Guni Ewald, Hellmann Ingo, Wucherer Michael, Knappe-Kagan Petra, Hartmann Josefin, Lell Michael, Adamus Ralf
Institute of Medical Physics, Nuremberg General Hospital, Paracelsus Medical University, Prof.-Ernst-Nathan-Str. 1, 90419, Nuremberg, Germany.
Institute of Radiology and Nuclear Medicine, Nuremberg General Hospital, Paracelsus Medical University, Prof.-Ernst-Nathan-Str. 1, Nuremberg, Germany.
Cardiovasc Intervent Radiol. 2021 Aug;44(8):1260-1265. doi: 10.1007/s00270-021-02831-3. Epub 2021 May 13.
This work was designed to study the effectiveness of radiation protection caps in lowering the dose to the brain and the eye lens during fluoroscopically guided interventions.
Two types of radiation protection caps were examined with regards to their capacity to lower the radiation dose. One cap is equipped with lateral flaps, the other one is not. These caps were fitted to the head of an anthropomorphic Alderson-Rando (A.-R.) phantom. The phantom was positioned aside an angiographic table simulating the position of the first operator during a peripheral arterial intervention. One of the brain slices and both eyes of the A.-R. phantom were equipped with thermoluminescence dosimeters (TLDs).
The analysis of the data showed that the cap without lateral flaps reduced the dose to the brain by 11,5-27,5 percent depending on the position within the brain. The cap with lateral protection flaps achieved a shielding effect between 44,7 and 78,9 percent. When evaluating the dose to the eye, we did see an increase of dose reduction from 63,3 to 66,5 percent in the left eye and from 45,8 to 46,8 percent in the right eye for the cap without lateral protection. When wearing the cap with lateral protection we observed an increase of dose reduction from 63,4 to 67,2 percent in the left eye and from 45,8 to 50,0 percent in the right eye.
Radiation protection caps can be an effective tool to reduce the dose to the brain and the eyes.
本研究旨在探讨辐射防护帽在透视引导介入操作过程中降低脑部和晶状体剂量的效果。
对两种辐射防护帽降低辐射剂量的能力进行了检测。一种防护帽带有侧翼,另一种没有。将这些防护帽戴在拟人化的阿尔德森 - 兰多(A.-R.)体模头部。体模放置在血管造影台旁,模拟外周动脉介入操作中主操作者的位置。A.-R.体模的一片脑切片和双眼均配备了热释光剂量计(TLD)。
数据分析表明,不带侧翼的防护帽可使脑部剂量降低11.5% - 27.5%,降低幅度取决于脑部的位置。带侧翼防护的防护帽屏蔽效果在44.7%至78.9%之间。在评估晶状体剂量时,我们发现不带侧翼防护的防护帽使左眼剂量降低幅度从63.3%增至66.5%,右眼从45.8%增至4,6.8%。佩戴带侧翼防护的防护帽时,我们观察到左眼剂量降低幅度从63.4%增至67.2%,右眼从45.8%增至50.0%。
辐射防护帽可以成为降低脑部和眼部剂量的有效工具。