在进行内血管大动脉修复的操作人员中引起的DNA损伤
Tamer El-Sayed1, Ashish S Patel1, Jun S Cho1
1Academic Department of Vascular Surgery, School of Cardiovascular Medicine and Sciences, King's College London, BHF Centre of Excellence at Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Circulation
|October 22, 2017
概括
在EVAR期间的辐射暴露会增加操作人员的DNA损伤标记. 腿部屏蔽显著降低了这种反应,突出了其在血管内主动脉修复过程中对辐射的保护作用.
科学领域:
- 医学辐射物理
- 分子生物学
- 心血管外科
背景情况:
- 光学指导干预 (FGI) 如内血管大动脉修复 (EVAR) 对操作人员构成辐射暴露风险.
- 评估操作人员的DNA损伤和修复标记对于理解和减轻这些风险至关重要.
研究的目的:
- 在EVAR程序中量化DNA损伤/修复标记 (γ-H2AX和pATM).
- 评估脚屏蔽在减少辐射诱导的DNA损伤的有效性.
主要方法:
- 在外科手术期间使用流细胞计分析了操作人员的循环淋巴细胞的γ-H2AX和pATM表达.
- 测量了带有或没有腿部屏蔽的标记物,并在实验室中照射操作人员的血液以评估辐射易感性.
主要成果:
- 在手术后立即分支/ 窗口式EVAR显著增加了γ-H2AX和pATM水平 (P<0.0003).
- 只有pATM显著增加 (P<0. 04).
- 在分支/窗口的EVAR中,腿部屏蔽取消了γ-H2AX和pATM反应,标记物在24小时内恢复到基线.
结论:
- 这项研究是首次在光大动脉手术中证明操作人员的急性DNA损伤反应.
- 在复杂的EVAR过程中,腿部屏蔽有效地保护操作人员免受辐射诱导的DNA损伤.
- 需要进一步的研究来确定这种DNA损伤反应与长期癌症风险的相关性,并确定安全的辐射暴露限值.
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