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介入心脏病学中的医护人员监测:基于测量和模拟的围裙剂量计放置。

Medical staff monitoring in interventional cardiology: over apron dosemeter placement based on measurements and simulations.

机构信息

ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, IRP-Radiation Protection Institute, Bologna 40129, Italy.

Medical Physics Department, AUSL Romagna, Forlì 47121, Italy.

出版信息

Radiat Prot Dosimetry. 2024 Jun 3;200(8):802-807. doi: 10.1093/rpd/ncae125.

Abstract

Interventional cardiology is characterized by high radiation exposure for both the patient and the operator. Adequate shielding and monitoring of the operator are fundamental to comply with radiation protection principles. In a previous work, the effect on the dose of the dosemeter position on the chest was studied. In this paper, the investigation has been completed, employing an anthropomorphic thorax phantom, equipped with arms. Although there are differences between the Monte Carlo simulations and the measurements, similar trends are observed, showing that the reduction in dose, due to the arms, is between 20 and 60%, compared with the situation without arms. For that reason, considering a dosemeter placed on the chest, the upper position, which is the least affected by the arms, should be preferred while the extreme lateral position, near the armpit, should be avoided.

摘要

介入心脏病学的特点是患者和操作人员都会受到大量的辐射。为了符合辐射防护原则,对操作人员进行充分的屏蔽和监测是至关重要的。在之前的一项工作中,研究了剂量计在胸部位置对剂量的影响。在本文中,使用配备手臂的人体胸腔模型完成了这项调查。尽管蒙特卡罗模拟和测量之间存在差异,但观察到了相似的趋势,表明由于手臂的存在,剂量减少了 20%至 60%,与没有手臂的情况相比。因此,考虑到放置在胸部的剂量计,应优选受手臂影响最小的上部位置,而应避免靠近腋窝的最外侧位置。

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