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诊断和介入放射学中的潜在职业暴露:基于芬兰国家剂量登记数据的统计建模

Potential occupational exposures in diagnostic and interventional radiology: statistical modeling based on Finnish national dose registry data.

作者信息

Pekkarinen Antti, Siiskonen Teemu, Lehtinen Maaret, Savolainen Sauli, Kortesniemi Mika

机构信息

1 HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

2 STUK - Radiation and Nuclear Safety Authority of Finland, Helsinki, Finland.

出版信息

Acta Radiol. 2019 Jan;60(1):68-77. doi: 10.1177/0284185118770902. Epub 2018 Apr 17.

Abstract

BACKGROUND

Radiation worker categorization and exposure monitoring practices must be proportional to the current working environment.

PURPOSE

To analyze exposure data of Finnish radiological workers and to estimate the magnitude and frequency of their potential occupational radiation exposure, and to propose appropriate radiation worker categorization.

MATERIAL AND METHODS

Estimates of the probabilities of annual effective doses exceeding certain levels were obtained by calculating the survival function of a lognormal probability density function (PDF) fitted in the measured occupational exposure data.

RESULTS

The estimated probabilities of exceeding annual effective dose limits of 1 mSv, 6 mSv, and 20 mSv were in the order of 1:200, 1:10,000, and 1:500,000 per person, respectively.

CONCLUSION

It is very unlikely that the Category B annual effective dose limit of 6 mSv could even potentially be exceeded using modern equipment and appropriate working methods. Therefore, in terms of estimated effective dose, workers in diagnostic and interventional radiology could be placed into Category B in Finland. Current national personal monitoring practice could be replaced or supplemented using active personal dosimeters, which offer more effective means for optimizing working methods.

摘要

背景

辐射工作人员的分类和照射监测实践必须与当前工作环境相适应。

目的

分析芬兰放射工作人员的照射数据,估计其潜在职业辐射照射的剂量大小和频率,并提出适当的辐射工作人员分类。

材料与方法

通过计算拟合于实测职业照射数据的对数正态概率密度函数(PDF)的生存函数,得出年有效剂量超过特定水平的概率估计值。

结果

估计每人每年超过1毫希沃特、6毫希沃特和20毫希沃特年有效剂量限值的概率分别约为1:200、1:10000和1:500000。

结论

使用现代设备和适当的工作方法,极不可能超过6毫希沃特的B类年有效剂量限值。因此,就估计的有效剂量而言,芬兰的诊断和介入放射学工作人员可归为B类。现行的国家个人监测实践可用主动式个人剂量计替代或补充,主动式个人剂量计为优化工作方法提供了更有效的手段。

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