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Assessment of Patient and Staff Doses in Interventional Cerebral Angiography Using OSL

机译:使用OSL评估患者和职员剂量的介入性血管造影

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In interventional radiology (IR) procedures, radiation doses received by both patient and staff are relatively high. The objectives of the study are: (1) determine/measure entrance surface dose (ESD) to patient using nanoDot optically stimulated luminescence (OSL) dosimeter, (2) verify that patient doses do not exceed established international guidance levels set by IAEA and ICRP Report 103, as stated in the BSS, applied in the Philippines, (3) estimate the effective dose E to operator and using InLight OSL dosimeters, (4) estimate the annual effective dose E for the operator and staff performing interventional cerebral angiography procedure, (5) determine who among the staff have training in radiation protection in interventional radiology/cardiology, and if so, if such training is applied in practice, and (6) verify that staff doses do not exceed established dose limits set by the IAEA and ICRP Report 103, as stated in the BSS, applied in the Philippines. Clinical data and technical factors were gathered from interventional cerebral angiography procedures (4-vessel angiogram/6-vessel angiogram) performed at the University of Santo Tomas Hospital (USTH). It was found that none of the ESD values approach the dose thresholds for induced skin injuries (erythema or epilation). The estimated weighted annual dose for all the interventional medical workers is 5.9 mSv which is lower than the dose limit given by the IAEA and ICRP Report 103, as stated in the BSS. However, the primary operator has exceeded the investigation level of 30% of the annual dose limit of 20 mSv (13.44 mSv in the case of research badge #3). The computation of the annual dose for this study was based on a survey for the maximum number of IR procedures performed per year.
机译:在介入放射学(IR)程序中,患者和工作人员接收的放射剂量相对较高。该研究的目标是:(1)使用纳米型光学刺激的发光(OSL)剂量计确定/测量入口表面剂量(ESD)对患者,(2)确认患者剂量不超过IAEA和ICRP所设定的国际指导水平报告103,为在BSS所述,在菲律宾施加,(3)估计有效剂量E至操作者,并使用INLIGHT OSL剂量计,(4)估计所述操作者和工作人员执行介入脑血管造影过程中的年有效剂量E, (5)确定员工中谁在介入放射学/心脏病学中培训辐射保护,如果是这样,如果在实践中应用此类培训,并且(6)确认人员剂量不超过IAEA和IAEA所设定的既定剂量限制根据BSS中所述的ICRP报告103,在菲律宾应用。从Santo Tomas医院大学(USTH)进行的介入性脑血管造影手术(4艘船血管造影/ 6艘血管仪)收集了临床资料和技术因素。发现没有一个ESD值接近诱导皮肤损伤的剂量阈值(红斑或脱毛)。所有介入医疗员工的估计加权年剂量为5.9 mSV,低于原子能机构和国际会议报告103所示的剂量限制,如BSS所示。然而,主要经营者超过了每年剂量限制的调查水平为20 msv(在研究徽章#3的情况下为13.44 msv)。本研究的年龄剂量的计算基于每年进行的最大IR程序数量的调查。

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