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不同眼部放射防护装置的防护效果:一项体模研究。

Protective Efficacy of Different Ocular Radiation Protection Devices: A Phantom Study.

机构信息

Clinic of Diagnostic and Interventional Radiology, Philipps-University of Marburg, Baldingerstrasse 1, 35043, Marburg, Germany.

Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Sciences, Giessen, Germany.

出版信息

Cardiovasc Intervent Radiol. 2020 Jan;43(1):127-134. doi: 10.1007/s00270-019-02319-1. Epub 2019 Sep 5.

Abstract

PURPOSE

The aim of this study was to investigate the efficacy of different designs and types of ocular radiation protection devices depending on simulated varied body heights in a phantom-simulated thoracic intervention.

MATERIALS AND METHODS

A clinical angiography system with a standardized fluoroscopy protocol with an anthropomorphic chest phantom as a scattering object and optically stimulated luminescence dosimeters for measuring radiation dose were used. The dosimeters were placed at the position of eyes of an anthropomorphic head phantom simulating the examiner. The head phantom was placed on a height-adjustable stand simulating the height of the examiner from 160 to 200 cm with 10 cm increments. The dose values were then measured with no radiation protection, a weightless-like radiation protection garment, radiation protection glasses and visors.

RESULTS

The average dose reduction using radiation protection devices varied between 57.7 and 83.4% (p < 0.05) in comparison with no radiation protection. Some radiation protection glasses and visors showed a significant dose reduction for the eye lenses when the height of the examiner increased. The right eye was partially less protected, especially if the distances between the simulated examiner's head and the scatter object were small.

CONCLUSION

All the investigated protection devices showed a significant reduction in radiation exposure to the simulated examiner. For some devices, the radiation dose increased with decreasing distance to the scattering object, especially for the right eye lens.

摘要

目的

本研究旨在探讨不同设计和类型的眼部放射防护装置在模拟不同人体高度的胸部介入中的疗效。

材料与方法

使用带有标准化透视协议的临床血管造影系统、作为散射物体的人体模拟胸部模型和用于测量辐射剂量的光激励发光剂量计。将剂量计放置在模拟检查者眼睛位置的人体头部模型上。将头部模型放置在一个高度可调的支架上,模拟检查者的身高从 160 厘米到 200 厘米,每隔 10 厘米递增一次。然后,在没有放射防护、无重放射防护服、放射防护眼镜和面罩的情况下测量剂量值。

结果

与无放射防护相比,使用放射防护装置可使平均剂量降低 57.7%至 83.4%(p<0.05)。当检查者的身高增加时,一些放射防护眼镜和面罩对晶状体的剂量降低有显著效果。右眼的保护程度较低,尤其是在模拟检查者头部与散射物体之间的距离较小时。

结论

所有研究的防护装置都能显著降低模拟检查者的辐射暴露。对于一些设备,随着与散射物体的距离减小,辐射剂量会增加,尤其是右眼晶状体。

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