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神经血管介入医师眼部的职业辐射暴露

OCCUPATIONAL RADIATION EXPOSURE OF THE EYE IN NEUROVASCULAR INTERVENTIONAL PHYSICIAN.

作者信息

Kato Mamoru, Chida Koichi, Ishida Takato, Toyoshima Hideto, Yoshida Yasuyuki, Yoshioka Shotaro, Moroi Junta, Kinoshita Toshibumi

机构信息

Department of Radiology and Nuclear Medicine, Research Institute for Brain & Blood Vessels-Akita.

Course of Radiological Technology, Health Sciences, Tohoku University Graduate School of Medicine.

出版信息

Radiat Prot Dosimetry. 2019 Dec 23;185(2):151-156. doi: 10.1093/rpd/ncy285.

Abstract

Neurovascular interventional radiology (neuro-IR) procedures tend to require an extended fluoroscopic exposure time and repeated digital subtraction angiography. To evaluate the actual measurement of eye lens dose using a direct eye dosemeter in neuro-IR physicians is important. Direct dosimetry using the DOSIRIS™ (IRSN, France) [3 mm dose equivalent, Hp(3)] was performed on 86 cases. Additionally, a neck personal dosemeter (glass badge) [0.07 mm dose equivalent, Hp(0.07)] was worn outside the protective apron to the left of the neck. The average doses per case of neuro-IR physicians were 0.04 mSv/case and 0.02 mSv/case, outside and inside the radiation protection glasses, respectively. The protective effect of radiation protection glasses was approximately 60%. The physician eye lens dose tended to be overestimated by the neck glass badge measurements. A correct evaluation of the lens dose [Hp(3)] using an eye dosemeter such as DOSIRIS™ is needed for neuro-IR physicians.

摘要

神经血管介入放射学(神经介入放射学)手术往往需要较长的透视曝光时间和反复的数字减影血管造影。使用直接眼剂量计评估神经介入放射学医生眼晶状体剂量的实际测量值很重要。对86例患者使用DOSIRIS™(法国辐射防护与核安全研究所)进行直接剂量测定[3毫米剂量当量,Hp(3)]。此外,在颈部左侧的防护围裙外佩戴颈部个人剂量计(玻璃徽章)[0.07毫米剂量当量,Hp(0.07)]。神经介入放射学医生每例的平均剂量在辐射防护眼镜外为0.04毫希沃特/例,在辐射防护眼镜内为0.02毫希沃特/例。辐射防护眼镜的防护效果约为60%。颈部玻璃徽章测量往往高估了医生的眼晶状体剂量。神经介入放射学医生需要使用如DOSIRIS™这样的眼剂量计对晶状体剂量[Hp(3)]进行正确评估。

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