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介入心脏病学实践中的职业剂量测量。

Occupational dose measurement in interventional cardiology practice.

机构信息

Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka.

Department of Physical Sciences, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.

出版信息

Radiat Prot Dosimetry. 2024 May 8;200(7):629-639. doi: 10.1093/rpd/ncae072.

Abstract

Ensuring the safety of healthcare workers in interventional cardiology necessitates effective monitoring of occupational radiation exposure. This study aims to assess the accuracy of the over-apron single dosimetric approach compared with double dosimetric methods and explore the relationship between under-apron and over-apron doses. This investigation showed that the prescribed annual dose constraint of 20 mSv year-1 was not exceeded by the maximum annual occupational doses determined by dosimetric algorithms, which were 0.13 ± 0.02, 0.15 ± 0.02 and 0.27 ± 0.04 mSv, respectively. The study demonstrated excellent statistically significant correlations among single and double dosimetric algorithms and between direct under-apron and over-apron doses. Consequently, single dosimetric algorithms could effectively estimate doses for double dosimetric algorithms, highlighting the limited added value of under-apron measurements. These findings significantly impact the practice of interventional cardiology in Sri Lanka, playing a crucial role in enhancing radiation protection measures.

摘要

确保介入心脏病学医护人员的安全需要对职业辐射暴露进行有效监测。本研究旨在评估与双剂量测定方法相比,围裙上剂量测定方法的准确性,并探讨围裙下和围裙上剂量之间的关系。本研究表明,剂量测定算法确定的最大年职业剂量(分别为 0.13 ± 0.02、0.15 ± 0.02 和 0.27 ± 0.04 mSv)未超过规定的 20 mSv 年-1 的年剂量限值。研究表明,单剂量和双剂量测定算法之间以及直接围裙下和围裙上剂量之间存在极好的统计学显著相关性。因此,单剂量测定算法可以有效地估计双剂量测定算法的剂量,突出了围裙下测量的附加值有限。这些发现对斯里兰卡介入心脏病学的实践产生了重大影响,对辐射防护措施的加强起到了关键作用。

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