在光镜心脏手术过程中测量患者皮肤剂量和确定性效应的风险
Ruth Njantang Nana1,2, Stephen Inkoom3,4, Maurice Ndontchueng Moyo1,2
1Fundamental Physics Laboratory, Postgraduate School for Fundamental and Applied Sciences, University of Douala, P.O. Box 24157, Douala, Cameroon.
这项研究评估了心脏光镜检查期间患者的皮肤峰值剂量 (PSD),发现PSD通常超过参考剂量. 提出了一个查看表,以改善患者的剂量管理,并减轻高辐射暴露的风险.
科学领域:
- 医学物理 医学物理
- 放射学 放射学是一门学科.
- 辐射保护 辐射保护
背景情况:
- 光学指导的心脏手术涉及显著的辐射暴露.
- 精确评估皮肤峰值剂量 (PSD) 对于管理决定性影响至关重要.
研究的目的:
- 在光镜心脏手术过程中评估患者的皮肤峰值剂量 (PSD).
- 开发一个查询表,以加强患者的剂量管理.
主要方法:
- 使用Perspex幻影和热发光剂量计 (TLD) 来进行剂量测量.
- 用飞利浦Azurion 7X射线系统在各种条件下对样品进行辐射.
- 与kerma面积产物和累积空气kerma相关联的PSD.
主要成果:
- 在不同预测 (AP,LAO,RAO) 中,PSD测量在干预参考点 (K [IRP]) 始终高于kerma.
- 在PSD和kerma面积产物和累积空气kerma之间建立了强烈的线性相关性 (R平方>0.98).
- 27%的患者超过了2 Gy值,以获得决定性效应.
结论:
- 在测量PSD和K[IRP]之间存在显著差异,需要改进剂量监测.
- 提出基于K [IRP]的查找表,以帮助管理患者的皮肤剂量,特别是500mGy以上的剂量.
- 拟议表的实施可以提高辐射安全,并预防决定性辐射伤害.
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