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介入心脏病学工作人员的眼睛晶状体和脑部暴露风险。

Exposure of the eye lens and brain for interventional cardiology staff.

作者信息

Kidoń Joanna, Polaczek-Grelik Kinga, Żurek Przemysław, Wojakowski Wojciech, Ochala Andrzej

机构信息

Invasive Cardiology and Electrocardiology Department, Medical University of Silesia, Katowice, Poland.

Prof. K. Gibiński Memorial University Clinical Centre, Medical University of Silesia, Katowice, Poland.

出版信息

Postepy Kardiol Interwencyjnej. 2021 Sep;17(3):298-304. doi: 10.5114/aic.2021.109576. Epub 2021 Sep 28.

Abstract

INTRODUCTION

Occupational exposure to ionizing radiation for people working with an X-ray treatment unit is one of the highest in medicine. The epidemiological data analyzed by the International Commission on Radiological Protection (ICRP) indicate that the dose threshold for tissues located in the eye lens is or may be lower than previously thought. The new ICRP recommendations reduce the currently used threshold 7.5 times to the limit of 20 mSv per year.

AIM

To carry out measurements of equivalent doses for the lenses and scalps of cardiology interventional staff to determine the actual exposure.

MATERIAL AND METHODS

Personnel performing interventional cardiology procedures participated in the measurements. The measurements were performed using thermoluminescence dosimetry in two measurement periods. The operational quantities used in individual dosimetry were determined (dose equivalent for the scalp, dose equivalent for the eye lens). In both measurement periods, 69 operators and 12 nurses took part.

RESULTS

The maximum value of eye doses for cardiologists was 18.80 mSv per year, with a mean of 9.83 ±6.47 mSv/year (for all cases), 5.70 ±4.26 mSv/year (with safety glasses/headgear), 13.14 ±6.28 mSv/year (without safety glasses/headgear), and 6.28 ±1.76 mSv per year for the nurses. The values of brain doses fluctuate around 1 mSv per quarter.

CONCLUSIONS

Dose equivalents for the lenses of the eyes obtained by cardiologists may be close to or exceed the current dose limits.

摘要

引言

从事X射线治疗设备工作的人员所遭受的职业性电离辐射暴露在医学领域中是最高的之一。国际放射防护委员会(ICRP)分析的流行病学数据表明,晶状体所在组织的剂量阈值等于或可能低于先前的认知。ICRP的新建议将目前使用的阈值降低了7.5倍,至每年20毫希沃特的限值。

目的

对心脏介入科工作人员的晶状体和头皮进行当量剂量测量,以确定实际暴露情况。

材料与方法

进行心脏介入手术的人员参与了测量。测量在两个测量周期内使用热释光剂量测定法进行。确定了个人剂量测定中使用的操作量(头皮的剂量当量、晶状体的剂量当量)。在两个测量周期中,共有69名操作员和12名护士参与。

结果

心脏病专家眼部剂量的最大值为每年18.80毫希沃特,平均为9.83±6.47毫希沃特/年(所有情况),佩戴安全眼镜/防护帽时为5.70±4.26毫希沃特/年,未佩戴安全眼镜/防护帽时为13.14±6.28毫希沃特/年,护士的眼部剂量为每年6.28±1.76毫希沃特。脑部剂量的值每季度波动在1毫希沃特左右。

结论

心脏病专家获得的眼部晶状体当量剂量可能接近或超过当前剂量限值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff81/8596714/f5298289da6c/PWKI-17-45334-g001.jpg

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