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在核医学设施中,通过采取呼吸道防护措施减少医务人员体内锝的放射性内污染。

Reduction in radioactive internal contamination by Tc among medical personnel in nuclear medicine facilities with the use of respiratory tract protection measures.

作者信息

Brudecki Kamil, Borkowska Eliza, Gorzkiewicz Krzysztof, Kostkiewicz Magdalena, Misiak Ryszard, Mróz Tomasz, Nalichowska Ewa

机构信息

Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Kraków, Poland.

Nuclear Medicine Department, John Paul II Hospital, Prądnicka 80, Kraków, Poland.

出版信息

J Radioanal Nucl Chem. 2022;331(12):5061-5065. doi: 10.1007/s10967-022-08639-w. Epub 2022 Nov 14.

Abstract

The main objective of the present publication was to assess the reduction of internal radioactive contamination with Tc among medical personnel of nuclear medicine facilities using generally available respiratory tract protection systems. During the current research project, four respiratory tract protection systems were tested by estimation of Tc activity levels in blood samples collected from medical personnel. Medical staff were equipped with a disposable surgical mask, a half mask with gas absorbers, a half mask with aerosol absorbers and a half mask with gas absorbers with added Petryanov filter. The presented results indicate that wearing only a disposable surgical mask may significantly reduce radioactive internal contamination among medical personnel and improve their safety in the workplace. The best results of reduced Tc concentration in the blood were achieved by the use of a half mask with gas absorbers with added Pertryanov filters and a half mask with aerosol absorbers, where the reduction factors were estimated at 90% and 80%, respectively. Respiratory tract protection systems should become standard equipment for medical personnel performing ventilation-perfusion SPECT lung scans.

摘要

本出版物的主要目的是评估使用通用呼吸道防护系统的核医学设施医务人员体内锝放射性污染的减少情况。在当前的研究项目中,通过估计从医务人员采集的血样中锝的活度水平,对四种呼吸道防护系统进行了测试。医务人员配备了一次性外科口罩、带气体吸收器的半面罩、带气溶胶吸收器的半面罩以及带气体吸收器并添加了佩特里亚诺夫过滤器的半面罩。呈现的结果表明,仅佩戴一次性外科口罩可能会显著降低医务人员体内的放射性污染,并提高他们在工作场所的安全性。通过使用添加了佩特里亚诺夫过滤器的带气体吸收器的半面罩和带气溶胶吸收器的半面罩,血液中锝浓度降低的最佳效果得以实现,其中降低系数分别估计为90%和80%。呼吸道防护系统应成为进行通气灌注SPECT肺部扫描的医务人员的标准装备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4684/9662768/9c4ba0ade02d/10967_2022_8639_Fig1_HTML.jpg

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