カテーテル検査室の様々な職員に対する放射線被曝リスク:体系的なレビューとメタ解析

Brúnó B Balázs¹, David Laczkó¹, Dorottya Gergő²

¹Heart and Vascular Center, Semmelweis University, Budapest, Hungary; Center for Translational Medicine, Semmelweis University, Budapest, Hungary.

Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)

|August 27, 2025

まとめ

カテーテリゼーションラボでの放射線曝露は患者の頭部にある遮断されていない補助スタッフのほうが高いのです放射線の危険を減らすためには専用のシールドとスタッフへの注意が不可欠です

科学分野:

心血管介入
労働衛生について
放射線安全

背景:

放射線曝露は,カテーテル検査室での職業上の危険です.
スタッフの役割の間の放射線被曝の格差はよく理解されていません.
現存する研究では,補助的なスタッフの放射線リスクがしばしば見過ごされている.

研究の目的:

主要なオペレーターと補助スタッフの放射線被曝の格差を評価する.
放射線被曝に対するスタッフの位置づけとシールドの影響を評価する.
光検査による心血管手術中の放射線リスクを分析する.

主な方法:

5つのデータベースで体系的な文献検索を行いました
23件の研究からの放射線データ (3091件の手順,8116件の測定) のメタ分析.
平均比率 (ROM) を用いて放射線被曝を比較し,バイアスのリスクを評価する.

主要な成果:

患者の頭部にシールドを付けていないスタッフは,主役よりも高い曝露を被る可能性があります (ROM 1.77,統計的に有意ではありません).
頭部または二次的な位置にある保護された労働者は,著しく低い曝露率 (ROM 0.26と0.33) を有していた.
冠動脈血管図,構造介入,電気生理学,大動脈介入から得られたデータ.

結論:

放射線被曝の潜在的差異は,キャセテリゼーションラボのスタッフの間に存在します.
患者の頭部にいる防具のないスタッフが最も危険です
専用のシールドを導入し,すべてのスタッフを考慮することは,放射線安全のために不可欠です.

キーワード:

心血管介入フロロスコーピーメタ解析労働安全について放射線保護

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