Bijwaard Harmen, Valk Doreth, de Waard-Schalkx Ischa
Health Phys. 2018 Jun;114(6):627-631. doi: 10.1097/HP.0000000000000837.
A survey was conducted among 20 Dutch hospitals about radiation protection for interventional fluoroscopy. This was a follow-up of a previous study in 2007 that led to several recommendations for radiation protection for interventional fluoroscopy. The results indicate that most recommendations have been followed. However, radiation-induced complications from interventional procedures are still often not recorded in the appropriate register. Furthermore, even though professionals with appropriate training in radiation protection are usually involved in interventional procedures, this often is not the case when these procedures are carried out outside the radiology department. Although this involvement is not required by Dutch law, it is recommended to have radiation protection professionals present more often at interventional procedures. Further improvements in radiation protection for interventional fluoroscopy may come from a comparison of dose-reducing practices among hospitals, the introduction of diagnostic reference levels for interventional procedures, and a more thorough form of screening and follow-up of patients.
针对荷兰20家医院的介入性荧光透视检查的辐射防护情况进行了一项调查。这是对2007年之前一项研究的后续跟进，该研究针对介入性荧光透视检查的辐射防护提出了若干建议。结果表明，大多数建议已得到遵循。然而，介入手术引起的辐射并发症仍常常未在适当的登记册中记录。此外，尽管接受过辐射防护适当培训的专业人员通常会参与介入手术，但在放射科以外进行这些手术时，情况往往并非如此。虽然荷兰法律并未要求这种参与，但建议辐射防护专业人员更频繁地出现在介入手术中。介入性荧光透视检查辐射防护的进一步改进可能来自医院之间减少剂量做法的比较、引入介入手术的诊断参考水平，以及对患者进行更彻底的筛查和随访。
