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正电子发射断层显像剂64Cu-ATSM对兽医工作者的职业暴露

Occupational Exposure to Veterinary Workers from the Positron Emission Tomography Imaging Agent 64Cu-ATSM.

作者信息

Hetrick Lucas D, Kraft Susan L, Johnson Thomas E

机构信息

*Colorado State University, Department of Environment and Radiological Health Sciences, Fort Collins, Co.

出版信息

Health Phys. 2015 Nov;109(3 Suppl 3):S219-23. doi: 10.1097/HP.0000000000000363.

Abstract

Cu-ATSM is an emerging radiopharmaceutical for diagnostic use in positron emission tomography (PET), but to date there are no studies that assess the potential occupational doses to workers in either human or veterinary medicine. This study was aimed at determining the external radiation dose to veterinary workers from clinical PET/CT (PET combined with computed tomography) procedures using Cu-ATSM. To determine the dose to the workers, each worker was assigned two Electronic Personal Dosimeters (EPDs) to be worn on the chest and waist during the entirety of each procedure. The workers monitored during this study included a radiobiologist, a nuclear medicine technologist, an anesthesiologist, and a veterinary surgeon. Seven canine patients were imaged with an average mass of 33.7 kg (a range of 20.0-55.1 kg) with an average injected activity of 5 MBq kg. The dose range for the radiobiologist was 2-17 μSv (mean of 7.1 μSv), for the nuclear medicine technologist 0-14 μSv (mean of 5.6 μSv), for the anesthesiologist 0-12 μSv (mean of 4.0 μSv), and for the surgeon 0-10 μSv (mean of 3.6 μSv). In a comparison between the results of this study and published literature on occupational exposures from veterinary FDG PET/CT procedures, Cu-ATSM veterinary PET/CT procedures, on a per patient bias, exposed workers to less radiation.

摘要

铜-ATSM是一种新兴的用于正电子发射断层扫描(PET)诊断的放射性药物,但迄今为止,尚无研究评估其在人类或兽医学中对工作人员的潜在职业剂量。本研究旨在确定使用铜-ATSM的临床PET/CT(PET与计算机断层扫描相结合)程序对兽医工作人员产生的外照射剂量。为了确定工作人员所受剂量,在每个程序的全过程中,为每位工作人员分配两个电子个人剂量计(EPD),分别佩戴在胸部和腰部。参与本研究监测的工作人员包括一名放射生物学家、一名核医学技术人员、一名麻醉师和一名兽医外科医生。对7只犬类患者进行了成像,平均体重为33.7千克(范围为20.0 - 55.1千克),平均注射活度为5 MBq/千克。放射生物学家的剂量范围为2 - 17微希沃特(平均7.1微希沃特),核医学技术人员为0 - !4微希沃特(平均5.6微希沃特),麻醉师为0 - 12微希沃特(平均4.0微希沃特),外科医生为0 - 10微希沃特(平均3.6微希沃特)。在将本研究结果与已发表的关于兽医FDG PET/CT程序职业暴露的文献进行比较时,就每例患者而言,铜-ATSM兽医PET/CT程序使工作人员受到的辐射较少。

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