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医院中个人主动式剂量计的使用:欧洲放射剂量学研究组调查

Use of active personal dosimeters in hospitals: EURADOS survey.

作者信息

Ciraj-Bjelac Olivera, Carinou Eleftheria, Vanhavere Filip

机构信息

Vinca Institute of Nuclear Sciences (VINCA), University of Belgrade, Belgrade, Serbia.

出版信息

J Radiol Prot. 2018 Jun;38(2):702-715. doi: 10.1088/1361-6498/aabce1. Epub 2018 Apr 10.

Abstract

Considering that occupational exposure in medicine is a matter of growing concern, active personal dosimeters (APDs) are also increasingly being used in different fields of application of ionising radiation in medicine. An extensive survey to collect relevant information regarding the use of APDs in medical imaging applications of ionising radiation was organised by the EURADOS (European Radiation Dosimetry Group) Working Group 12. The objective was to collect data about the use of APDs and to identify the basic problems in the use of APDs in hospitals. APDs are most frequently used in interventional radiology and cardiology departments (54%), in nuclear medicine (29%), and in radiotherapy (12%). Most types of APDs use silicon diodes as the detector; however, in many cases their calibration is not given proper attention, as radiation beam qualities in which they are calibrated differ significantly from those in which they are actually used. The survey revealed problems related to the use of APDs, including their reliability in pulsed x-ray fields that are widely used in hospitals. Guidance from regulatory authorities and professional organisations on the testing and calibration of APDs used in hospital would likely improve the situation.

摘要

鉴于医学领域的职业暴露问题日益受到关注,有源个人剂量计(APD)在医学电离辐射的不同应用领域也越来越多地被使用。欧洲辐射剂量测定小组(EURADOS)第12工作组组织了一项广泛的调查,以收集有关APD在医学电离辐射成像应用中使用的相关信息。目的是收集有关APD使用的数据,并确定医院中使用APD的基本问题。APD最常用于介入放射科和心内科(54%)、核医学科(29%)和放射治疗科(12%)。大多数类型的APD使用硅二极管作为探测器;然而,在许多情况下,它们的校准没有得到应有的重视,因为它们校准所用的辐射束质量与实际使用的辐射束质量有很大差异。调查揭示了与APD使用相关的问题,包括它们在医院广泛使用的脉冲X射线场中的可靠性。监管机构和专业组织对医院使用的APD进行测试和校准的指导可能会改善这种情况。

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