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Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
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辐射屏蔽窗的比较,用于内镜逆行胆血管细胞造影工作人员
Hiroki Ishii1,2, Koichi Chida2,3, Yohei Inaba2,3
1Department of Radiological Technology, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.
概括
医务人员在内镜逆行胆血管细胞造影 (ERCP) 期间的眼睛剂量,与C-arm系统相比,在超卧式管系统和ERCP特定的幕中较低. 这一发现有助于优化工人辐射保护.
科学领域:
- 医学物理 医学物理
- 辐射保护 辐射保护
- 干预性放射学 干预性放射学
背景情况:
- 在ERCP期间对眼镜的职业辐射暴露对医疗人员构成风险.
- 尽量减少散射辐射对于避免组织反应和随机效应至关重要.
研究的目的:
- 为了比较医务人员的职业辐射保护,C-臂系统与幕,以及带有ERCP特定的幕的横卧管道系统.
- 在模拟ERCP程序期间,评估各种工作人员职位的分散辐射剂量.
主要方法:
- 为了模拟ERCP程序,进行了一项幻象研究.
- 散射辐射剂量在四个工作人员位置测量,用于配备不同窗的C-arm和over-couch管系统.
主要成果:
- 在带有幕的C臂系统中,分散辐射剂量与带有ERCP特定幕的横卧管系统相比始终更高.
- 与ERCP特定的幕搭配的横卧式管道系统,与C-arm系统相比,减少了不到三分之一的员工眼睛剂量.
结论:
- 带有ERCP特有的幕的床上管道系统在ERCP期间为医务人员提供了卓越的辐射保护.
- 额外的屏蔽措施,如悬挂在天花板上的屏幕,可能是必要的C-臂系统进一步减少人员的暴露.
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