From the Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, Rockville, MD 20850 (D.V., C.M.K.); Weddington, NC (R.C.Y.); Landauer, Glenwood, Ill (C.P.); and Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, France (M.O.B.).
Radiology. 2018 May;287(2):676-682. doi: 10.1148/radiol.2018171138. Epub 2018 Feb 1.
Purpose To summarize occupational badge doses recorded for a sample of U.S. nuclear medicine technologists. Materials and Methods Nine large U.S. medical institutions identified 208 former and current nuclear medicine technologists certified after 1979 and linked these individuals to historic badge dose records maintained by a commercial dosimetry company (Landauer), yielding a total of 2618 annual dose records. The distributions of annual and cumulative occupational doses were described by using summary statistics. Results Between 1992 and 2015, the median annual personal dose equivalent per nuclear medicine technologist was 2.18 mSv (interquartile range [IQR], 1.25-3.47 mSv; mean, 2.69 mSv). Median annual personal dose equivalents remained relatively constant over this period (range, 1.40-3.30 mSv), while maximum values generally increased over time (from 8.00 mSv in 1992 to 13.9 mSv in 2015). The median cumulative personal dose equivalent was 32.9 mSv (IQR, 18.1-65.5 mSv; mean, 51.4 mSv) for 45 technologists who had complete information and remained employed through 2015. Conclusion Occupational radiation doses were well below the established occupational limits and were consistent with those observed for nuclear medicine technologists worldwide and were greater than those observed for nuclear and general medical workers in the United States These results should be informative for radiation monitoring and safety efforts in nuclear medicine departments. RSNA, 2018 Online supplemental material is available for this article.
目的 总结美国核医学技师职业徽章剂量记录的样本。
材料和方法 9 家美国大型医疗机构确定了 1979 年后认证的 208 名前核医学技师和现任核医学技师,并将这些人与其由一家商业剂量测定公司(Landauer)保存的历史徽章剂量记录相关联,总共获得了 2618 份年度剂量记录。使用汇总统计量描述了年度和累积职业剂量的分布。
结果 在 1992 年至 2015 年间,每位核医学技师的年个人剂量当量中位数为 2.18 mSv(四分位间距[IQR],1.25-3.47 mSv;平均值,2.69 mSv)。在此期间,年个人剂量当量中位数相对保持不变(范围,1.40-3.30 mSv),而最大值通常随时间增加(从 1992 年的 8.00 mSv 增加到 2015 年的 13.9 mSv)。对于 45 名信息完整且截至 2015 年仍在职的技师,中位数累积个人剂量当量为 32.9 mSv(IQR,18.1-65.5 mSv;平均值,51.4 mSv)。
结论 职业辐射剂量远低于既定的职业限制,与全球核医学技师观察到的结果一致,且高于美国核和普通医务人员观察到的结果。这些结果应为核医学部门的辐射监测和安全工作提供信息。
RSNA,2018 在线补充材料可在本文中获得。