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131I 摄取量和管理合规性,在使用胶囊型 131I 钠碘治疗甲状腺疾病后。

131I Intake and Regulatory Compliance Following Administration of Capsular 131I Sodium Iodide for Treatment of Thyroid Disorders.

机构信息

Department of Radiation Physics and Safety, Atlantic Health System, 100 Madison Avenue, Morristown, NJ 07962.

Atlantic Medical Group Radiology at Morristown, 100 Madison Avenue, Morristown, NJ 07960.

出版信息

Health Phys. 2022 Feb 1;122(2):360-364. doi: 10.1097/HP.0000000000001509.

Abstract

Intake of 131I by nuclear medicine technologists and physician Authorized Users was evaluated using bioassay data from administration of 131I sodium iodide in capsular form during a 5-year period. Maximum estimated annual intake of 131I sodium iodide, based on bioassay measurements performed at 24 hours post administration, ranged from 10.9 to 35.6 kBq for all staff. Intake by Authorized Users was higher than that by nuclear medicine technologists due to state requirement for Authorized Users to physically administer therapeutic dosages of radiopharmaceuticals. All intake values were less than 10% of the 131I thyroid ALI of 50 microcurie3 (1,850 kBq), indicating that monitoring may be discontinued for staff participating in routine administration of 131I capsules in which volatilization is not suspected. Elimination of bioassay performance has permitted more flexibility in patient scheduling and improved workflow and efficiency.

摘要

核医学技术人员和授权使用者摄入 131I 的情况,是通过在五年期间用胶囊形式给予 131I 钠碘进行生物测定数据分析来评估的。所有工作人员的 131I 钠碘最大估计年摄入量,基于给药后 24 小时进行的生物测定测量,范围为 10.9 至 35.6 kBq。由于授权使用者需要亲自给予放射性药物的治疗剂量,因此授权使用者的摄入量高于核医学技术人员。所有摄入量均低于 50 微居里 3 (1,850 kBq)的 131I 甲状腺 ALI 的 10%,表明对于参与常规给予 131I 胶囊且不怀疑其挥发的工作人员,可以停止监测。生物测定性能的消除使患者安排更具灵活性,并提高了工作流程和效率。

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