López P Ortiz, Dauer L T, Loose R, Martin C J, Miller D L, Vañó E, Doruff M, Padovani R, Massera G, Yoder C
Ann ICRP. 2018 Mar;47(2):1-118. doi: 10.1177/0146645317750356.
In recent publications, such as Publications 117 and 120, the Commission provided practical advice for physicians and other healthcare personnel on measures to protect their patients and themselves during interventional procedures. These measures can only be effective if they are encompassed by a framework of radiological protection elements, and by the availability of professionals with responsibilities in radiological protection. This framework includes a radiological protection programme with a strategy for exposure monitoring, protective garments, education and training, and quality assurance of the programme implementation. Professionals with responsibilities in occupational radiological protection for interventional procedures include: medical physicists; radiological protection specialists; personnel working in dosimetry services; clinical applications support personnel from the suppliers and maintenance companies; staff engaged in training, standardisation of equipment, and procedures; staff responsible for occupational health; hospital administrators responsible for providing financial support; and professional bodies and regulators. This publication addresses these elements and these audiences, and provides advice on specific issues, such as assessment of effective dose from dosimeter readings when an apron is worn, estimation of exposure of the lens of the eye (with and without protective eyewear), extremity monitoring, selection and testing of protective garments, and auditing the interventional procedures when occupational doses are unusually high or low (the latter meaning that the dosimeter may not have been worn).
在近期的出版物中，如第117号和第120号出版物，委员会就介入操作期间保护患者和自身的措施向医生及其他医护人员提供了实用建议。只有在放射防护要素框架以及有负责放射防护的专业人员的情况下，这些措施才能有效。该框架包括一个放射防护计划，其中有暴露监测策略、防护服、教育与培训以及计划实施的质量保证。介入操作职业放射防护的责任专业人员包括：医学物理学家；放射防护专家；剂量测定服务人员；供应商和维修公司的临床应用支持人员；从事培训、设备标准化及程序制定的人员；负责职业健康的人员；负责提供资金支持的医院管理人员；以及专业团体和监管机构。本出版物阐述了这些要素及受众群体，并就具体问题提供建议，如佩戴铅衣时根据剂量仪读数评估有效剂量、（佩戴和未佩戴防护眼镜时）估算眼部晶状体暴露量、四肢监测、防护服的选择与测试，以及职业剂量异常高或低（后者意味着可能未佩戴剂量仪）时对介入操作进行审核。
