|
|
|
| Effect of real-time radiation data on radiation exposure of interventional surgical personnel |
| LIU Li, WANG Cunting, ZHANG Liang, ZHANG Xiao, LYU Tianci |
| Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University, Beijing 100010 China |
|
|
|
|
Abstract Objective To analyze the radiation exposure of medical personnel, and to provide real-time radiation dose monitoring data for medical personnel in interventional surgeries.Methods A total of 96 person-times who participated in cardiac surgeries in interventional operating rooms from September 2019 to March 2022 were selected as subjects. The subjects were divided into two groups according to the time progress, with 43 person-times in intervention group and 53 person-times in control group. The subjects in the intervention group were provided with radiation dose monitoring data during surgeries, while the subjects in the control group performed surgeries with routine procedures. The average intraoperative radiation dose rates of the two groups were compared.Results The median radiation dose rate was significantly lower in the intervention group than in the control group (88.80 μSv/h vs 188.40 μSv/h, U = 637.000, P = 0.000).Conclusion Providing real-time radiation dose monitoring data for medical personnel in interventional surgeries can effectively reduce their occupational radiation exposure and improve their occupational radiation protection.
|
|
Received: 07 April 2022
|
|
|
|
|
|
[1] 钟红珊, 徐克. 中国介入医学发展的亮点、痛点与焦点[J]. 介入放射学杂志,2019,28(5):407-410. DOI: 10.3969/j.issn.1008-794X.2019.05.001
Zhong HS, Xu K. The highlights, sore points and focus issues on the development of Chinese interventional medicine[J]. J Int Radiol, 2019, 28(5): 407-410. DOI: 10.3969/j.issn.1008-794X.2019.05.001
[2] 张曼宇, 刘宁, 陈惠鹏, 等. 低剂量电离辐射与放射工作人员甲状腺激素的剂量-反应关系[J]. 中国辐射卫生,2021,30(4):397-401,406. DOI: 10.13491/j.issn.1004-714X.2021.04.002
Zhang MY, Liu N, Chen HP, et al. The dose-response relationship between low-dose ionizing radiation and thyroid hormone of medical workers[J]. Chin J Radiol Health, 2021, 30(4): 397-401,406. DOI: 10.13491/j.issn.1004-714X.2021.04.002
[3] 邢志伟, 于程程. 浅析职业性放射性肿瘤[J]. 中国辐射卫生,2019,28(4):361-363,375. DOI: 10.13491/j.issn.1004-714X.2019.04.003
Xing ZW, Yu CC. Analysis of occupational radiation tumors[J]. Chin J Radiol Health, 2019, 28(4): 361-363,375. DOI: 10.13491/j.issn.1004-714X.2019.04.003
[4] 刘亚奇, 于夕荣. 介入放射工作人员健康状况调查分析[J]. 中国辐射卫生,2020,29(3):218-220. DOI: 10.13491/j.issn.1004-714X.2020.03.004
Liu YQ, Yu XR. Investigation and analysis of health status of interventional radiology workers[J]. Chin J Radiol Health, 2020, 29(3): 218-220. DOI: 10.13491/j.issn.1004-714X.2020.03.004
[5] 高宇, 苏垠平, 孙全富. 低剂量电离辐射致眼晶状体混浊机制及遗传易感性研究现状[J]. 中国辐射卫生,2022,31(1):124-128. DOI: 10.13491/j.issn.1004-714X.2022.01.022
Gao Y, Su YP, Sun QF. A research review of mechanism and genetic susceptibility of lens opacity induced by low-dose ionizing radiation[J]. Chin J Radiol Health, 2022, 31(1): 124-128. DOI: 10.13491/j.issn.1004-714X.2022.01.022
[6] 胡爱英, 徐辉, 孙全富. 我国职业外照射个人监测与健康监护[J]. 中华放射医学与防护杂志,2007,27(2):212-214. DOI: 10.3760/cma.j.issn.0254-5098.2007.02.040
Hu AY, Xu H, Sun Q. Personal monitoring and health surveillance of our occupational external exposure[J]. Chin J Radiol Med Prot, 2007, 27(2): 212-214. DOI: 10.3760/cma.j.issn.0254-5098.2007.02.040
[7] 苗晓翔, 苏垠平, 徐辉, 等. 浅议放射卫生在医用辐射防护领域的几个问题[J]. 中华放射医学与防护杂志,2021,41(4):276-281. DOI: 10.3760/cma.j.issn.0254-5098.2021.04.007
Miao XX, Su YP, Xu H, et al. Discussion on the radiation protection and safety in medical use of ionizing radiation in China[J]. Chin J Radiol Med Prot, 2021, 41(4): 276-281. DOI: 10.3760/cma.j.issn.0254-5098.2021.04.007
[8] O’Connor U, Carinou E, Clairand I, et al. Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals[J]. Phys Med, 2021, 87: 131-135. DOI: 10.1016/j.ejmp.2021.05.015
[9] Sandblom V, Mai T, Almén A, et al. Evaluation of the impact of a system for real-time visualisation of occupational radiation dose rate during fluoroscopically guided procedures[J]. J Radiol Prot, 2013, 33(3): 693-702. DOI: 10.1088/0952-4746/33/3/693
[10] Racadio J, Nachabe R, Carelsen B, et al. Effect of real-time radiation dose feedback on pediatric interventional radiology staff radiation exposure[J]. J Vasc Int Radiol, 2014, 25(1): 119-126. DOI: 10.1016/j.jvir.2013.08.015
[11] Vañó E, González L, Guibelalde E, et al. Radiation exposure to medical staff in interventional and cardiac radiology[J]. Br J Radiol, 1998, 71(849): 954-960. DOI: 10.1259/bjr.71.849.10195011
[12] Miller DL, Vañó E, Bartal G, et al. Occupational radiation protection in interventional radiology: a joint guideline of the cardiovascular and interventional radiology society of Europe and the society of interventional radiology[J]. J Vasc Int Radiol, 2010, 21(5): 607-615. DOI: 10.1016/j.jvir.2010.01.007
[13] 徐辉, 王建超, 黄卓, 等. 介入放射学中辅助防护设施改进效果评价研究[J]. 中国辐射卫生,2017,26(6):661-664. DOI: 10.13491/j.cnki.issn.1004-714X.2017.06.013
Xu H, Wang JC, Huang Z, et al. Evaluation studies on the improvement of auxiliary radiological protective facilities in interventional radiology[J]. Chin J Radiol Health, 2017, 26(6): 661-664. DOI: 10.13491/j.cnki.issn.1004-714X.2017.06.013
[14] Sanchez R, Vano E, Fernandez JM, et al. Staff radiation doses in a real-time display inside the angiography room[J]. CardioVasc Int Radiol, 2010, 33(6): 1210-1214. DOI: 10.1007/s00270-010-9945-4
[15] McNeil SM, Lai P, Connolly BL, et al. Use of digital dosemeters for supporting staff radiation safety in paediatric interventional radiology suites[J]. Radiat Prot Dosimetry, 2013, 157(3): 363-374. DOI: 10.1093/rpd/nct161
|
|
|
|
