J Am Vet Med Assoc. 2021 Sep 1;259(5):518-527. doi: 10.2460/javma.259.5.518.
To describe the radiation safety behaviors of veterinary specialists performing small animal fluoroscopic procedures and examine potential risk factors for these behaviors, including knowledge of radiation risk and training regarding machine operating parameters.
197 veterinary specialists and residents in training.
An electronic questionnaire was distributed to members of the American Colleges of Veterinary Internal Medicine (subspecialties of cardiology and small animal internal medicine), Veterinary Radiology, and Veterinary Surgery.
The overall survey response rate was 6% (240/4,274 email recipients). Of the 240 respondents, 197 (82%) had operated an x-ray unit for a small animal fluoroscopic procedure in the preceding year and fully completed the questionnaire. More than 95% of respondents believed that radiation causes cancer, yet approximately 60% of respondents never wore hand or eye protection during fluoroscopic procedures, and 28% never adjusted the fluoroscopy machine operating parameters for the purpose of reducing their radiation dose. The most common reasons for not wearing eye shielding included no requirement to wear eyeglasses, poor fit, discomfort, and interference of eyeglasses with task performance. Respondents who had received training regarding machine operating parameters adjusted those parameters to reduce their radiation dose during procedures significantly more frequently than did respondents who had not received training.
On the basis of the self-reported suboptimal radiation safety practices among veterinary fluoroscopy users, we recommend formal incorporation of radiation safety education into residency training programs. All fluoroscopy machine operators should be trained regarding the machine operating parameters that can be adjusted to reduce occupational radiation exposure.
描述执行小动物透视程序的兽医专家的辐射安全行为，并研究这些行为的潜在危险因素，包括对辐射风险的了解和有关机器操作参数的培训。
197 名兽医专家和培训中的住院医师。
向美国兽医内科学院（心脏病学和小动物内科专科）、兽医放射学和兽医外科学会的成员分发了电子问卷。
总体调查回复率为 6%（在 4274 名电子邮件收件人中，有 240 人回复）。在 240 名答复者中，有 197 名（82%）在过去一年中曾为小动物透视程序操作过 X 射线机，并完整地完成了问卷。超过 95%的答复者认为辐射会致癌，但大约 60%的答复者在透视过程中从未戴过手部或眼部防护装置，28%的答复者从未调整过透视机的操作参数以减少其辐射剂量。不戴眼部屏蔽的最常见原因包括无需戴眼镜、眼镜不合适、不舒服和眼镜干扰任务执行。接受过机器操作参数培训的受访者在手术过程中调整这些参数以减少辐射剂量的频率明显高于未接受过培训的受访者。
根据兽医透视使用者自我报告的辐射安全实践不理想的情况，我们建议将辐射安全教育正式纳入住院医师培训计划。应培训所有透视机操作人员有关可调节以减少职业辐射暴露的机器操作参数。
