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Endoscopist’s occupational dose evaluation related to correct wearing of dosimeter during X-ray-guided procedures

机译:内镜医师的职业剂量评估与在X射线引导过程中正确佩戴剂量计有关

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Background Since endoscopists performing procedures in the endoscopy suite can change their position by turning their back, side or front toward the X-ray source, this study aimed to establish whether dosimeter position affects the correct evaluation of an endoscopist’s personal radiation exposure during X-ray-guided procedures. Materials and methods Between January and February 2018, two dosimeters specularly placed outside the lead apron (anterior one on the chest and posterior one on the back) measured endoscopists’ personal dose equivalent (Hp) during 62 X-ray-guided procedures on adult and pediatric patients. Procedures were divided into three groups considering the position taken by the endoscopist with respect to the radiation source. For each group, the difference between mean Hp from the anterior and posterior dosimeters was calculated. Results A statistically significant difference in mean Hp was recorded for the endoscopists’ frontal and back positions ( P =?0.014, and P ?0.00001, respectively). No significant difference was found in mean Hp for the side position ( P =?0.489). Conclusions The position of personal dosimeters affects the correct evaluation of endoscopists’ radiation exposure during X-ray-guided procedures when frontal and back positions were recorded. To correctly evaluate radiation doses, the whole-body dosimeter should be worn according to the position of the endoscopist with respect to the radiation source; otherwise, it results in an incorrect personal dose evaluation, which may lead to substantial underestimation of staff exposure.
机译:背景技术由于内窥镜医师在内窥镜检查套件中执行手术程序时,可以通过向X射线源的侧面,背面或侧面改变其位置,因此本研究旨在确定剂量计的位置是否会影响内窥镜医师在X射线期间个人辐射暴露的正确评估指导的程序。材料和方法在2018年1月至2018年2月之间,镜检放置在铅围裙外侧的两个剂量计(前者位于胸部,后者位于背面)在62次X射线引导下对成人和成人进行内镜检查者的个人剂量当量(Hp)。小儿患者。考虑到内镜医师相对于放射源所处的位置,将程序分为三组。对于每组,计算前后剂量计的平均Hp之间的差。结果内镜医师的正面和背面位置的平均Hp差异有统计学意义(分别为P =?0.014和P <?0.00001)。侧面位置的平均Hp没有发现显着差异(P =?0.489)。结论个人剂量计的位置会影响内镜医师在X射线引导的过程中记录前后位置时对放射线照射的正确评估。为了正确评估辐射剂量,应根据内镜医师相对于辐射源的位置佩戴全身剂量计。否则,将导致错误的个人剂量评估,从而可能严重低估员工的暴露程度。

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