Gregorich Scott L, Sutherland-Smith James, Sato Amy F, May-Trifiletti Jennifer A, Miller Katia J
J Am Vet Med Assoc. 2018 May 1;252(9):1133-1140. doi: 10.2460/javma.252.9.1133.
OBJECTIVE To evaluate the knowledge of various veterinary specialists regarding various radiation safety matters and determine the availability of radiation safety training. DESIGN Cross-sectional study. SAMPLE 164 radiology, 81 internal medicine, and 108 emergency and critical care (ECC) specialists. PROCEDURES An online survey was developed regarding knowledge of and training in radiation safety, and invitations were sent via email through the email lists of the veterinary internal medicine, ECC, and radiology specialty colleges. Responses were summarized, and comparisons were made between radiologists and internal medicine and ECC clinicians. RESULTS 65.5% (38 /58) of respondents from academic institutions and 30.0% (33/110) of respondents from private practices indicated that radiation safety training was mandatory at their institution for personnel who work with ionizing radiation-emitting equipment, and 80.2% (85/106) and 56.6% (77/136), respectively, had received some radiation safety training. Low proportions of radiologists and internal medicine and ECC clinicians correctly identified the effective dose of ionizing radiation associated with 3-phase esophagography and 3-phase abdominal CT. Many radiologists (92/153 [60.1%]) and nonradiologists (92/179 [51.4%]) believed that the effective doses used in veterinary practice pose no increased risk of fatal cancer to their patients. CONCLUSIONS AND CLINICAL RELEVANCE Radiation safety training, although more common in academia, was not universally available and may not meet radiography equipment license requirements for some institutions. Most radiologists, internal medicine clinicians, and ECC clinicians had a poor understanding of the amount of ionizing radiation associated with medical imaging procedures and the potential hazards to their patients.
目的 评估各类兽医专家对各种辐射安全事项的了解程度，并确定辐射安全培训的可获得性。 设计 横断面研究。 样本 164 名放射科专家、81 名内科专家和 108 名急诊与重症护理（ECC）专家。 程序 开展了一项关于辐射安全知识和培训的在线调查，并通过兽医内科、ECC 和放射科专科院校的电子邮件列表发送邀请。对回复进行总结，并比较放射科医生与内科和 ECC 临床医生之间的情况。 结果 来自学术机构的 65.5%（38/58）的受访者和来自私人诊所的 30.0%（33/110）的受访者表示，其机构要求使用电离辐射发射设备的人员必须接受辐射安全培训，分别有 80.2%（85/106）和 56.6%（77/136）的人员接受过一些辐射安全培训。放射科医生以及内科和 ECC 临床医生中，正确识别与三相食管造影和三相腹部 CT 相关的电离辐射有效剂量的比例较低。许多放射科医生（92/153 [60.1%]）和非放射科医生（92/179 [51.4%]）认为，兽医实践中使用的有效剂量不会增加其患者患致命癌症的风险。 结论及临床意义 辐射安全培训虽然在学术界更为常见，但并非普遍可获得，可能不符合某些机构的射线照相设备许可要求。大多数放射科医生、内科临床医生和 ECC 临床医生对与医学成像程序相关的电离辐射量及其对患者的潜在危害了解不足。
