Beddoe A H, Kelly M T
Department of Medical Physics, Royal Adelaide Hospital, South Australia.
Br J Radiol. 1994 Jan;67(793):54-8. doi: 10.1259/0007-1285-67-793-54.
The International Commission on Radiation Protection have recently recommended an annual dose limit for the skin of radiation workers of 500 mSv at a depth of 20-100 microns averaged over any 1 cm2 regardless of the area exposed. It has previously been shown by the authors that beta dose rates on the outer surfaces of typical laboratory containers (vials, test tubes) or on medical syringes can exceed 100 mSv h-1 for radionuclide concentrations of the order of 1 MBq g-1, depending on container diameter, wall thickness and material and the beta particle energy spectrum. Since the fingers are frequently in contact with such containers it is of some importance to extend these dose calculations to depths below the skin surface, taking into consideration the anatomy of skin on the fingers. Using an extension of a Monte Carlo method previously described, dose rates have been calculated for the clinically useful radionuclides 90Y, 32P, 198Au, 153Sm and 131I. For polypropylene syringes the beta dose rates at a depth of 270 microns (a typical basal cell depth in the fingers) range from 77 to 135 mGy h-1 per MBq g-1 for 90Y (maximum energy 2.27 MeV) and approximately zero to 0.62 mGy h-1 per MBq g-1 for 131I (maximum energy 0.61 MeV). These results emphasize the importance of adequate finger protection when using high energy beta emitters and especially for clinicians who typically inject specific activities of the order of 100 MBq g-1 of 32P; in such cases annual permissible dose rates are exceeded in a matter of minutes. It is recommended that a minimum of 5 mm perspex finger protection be used for 90Y and 32P.
国际辐射防护委员会最近建议,辐射工作人员皮肤的年剂量限值为500毫希沃特,深度为20至100微米,在任何1平方厘米面积上平均,无论暴露面积大小。作者此前已经表明,对于放射性核素浓度约为1兆贝可每克的情况,典型实验室容器(小瓶、试管)外表面或医用注射器上的β剂量率可能超过100毫希沃特每小时,这取决于容器直径、壁厚、材料以及β粒子能谱。由于手指经常接触此类容器,考虑到手指皮肤的解剖结构,将这些剂量计算扩展到皮肤表面以下的深度具有一定重要性。使用先前描述的蒙特卡罗方法的扩展,已计算出临床常用放射性核素90钇、32磷、198金、153钐和131碘的剂量率。对于聚丙烯注射器,在270微米深度(手指中典型的基底细胞深度)处,90钇(最大能量2.27兆电子伏)的β剂量率范围为每兆贝可每克77至135毫戈瑞每小时,而131碘(最大能量0.61兆电子伏)的β剂量率约为每兆贝可每克零至0.62毫戈瑞每小时。这些结果强调了在使用高能β发射体时进行充分手指防护的重要性,特别是对于通常注射特定活度约为100兆贝可每克的32磷的临床医生;在这种情况下,几分钟内就会超过年允许剂量率。建议对于90钇和32磷使用至少5毫米厚的有机玻璃手指防护。