志物。