Hashmi Shahrukh K, Powles Ray C, Ma David, Muhsen Ibrahim N, Aljurf Mahmoud, Niederwieser Dietger, Weisdorf Daniel J, Koh Mickey B C, Greinix Hildegard
Division of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Department of Medicine, Sheikh Shakbout Medical City, Abu Dhabi, UAE.
Ann Hematol. 2024 Apr;103(4):1121-1129. doi: 10.1007/s00277-023-05191-9. Epub 2023 Jun 6.
Any conflict in countries that process nuclear power plants raises concerns of the potential radiation injuries to the people in that region and beyond such as the current conflict in Ukraine. International healthcare organizations and societies should prepare for the potential scenarios of nuclear incidents. The Worldwide Network for Blood and Marrow Transplantation (WBMT) and its members, have recent experience preparing for this type of events such as the Fukushima incident in 2011. In this article, we discuss the risks of radiation exposure, current guidelines, and scientific evidence on hematopoietic support, including the role of hematopoietic stem cell transplant (HCT) for those exposed to nuclear radiation, and the role that the WBMT and other global BMT societies can play in triaging and managing people suffering from radiation injuries.
任何涉及核电站的国家冲突都会引发人们对该地区及周边地区民众可能遭受辐射伤害的担忧,比如当前乌克兰的冲突。国际医疗组织和团体应针对核事故的潜在情况做好准备。全球血液和骨髓移植网络(WBMT)及其成员,近期有过应对此类事件的经验,比如2011年的福岛事件。在本文中,我们将讨论辐射暴露的风险、现行指南以及造血支持方面的科学证据,包括造血干细胞移植(HCT)对遭受核辐射者的作用,以及WBMT和其他全球骨髓移植团体在对辐射损伤患者进行分类和管理中可发挥的作用。