为了估计外部光束放射治疗的碳足迹
Robert Chuter1, Catherine Stanford-Edwards2, James Cummings3
1Christie Medical Physics and Engineering (CMPE), The Christie NHS Foundation Trust, Wilmslow Road, Manchester M20 4BX, UK; Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester M13 9PL, UK.
概括
患者的旅行是放射治疗的最大贡献者.
科学领域:
- 环境科学环境科学
- 辐射瘤学 辐射瘤学
背景情况:
- 英国国家卫生服务 (NHS) 目标是到2040年实现碳净零排放.
- 放射治疗是医疗保健排放的重要贡献者.
- 了解放射治疗的碳足迹对于可持续发展目标至关重要.
研究的目的:
- 为了量化放射治疗治疗的碳足迹.
- 确定导致放射治疗中排放的关键来源.
- 评估COVID-19对放射治疗碳足迹的影响.
主要方法:
- 收集了42名患者的活动数据 (乳腺IMRT,前列腺VMAT).
- 包括来自前列腺VMAT患者的3个额外中心的数据.
- 采用基于过程的,自下而上的方法来计算碳足迹.
- 将患者分为COVID前和COVID组进行分层,以分析协议变化.
主要成果:
- 在COVID前:前列腺148公斤CO2e,乳房101公斤CO2e.
- 在COVID期间:前列腺226公斤CO2e,乳房75公斤CO2e.
- 患者的旅行占碳足迹的70-80%.
- 利纳克置功率贡献了~10%;PPE和SF6泄漏率分别为2~4%.
结论:
- 患者旅行是放射治疗碳足迹的主要驱动因素.
- 研究结果表明,低分化是减少排放的潜在策略.
- 结果为未来的生命周期评估提供了基础,尽管数据有限.
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