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本文引用的文献

1
The value of thyroid shielding in intraoral radiography.口腔内放射摄影中甲状腺防护的价值。
Dentomaxillofac Radiol. 2016;45(5):20150407. doi: 10.1259/dmfr.20150407. Epub 2016 Mar 23.
2
The effects of device position on the operator's radiation dose when using a handheld portable X-ray device.使用手持式便携式X射线设备时,设备位置对操作者辐射剂量的影响。
Dentomaxillofac Radiol. 2016;45(3):20150245. doi: 10.1259/dmfr.20150245. Epub 2016 Jan 14.
3
Justification and good practice in using handheld portable dental X-ray equipment: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR).手持式便携式牙科X射线设备的使用理由与良好实践:欧洲牙颌面放射学会(EADMFR)编写的立场文件。
Dentomaxillofac Radiol. 2015;44(6):20140343. doi: 10.1259/dmfr.20140343. Epub 2015 Feb 24.
4
Using hand-held dental x-ray devices: ensuring safety for patients and operators.
J Am Dent Assoc. 2014 Nov;145(11):1130-2. doi: 10.14219/jada.2014.85.
5
Maintaining radiation exposures as low as reasonably achievable (ALARA) for dental personnel operating portable hand-held x-ray equipment.为操作便携式手持 X 射线设备的牙科医务人员保持尽可能低的辐射照射(ALARA)。
Health Phys. 2012 Aug;103(2 Suppl 2):S179-85. doi: 10.1097/HP.0b013e318259fa29.
6
Dental staff doses with handheld dental intraoral x-ray units.手持牙科口腔内 X 射线设备的牙科工作人员剂量。
Health Phys. 2012 Feb;102(2):137-42. doi: 10.1097/HP.0b013e318230778a.
7
Operator exposure to scatter radiation from a portable hand-held dental radiation emitting device (Aribex NOMAD) while making 915 intraoral dental radiographs.在进行915次口腔内牙科X光摄影时,操作人员暴露于便携式手持牙科辐射发射设备(Aribex NOMAD)产生的散射辐射中。
J Forensic Sci. 2009 Mar;54(2):415-21. doi: 10.1111/j.1556-4029.2008.00960.x. Epub 2009 Jan 29.
8
The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103.国际放射防护委员会2007年建议。ICRP第103号出版物。
Ann ICRP. 2007;37(2-4):1-332. doi: 10.1016/j.icrp.2007.10.003.

手持和便携式 X 射线设备获取口腔内图像时的操作人员安全。

Operator safety during the acquisition of intraoral images with a handheld and portable X-ray device.

机构信息

1 Department of Craniomaxillofacial Surgery, Plastic Surgery, Faculty of Health, University Witten/Herdecke, Hospital Dortmund , Witten/Herdecke , Germany.

2 Digital Diagnostic Center Ltd , Freiburg im Breisgau , Germany.

出版信息

Dentomaxillofac Radiol. 2018 Feb;47(3):20160410. doi: 10.1259/dmfr.20160410. Epub 2018 Feb 7.

DOI:10.1259/dmfr.20160410
PMID:29319336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6047632/
Abstract

OBJECTIVES

The present study aims at investigating different radiation protection issues and dose values while acquiring intraoral images with a handheld X-ray device.

METHODS

An Aribex NOMAD Pro 2™, a RANDO male head phantom, a consistency testing body, a PTW NOMEX Multimeter, and a PTW Farmer Ionization Chamber Type 30,010 were used to investigate: (1) dose area products; (2) the expansion of the control area (CA); (3) the scattering pattern and (4) the potential risk for operators of the X-ray device.

RESULTS

Dose area products at different exposure times were distributed linearly with a high correlation factor (>0.9). At 4000 simulated exposures, the greatest extent of the CA was 42 cm (mean = 16.7 cm, SD = 10.8 cm). The highest occurrence of scattering radiation resulted between the RANDO phantom and the X-ray device. No scattered radiation was measured at the dorsal part of the phantom or on the operator site of a virtual vertical plane through the focal spot of the X-ray.

CONCLUSIONS

Through this study, we could demonstrate that the application of an Aribex NOMAD Pro 2 device for intraoral imaging does not increase the risk for the operator if the device is controlled according to the manufacturer's specifications. Furthermore, we were able to show that the CA was significantly smaller than specified by European and other international radiation protection standards.

摘要

目的

本研究旨在调查使用手持 X 射线设备获取口腔内图像时的不同辐射防护问题和剂量值。

方法

使用 Aribex NOMAD Pro 2™、RANDO 男性头部体模、一致性测试体、PTW NOMEX 多电表和 PTW Farmer 电离室型 30,010 来研究:(1)剂量面积产物;(2)控制区域(CA)的扩展;(3)散射模式;(4)X 射线设备操作人员的潜在风险。

结果

不同曝光时间的剂量面积产物呈线性分布,相关系数高(>0.9)。在 4000 次模拟曝光中,CA 的最大程度为 42cm(平均值=16.7cm,标准差=10.8cm)。RANDO 体模和 X 射线设备之间的散射辐射发生率最高。在体模的背面或虚拟垂直平面上通过 X 射线的焦点的操作人员位置没有测量到散射辐射。

结论

通过这项研究,我们可以证明,如果按照制造商的规格控制 Aribex NOMAD Pro 2 设备的应用,则不会增加操作人员的风险。此外,我们能够表明 CA 明显小于欧洲和其他国际辐射防护标准所规定的范围。