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辐射防护:介入放射科医生的安全措施与知识——基于英国的当前实践分析及改进建议

Radiation protection: safety measures and knowledge among interventional radiologists- a UK-based analysis of current practices and recommendations for improvement.

作者信息

Gasiea Rayhan Y, Rogers Andy, Lakshminarayan Raghuram, Hamady Mo, Huasen Bella

机构信息

North West School of Radiology, Manchester, UK.

Nottingham University Hospitals NHS Trust, Nottingham, UK.

出版信息

CVIR Endovasc. 2025 Apr 22;8(1):32. doi: 10.1186/s42155-025-00540-3.

Abstract

UNLABELLED

• Lack of Evidence-Based Practice: There is a significant gap in evidence-based practices related to radiation protection. Our understanding of global standards and practices, as well as their long-term impact on operator health, remains limited. Standardising current procedures and establishing a uniform database for data entry by all practitioners performing X-ray-based procedures would be beneficial. • Lack of tailored measures to enhance protection for Female Operators: Female operators are at a greater risk of radiation exposure (Front Genet 10:260, 2019), underscoring the need for comprehensive guidance and standards to mitigate both short—and long-term health risks. Research and higher-level evidence are essential to evaluate the efficacy of current practices, along with better access to tools for accurate fetal dose calculation when needed. • Balancing Protection and Ergonomics: It is crucial to achieve the right balance between adequate lead protection and ergonomic considerations for the spine and musculoskeletal system. The minimum level of lead protection scientifically required to ensure operator safety without compromising comfort and posture must be determined. • Lack of accurate data regarding the log of health issues for personnel working with radiation gears. A national or international anonymised registry would be ideal for capturing and monitoring such data.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s42155-025-00540-3.

摘要

未标注

  • 缺乏循证实践:在与辐射防护相关的循证实践方面存在重大差距。我们对全球标准和实践及其对操作人员健康的长期影响的了解仍然有限。对当前程序进行标准化,并为所有进行基于X射线程序的从业者建立一个统一的数据录入数据库将是有益的。

  • 缺乏针对女性操作人员加强防护的定制措施:女性操作人员面临更大的辐射暴露风险(《前沿遗传学》10:260,2019),这突出表明需要全面的指导和标准来减轻短期和长期健康风险。研究和更高级别的证据对于评估当前实践的有效性至关重要,同时在需要时更好地获取准确计算胎儿剂量的工具。

  • 平衡防护与人体工程学:在足够的铅防护与脊柱和肌肉骨骼系统的人体工程学考虑之间取得适当平衡至关重要。必须确定在不影响舒适度和姿势的情况下确保操作人员安全所需的科学最低铅防护水平。

  • 缺乏有关使用辐射防护装备人员健康问题记录的准确数据。一个国家或国际匿名登记处对于收集和监测此类数据将是理想的。

补充信息

在线版本包含可在10.1186/s42155-025-00540-3获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cf/12014967/06b55d2eea8c/42155_2025_540_Fig1_HTML.jpg

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