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放射防护培训或实时个人剂量计显示是否会降低 X 射线引导下经支气管镜肺活检术期间的工作人员剂量?

DOES RADIOLOGICAL PROTECTION TRAINING OR A REAL-TIME STAFF DOSEMETER DISPLAY REDUCE STAFF DOSES DURING X-RAY-GUIDED PULMONARY BRONCHOSCOPY?

机构信息

Department of Radiology, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Department of Medical Radiation Physics, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

出版信息

Radiat Prot Dosimetry. 2022 Apr 26;198(5):265-273. doi: 10.1093/rpd/ncac028.

DOI:10.1093/rpd/ncac028
PMID:35348761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9040482/
Abstract

X-ray-guided interventions have increased in number and complexity. Mandatory radiological protection training includes both theoretical and practical training sessions. A recent additional training tool is real-time display dosemeters that give direct feedback to staff on their individual dose rates. Ten staff members who regularly perform pulmonary bronchoscopy wore an extra dosemeter during four 2-month periods. We controlled for the patient air kerma area product and the number of procedures in each period. Between periods 1 and 2, radiological training sessions were held and during period 3 the staff used the real-time display system. Focus-group interviews with the staff were held to obtain their opinion about learning radiological protection. We hypothesised that neither training nor the additional real-time dose rate display alters the personal dose equivalent, Hp(d); d = 0.07 and 10 mm. Useful experiences from radiological protection training were obtained, and median staff doses did decrease, however not significantly.

摘要

X 射线引导介入的数量和复杂性不断增加。强制性的放射防护培训包括理论和实践培训课程。最近的一个额外的培训工具是实时显示剂量计,它可以直接向工作人员反馈他们的个人剂量率。十位经常进行肺支气管镜检查的工作人员在四个 2 个月的时间段内佩戴了额外的剂量计。我们在每个时间段内控制患者空气比释动能面积乘积和操作次数。在第 1 阶段和第 2 阶段之间进行了放射防护培训,在第 3 阶段工作人员使用了实时显示系统。对工作人员进行了焦点小组访谈,以了解他们对放射防护学习的看法。我们假设培训和额外的实时剂量率显示都不会改变个人剂量当量 Hp(d);d=0.07 和 10 毫米。从放射防护培训中获得了有用的经验,工作人员的剂量中位数有所下降,但没有显著变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf19/9040482/3b264bb9c058/ncac028f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf19/9040482/3b264bb9c058/ncac028f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf19/9040482/3b264bb9c058/ncac028f1.jpg

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