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An analysis of results of 392 times of CT quality control and room radiological protection testing in Guangdong Province, China |
CHENG Xiyuan1,2,3,4, LIAO Yanpeng5, LIU Shupeng6, WANG Chuang7, ZHOU Meijuan1,2,3,4 |
1. Department of Radiation Medicine, School of Public Health, Southern Medical University, Guangzhou 510515 China; 2. NMPA Key Laboratory for Safety Evaluation of Cosmetics, School of Public Health, Southern Medical University, Guangzhou 510515 China; 3. Guangdong-Hongkong-Macao Joint Laboratory for Contaminants Exposure and Health, School of Public Health, Southern Medical University, Guangzhou 510515 China; 4. Key Laboratory of Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou 510515 China; 5. SMU Medical Equipment Test Co., Ltd., Guangzhou 510515 China; 6. Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou 510515 China; 7. Guangdong Medical Devices Quality Surveillance and Test Institute, Guangzhou 510663 China |
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Abstract Objective To provide a theoretical basis for radiation health supervision through an analysis of the situation of computed tomography (CT) equipment quality control and CT room radiological protection in Guangdong Province, China in recent years. Methods We collected the data of 392 times of CT quality control and radiological protection testing by a third-party radiological health technical service institution in Guangdong Province from 2019 to 2021. We analyzed the levels of CT-owning hospitals, CT manufacturers, CT quality control test results, and the pass rate of radiation protection tests. Results The examined CT scanners were from different levels of hospitals in Guangdong Province, and were manufactured by nine major CT equipment manufacturers at home and abroad. The pass rate of CT room radiological protection was 99.88%, and the ambient dose equivalent rates of five monitoring points exceeded the limit, with four at the control room door and one at the shield wall of the room. The overall pass rate of CT equipment quality control was 99.49%, and the non-conforming parameters were the accuracy of positioning light and the deviation of reconstructed slice thickness. Conclusion In recent years, CT equipment quality control and room radiation protection in Guangdong Province have been at a high level.
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Received: 24 June 2023
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[1] Su YP, Cui SY, Sun QF, et al. Analysis of the status of radiation-generating medical devices in Mainland China[J]. Health Phys, 2023, 124(4): 310-315. DOI: 10.1097/HP.0000000000001669 [2] 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 [3] 徐辉, 岳保荣, 尉可道, 等. 《X射线计算机体层摄影装置质量控制检测规范》解读[J]. 中国辐射卫生,2021,30(6):752-756. DOI: 10.13491/j.issn.1004-714X2021.06.018 Xu H, Yue BR, Wei KD, et al. Interpretation of Specification for testing of quality control in X-ray computed tomography[J]. Chin J Radiol Health, 2021, 30(6): 752-756. DOI: 10.13491/j.issn.1004-714X2021.06.018 [4] 国家质量技术监督局, 中华人民共和国卫生部. GB/T 17589—1998 X射线计算机断层摄影装置影像质量保证检测规范[S] 北京: 中国标准出版社, 2004. The State Bureau of Quality and Technical Supervision, Ministry of Health of the People's Republic of China. GB/T 17589—1998 Specification of image quality assurance test for X-ray equipment for computed tomography[S]. Beijing: Standards Press of China, 2004. [5] 中华人民共和国卫生部. GBZ 165—2005 X射线计算机断层摄影放射卫生防护标准[S]. 北京: 中国标准出版社, 2005. Ministry of Health of the People's Republic of China. GBZ 165—2005 Radiological protection standards for X-ray computed tomography[S]. Beijing: Standards Press of China, 2005. [6] 中华人民共和国国家卫生健康委员会. WS 519—2019 X射线计算机体层摄影装置质量控制检测规范[S]. 北京: 中国标准出版社, 2019. National Health Commission of the People's Republic of China. WS 519—2019 Specification for testing of quality control in X-ray computed tomography[S]. Beijing: Standards Press of China, 2019. [7] 中华人民共和国国家卫生健康委员会. GBZ 130—2020 放射诊断放射防护要求[S]. 北京: 中国标准出版社, 2020. National Health Commission of the People's Republic of China. GBZ 130—2020 Requirements for radiological protection in diagnostic radiology[S]. Beijing: Standards Press of China, 2020. [8] 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 17589—2011 X射线计算机断层摄影装置质量保证检测规范[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 17589—2011 Specifications for quality assurance test for computed tomography X-ray scanners[S]. Beijing: Standards Press of China, 2012. [9] 中华人民共和国国家卫生和计划生育委员会. GBZ 130—2013 医用X射线诊断放射防护要求[S]. 北京: 中国标准出版社, 2014. National Health and Family Planning Commission of the People's Republic of China. GBZ 130—2013 Requirements for radiological protection in medical X-ray diagnosis[S]. Beijing: Standards Press of China, 2014. [10] 中华人民共和国卫生部. WA 218—2002 卫生机构(组织)分类与代码[S]. 北京: 中国标准出版社, 2002. Ministry of Health of the People’s Republic of China. Classification and codes for health institution[S]. Beijing: Standards Press of China, 2002. [11] 广东省卫生健康委员会. 2022年广东省医疗卫生资源和医疗服务情况简报[EB/OL]. (2023-07-03)[2023-07-21]. http://wsjkw.gd.gov.cn/gkmlpt/content/4/4210/mpost_4210974.html#2574. Guangdong Provincial Health Commission. Summary of medical and health resources and medical services in Guangdong province in 2022[EB/OL]. (2023-07-03)[2023-07-21]. http://wsjkw.gd.gov.cn/gkmlpt/content/4/4210/mpost_4210974.html#2574. [12] 陶豹, 闫欣, 付园, 等. 山东省医用CT机质量状况分析[J]. 中国医疗设备,2018,33(2):158-160. DOI: 10.3969/j.issn.1674-1633.2018.02.043 Tao B, Yan X, Fu Y, et al. Quality analysis of medical CT in Shandong province[J]. China Med Devices, 2018, 33(2): 158-160. DOI: 10.3969/j.issn.1674-1633.2018.02.043 [13] 林海辉, 杨宇华, 谭展, 等. 2014年广东省CT机质量保证检测结果分析[J]. 中国辐射卫生,2017,26(3):309-311,315. DOI: 10.13491/j.cnki.issn.1004-714X2017.03.018 Lin HH, Yang YH, Tan Z, et al. Analysis of quality assurance test results of CT machine in Guangdong Province in 2014[J]. Chin J Radiol Health, 2017, 26(3): 309-311,315. DOI: 10.13491/j.cnki.issn.1004-714X2017.03.018 [14] 康立丽, 廖炎鹏, 杨庭伟, 等. CT质量控制检测结果分析与探讨[J]. 中国医疗设备,2016,31(12):131-132,144. DOI: 10.3969/j.issn.1674-1633.2016.12.036 Kang LL, Liao YP, Yang TW, et al. Analysis and discussion of CT quality assurance test results[J]. China Med Devices, 2016, 31(12): 131-132,144. DOI: 10.3969/j.issn.1674-1633.2016.12.036 [15] 王超, 张锐凤, 任越, 等. 山西省52家医疗机构放射诊疗设备质量控制检测结果分析[J]. 中国辐射卫生,2016,25(3):332-334. DOI: 10.13491/j.cnki.issn.1004-714X.2016.03.028 Wang C, Zhang RF, Ren Y, et al. Analysis of quality control test results of radiotherapy equipment in 52 medical institutions in Shanxi province[J]. Chin J Radiol Health, 2016, 25(3): 332-334. DOI: 10.13491/j.cnki.issn.1004-714X.2016.03.028 [16] 李士正, 楚彩芳, 李庆新, 等. 南阳市78台CT机质量控制检测与分析[J]. 中国辐射卫生,2018,27(5):476-478. DOI: 10.13491/j.issn.1004-714X.2018.05.015 Li SZ, Chu CF, Li QX, et al. Detection and analysis of the quality control for 78 CT machines in Nanyang City[J]. Chin J Radiol Health, 2018, 27(5): 476-478. DOI: 10.13491/j.issn.1004-714X.2018.05.015 [17] 王新爱, 汪海生, 李汝珍, 等. 2016—2017年洛阳市CT机质量控制和放射防护检测结果分析[J]. 中国辐射卫生,2020,29(1):26-30. DOI: 10.13491/j.issn.1004-714X.2020.01.006 Wang XA, Wang HS, Li RZ, et al. Analysis of CT machine quality control and radiation protection test results in Luoyang from 2016 to 2017[J]. Chin J Radiol Health, 2020, 29(1): 26-30. DOI: 10.13491/j.issn.1004-714X.2020.01.006 [18] 郭进瑞, 邹天禄, 郑森兴, 等. 福建省部分医用X射线诊断设备影像质量控制调查分析[J]. 工业卫生与职业病,2023,49(3):220-224. DOI: 10.13692/j.cnki.gywsyzyb.2023.03.007 Guo JR, Zou TL, Zheng SX, et al. Investigation on image quality control of medical X-ray diagnostic equipments in Fujian Province[J]. Ind Health Occup Dis, 2023, 49(3): 220-224. DOI: 10.13692/j.cnki.gywsyzyb.2023.03.007 [19] 朱维杰, 徐辉, 韩浚, 等. 320台CT设备性能和机房防护检测结果分析[J]. 中国辐射卫生,2019,28(6):653-655,661. DOI: 10.13491/j.issn.1004-714X.2019.06.015 Zhu WJ, Xu H, Han J, et al. Analysis of 320 CTs' performance test and radiation protection test[J]. Chin J Radiol Health, 2019, 28(6): 653-655,661. DOI: 10.13491/j.issn.1004-714X.2019.06.015 [20] 马桥, 刘德明. 四川省CT机质量控制与辐射防护检测结果分析[J]. 职业卫生与病伤,2015,30(3):161-163 Ma Q, Liu DM. Detection and analysis on CT machine quality control and radiation protection in Sichuan province[J]. J Occup Health Damage, 2015, 30(3): 161-163 [21] 王海军, 罗晋甘, 蔡金敏, 等. 深圳市2016年CT医疗照射频率与头部剂量水平调查[J]. 中国职业医学,2018,45(3):410-412. DOI: 10.11763/j.issn.2095-2619.2018.03.031 Wang HJ, Luo JG, Cai JM, et al. Survey on computed tomography medical radiation frequency and head dose level in Shenzhen City, 2016[J]. China Occup Med, 2018, 45(3): 410-412. DOI: 10.11763/j.issn.2095-2619.2018.03.031 [22] 于磊, 宋钢, 刘伟. 济南市CT检查受检者受照剂量水平的研究[J]. 中国辐射卫生, 2014, 23(5): 439-440. DOI: 10.13491/j. cnki. issn. 1004-714x. 2014.05. 026. Yu L, Song G, Liu W. 济南市CT检查受检者受照剂量水平的研究[J]. Chin J Radiol Health, 2014, 23(5): 439-440. DOI: 10.13491/j.cnki.issn.1004-714X.2014.05.026. [23] 赵徵鑫, 王强, 王海华, 等. 杭州市CT检查中医疗照射与职业照射水平的研究[J]. 国际放射医学核医学杂志,2021,45(6):357-363. DOI: 10.3760/cma.j.cn121381-202007003-00066 Zhao ZX, Wang Q, Wang HH, et al. Level of medical and occupational exposures in CT examination in Hangzhou[J]. Int J Radiat Med Nucl Med, 2021, 45(6): 357-363. DOI: 10.3760/cma.j.cn121381-202007003-00066 [24] United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects and risks of ionizing radiation. UNSCEAR 2020/2021 report to the general assembly, with Scientific Annexes[R]. New York: United Nations, 2022. [25] 李明芳, 刘小莲, 邱美娇, 等. 广东省2015年部分医疗机构放射工作人员个人剂量分析[J]. 中国职业医学,2018,45(3):395-397. DOI: 10.11763/j.issn.2095-2619.2018.03.027 Li MF, Liu XL, Qiu MJ, et al. Analysis on personal doses in radiation workers in some medical institutions in Guangdong Province, 2015[J]. China Occup Med, 2018, 45(3): 395-397. DOI: 10.11763/j.issn.2095-2619.2018.03.027
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