使用防辐射手套可以减少手部的辐射暴露,而不会增加操作员在光学指导干预期间的辐射剂量
Antonio Solano1, Andrea Klein1, Michael C Siah1
1Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
辐射保护手套 (PGs) 在不增加散射的情况下,在光学引导干预 (FGI) 期间显著降低了手部辐射暴露. 这些无手套有效地降低了操作员在手靠近X射线束不可避免的程序中的风险.
科学领域:
- 医学物理 医学物理
- 干预性放射学 干预性放射学
- 职业健康与安全 职业健康与安全
背景情况:
- 进行光学指导干预 (FGI) 的医生在X射线束中放置时,面临不可避免的手部辐射暴露.
- 临床指南警告不要使用辐射保护手套 (PGs),因为人们担心手术散射分数 (PSF) 增加.
- 无PGs在减轻FGI期间手部辐射剂量的有效性需要进一步调查.
研究的目的:
- 为了评估由PG提供的手部辐射剂量减少.
- 评估PG在FGI期间对运营商的PSF的影响.
- 为了比较手部辐射剂量和手术手套 (RG) 和无PG之间的手术散射量.
主要方法:
- 在临床环境中,光学刺激的发光探测器测量了手部辐射剂量,在指环关节和戒指底部.
- 一个模拟的光学设置与一个人形手评估辐射剂量和PSF在X射线束的不同距离.
- 配对威尔科克森试验比较了RG和PG使用之间的正常化PSF,手指和手腕剂量.
主要成果:
- 与RG相比,PG显著降低了主导和非主导手的手部辐射剂量 (P = .015和P < .001分别).
- 与PG相比,在临床和模拟环境中没有观察到PG显著增加PSF (P = .777).
- 模拟手部辐射剂量在PG与RG之间降低了58%,PSF没有显著差异.
结论:
- 无PG可以有效地减少操作员手部在FGI期间的辐射暴露.
- 使用PG不会导致操作员辐射剂量或PSF的增加.
- 对于可能靠近手和X射线束的手术,应考虑使用PG,以减轻终身辐射风险.
更多相关视频
08:30X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
Published on: September 11, 2011
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
相关概念视频
Hand hygiene
Hand washing...
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
PPE Use in Healthcare Settings II: Doffing
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
PPE Use in Healthcare Settings I: Donning
