|
|
|
| Dose estimation in etiology of occupational radiogenic neoplasms: A case analysis |
| WANG Jing1, GAO Yingping1, MEI Dan1, MA Kui1, MEI Liangying1, FANG Xiaoguang2 |
1. Hubei Center for Disease Control and Prevention, Wuhan 430079 China;
2. Comprehensive Supervision Bureau of Hubei Health Commission, Wuhan 430079 China |
|
|
|
|
Abstract Objective To analyze the problems and solutions in the diagnosis of a patient with occupational radiogenic neoplasms. Methods The dose conversion method was selected in dose estimation. Personal dose equivalent, skin absorbed dose, and reported detection data were converted into red bone marrow absorbed dose. The upper 95% confidence limit of the probability of causation (PC 95%) was calculated. Results The PC 95% of cancer due to radiation in the worker was 66.38%, which suggested occupational radiogenic neoplasms. Personal dose data were missing in dose estimation. The current dose estimation standard lacked bedside radiography and CT operation type, and the dose conversion formula was not perfect. Conclusion In the judgment of occupational radiogenic neoplasms, the estimated dose showed uncertainty. There is an urgent need to formulate and promulgate dose estimation standards that are operational and in line with the current development of radiological diagnosis and treatment technology and equipment.
|
|
Received: 09 December 2022
|
|
|
|
|
|
[1] 李小亮, 苏垠平, 雷淑洁, 等. 2013—2017年我国职业性放射性疾病诊断情况分析[J]. 中华放射医学与防护杂志,2018,38(10):779-783. DOI: 10.3760/cma.j.issn.0254-5098.2018.10.012
Li XL, Su YP, Lei SJ, et al. Analysis of occupational radiation sicknesses diagnosed in China from 2013 to 2017[J]. Chin J Radiol Med Prot, 2018, 38(10): 779-783. DOI: 10.3760/cma.j.issn.0254-5098.2018.10.012
[2] 薛茹, 鞠金欣, 陈尔东. 职业性放射性疾病诊断标准实施评估的探讨[J]. 环境与职业医学,2020,37(6):628-632. DOI: 10.13213/j.cnki.jeom.2020.20132
Xue R, Ju JX, Chen ED. Discussion about evaluation on implementing diagnostic criteria of occupational radiation diseases[J]. J Environ Occup Med, 2020, 37(6): 628-632. DOI: 10.13213/j.cnki.jeom.2020.20132
[3] 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. GB/T 16149—2012 外照射慢性放射病剂量估算规范[S]. 北京: 中国标准出版社, 2012.
General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China. GB/T 16149—2012 Specification of dose estimation for chronic radiation sickness from external exposure[S]. Beijing: Standards Press of China, 2012.
[4] 孙亮, 李士骏. 电离辐射剂量学基础[M]. 第三版. 北京: 中国原子能出版社, 2014: 41-42.
Sun L, Li SJ. Fundamentals of ionizing radiation dosimetry[M]. 3rd Ed. Beijing: China Atomic Energy Press, 2014: 41-42.
[5] 中华人民共和国国家卫生和计划生育委员会. GBZ 97—2017 职业性放射性肿瘤判断规范[S]. 北京: 中国标准出版社, 2017.
National Health and Family Planning Commission of PRC. GBZ 97—2017 Judgment standard for occupational radiogenic neoplasms[S]. Beijing: Standards Press of China, 2017.
[6] 姚建新, 黄德健, 李占峰, 等. DR床边胸部X线摄影吸收剂量临床评价[J]. 江苏医药,2014,40(10):1201-1202. DOI: 10.19460/j.cnki.0253-3685.2014.10.033
Yao JX, Huang DJ, Li ZF, et al. Clinical evaluation of absorbed dose of DR bedside chest X-ray photography[J]. Jiangsu Med J, 2014, 40(10): 1201-1202. DOI: 10.19460/j.cnki.0253-3685.2014.10.033
[7] 牛昊巍, 孙全富, 李小娟, 等. 我国职业性放射性疾病诊断的发展概况及存在问题[J]. 中华放射医学与防护杂志,2014,34(9):700-703. DOI: 10.3760/cma.j.issn.0254-5098.2014.09.016
Niu HW, Sun QF, Li XJ, et al. The development and problems of occupational radiation disease diagnosis in China[J]. Chin J Radiol Med Prot, 2014, 34(9): 700-703. DOI: 10.3760/cma.j.issn.0254-5098.2014.09.016
[8] 陆强, 张秋玲, 洪秀娟. 我国放射工作人员职业健康监护探讨[J]. 中国辐射卫生,2020,29(5):465-469. DOI: 10.13491/j.issn.1004-714X.2020.05.005
Lu Q, Zhang QL, Hong XJ. Discussion on occupational health surveillance of radiation workers in China[J]. Chin J Radiol Health, 2020, 29(5): 465-469. DOI: 10.13491/j.issn.1004-714X.2020.05.005
[9] 赵士义, 郭平. 外照射慢性放射病诊断中个人剂量的分析[J]. 中国工业医学杂志,2002,15(4):237-238
Zhao SY, Guo P. Analysis of individual dose in diagnosis for chronic radiation sickness from external exposure[J]. Chin J Ind Med, 2002, 15(4): 237-238
[10] 田开珍. 无个人剂量检测资料对放射病诊断与治疗的困扰[J]. 职业卫生与病伤,2003,18(4):286
Tian KZ. The puzzlement of diagnosis and treatment of radiation diseases caused by lack of personal dose detection data[J]. J Occup Health Damage, 2003, 18(4): 286
[11] 唐波, 王国经, 周丁华, 等. 3例疑似放射性甲状腺癌患者的剂量分析[J]. 工业卫生与职业病,2020,46(1):70-73. DOI: 10.13692/j.cnki.gywsyzyb.2020.01.021
Tang B, Wang GJ, Zhou DH, et al. Exposure dose analysis of 3patients with suspected radiation thyroid cancer[J]. Ind Hyg Occup Dis, 2020, 46(1): 70-73. DOI: 10.13692/j.cnki.gywsyzyb.2020.01.021
[12] 董娟聪, 程娇, 王超, 等. 辐射敏感指标在我国放射工作人员健康监护中的应用[J]. 中国辐射卫生,2022,31(1):119-123. DOI: 10.13491/j.issn.1004-714X.2022.01.021
Dong JC, Cheng J, Wang C, et al. Application of radiation-sensitive indicators in health monitoring of radiation workers in China[J]. Chin J Radiol Health, 2022, 31(1): 119-123. DOI: 10.13491/j.issn.1004-714X.2022.01.021
[13] 李小亮, 孙全富, 刘建香, 等. 2019年全国监测医院辐射防护用品配备及放射工作人员职业健康管理现状[J]. 中华放射医学与防护杂志,2020,40(10):753-757. DOI: 10.3760/cma.j.issn.0254-5098.2020.10.004
Li XL, Sun QF, Liu JX, et al. Allocation of radiation protection equipment and status of occupational health management for radiation workers in investigated hospitals nationwide in 2019[J]. Chin J Radiol Med Prot, 2020, 40(10): 753-757. DOI: 10.3760/cma.j.issn.0254-5098.2020.10.004
[14] 高艺莹, 何玲. 四川省实施常见职业性放射性疾病诊断标准的调查[J]. 辐射防护通讯,2021,41(4):15-21
Gao YY, He L. Implementation of diagnostic criteria for common occupational radiation diseases in Sichuan Province[J]. Radiat Prot Bull, 2021, 41(4): 15-21
[15] 高泽宇, 朱建国, 秦浩, 等. 山东省实施常见职业性放射性疾病诊断标准的调查[J]. 辐射防护通讯,2021,41(4):27-33
Gao ZY, Zhu JG, Qin H, et al. Implementation of diagnostic criteria for common occupational radiation diseases in Shandong Province[J]. Radiat Prot Bull, 2021, 41(4): 27-33
|
|
|
|
