Boice John, Dauer Lawrence T, Kase Kenneth R, Mettler Fred A, Vetter Richard J
National Council on Radiation Protection and Measurements, Bethesda, MD, USA.
Departments of Medical Physics and Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Br J Radiol. 2020 Aug;93(1112):20200282. doi: 10.1259/bjr.20200282. Epub 2020 Jun 4.
Within a few months of discovery, X-rays were being used worldwide for diagnosis and within a year or two for therapy. It became clear very quickly that while there were immense benefits, there were significant associated hazards, not only for the patients, but also for the operators of the equipment. Simple radiation protection measures were implemented within a decade or two and radiation protection for physicians and other operators has continued to evolve over the last century driven by cycles of widening uses, new technologies, realization of previously unidentified effects, development of recommendations and regulations, along with the rise of related societies and professional organizations. Today, the continue acceleration of medical radiation uses in diagnostic imaging and in therapeutic modalities not imagined at the turn of this century, such as positron emission tomography, calls for constant vigilance and flexibility to provide adequate protection for the growing numbers of medical radiation workers.
在发现X射线后的几个月内,它就在全球范围内被用于诊断,一两年内就用于治疗。很快就清楚了,虽然X射线有巨大的益处,但也存在重大的相关危害,不仅对患者,对设备操作人员也是如此。在一二十年内就实施了简单的辐射防护措施,并且在过去的一个世纪里,随着使用范围的不断扩大、新技术的出现、对先前未识别影响的认识、建议和法规的制定,以及相关协会和专业组织的兴起,医生和其他操作人员的辐射防护一直在不断发展。如今,在诊断成像以及本世纪初还无法想象的治疗方式(如正电子发射断层扫描)中,医疗辐射的使用持续加速,这就需要持续保持警惕并具备灵活性,以便为越来越多的医疗辐射工作者提供充分的保护。