Greaves C D, Sanderson R, Tindale W B
Department of Medical Physics and Clinical Engineering, Northern General Hospital, Sheffield, UK.
Nucl Med Commun. 1995 Nov;16(11):901-4. doi: 10.1097/00006231-199511000-00004.
Air contamination levels arising from lung aerosol ventilation studies have previously been monitored [1]. Residence time in the room used for ventilation was perceived to be an important factor in dose received. This study was designed to assess air contamination levels when ventilation and imaging are carried out in the same room. Air samples were taken before, during and after aerosol administration, over 24 studies where a mouthpiece was used. The mean airborne contamination during administration was 4.39 kBq m-3, implying an effective dose equivalent (EDE) to the operator from inhaled activity of 0.004 microSv. Measurements made during studies on three patients where a mask was used gave a mean EDE of 0.065 microSv (the highest EDE was 0.08 microSv). Ten minutes after nebulizing had stopped, the contamination had reduced to background levels in all but two cases; in these cases, the levels were less than 1.1 kBq m-3. Aerosol ventilation in the gamma camera room does not constitute a significant radiation hazard to staff. Patient compliance is an important factor in minimizing doses. Clear instructions and practice are a vital part of the procedure.
先前已对肺部气溶胶通气研究产生的空气污染水平进行了监测[1]。在用于通气的房间内的停留时间被认为是所接受剂量的一个重要因素。本研究旨在评估在同一房间内进行通气和成像时的空气污染水平。在24项使用咬嘴的研究中,在气溶胶给药前、给药期间和给药后采集了空气样本。给药期间空气中的平均污染水平为4.39 kBq/m³,这意味着操作人员因吸入放射性物质而产生的有效剂量当量(EDE)为0.004微希沃特。在对三名使用面罩的患者进行的研究中所做的测量得出的平均EDE为0.065微希沃特(最高EDE为0.08微希沃特)。雾化停止十分钟后,除两例情况外,所有情况下的污染均已降至背景水平;在这两例情况下,污染水平低于1.1 kBq/m³。在γ相机室进行气溶胶通气对工作人员不构成重大辐射危害。患者的配合是使剂量最小化的一个重要因素。清晰的说明和练习是该操作程序的重要组成部分。