职业辐射暴露和卫生保健工作者的甲状腺结节:一篇综述
Aikaterini Andreadi1,2, Stella Andreadi3,4, Marco Cerilli2
1Section of Endocrinology and Metabolic Diseases, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
International journal of molecular sciences
|July 12, 2025
概括
暴露于辐射的医疗保健工作者患甲状腺结节的患病率更高. 定期的甲状腺监测和保护措施对于保护他们的内分泌健康至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 职业健康 职业健康 职业健康
- 辐射瘤学 辐射瘤学
背景情况:
- 甲状腺结节很常见,其患病率受到环境和职业因素的影响,如电离辐射.
- 放射学,核医学,干预心脏病学和放射性瘤学的卫生保健工作者面临慢性低剂量辐射暴露的潜在风险.
研究的目的:
- 审查证据,将职业辐射暴露与医疗保健专业人员的甲状腺结节发展联系起来.
- 评估辐射暴露的卫生保健工作者甲状腺结节的风险和确定调节因素.
主要方法:
- 对有关职业辐射暴露和卫生保健工作者甲状腺结节的现有文献进行系统审查.
- 对研究进行分析,考虑暴露时间,辐射保护和监测频率等因素.
主要成果:
- 与一般人群相比,暴露于辐射的医疗保健工作者显示甲状腺结节的患病率更高.
- 发现了数据异质性和方法上的局限性;在一些研究中,恶性瘤发病率没有显著差异.
- 暴露时间,辐射安全实践和监测频率会影响个体风险.
结论:
- 暴露工人的甲状腺结节检测增加需要定期的甲状腺监测.
- 职业健康协议,包括辐射屏蔽和定期评估,对于保护医疗保健工作者的内分泌健康至关重要.
- 需要进一步的纵向多中心研究来确定因果关系并完善预防策略.
相关概念视频
Radiological Investigation I: X-ray and CT
420
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
420
Biological Effects of Radiation
16.0K
All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
16.0K
PPE Use in Healthcare Settings I: Donning
1.3K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.3K
The Thyroid Gland
4.4K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.4K
Pulmonary Tuberculosis I
330
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
330
Synthesis and Regulation of Thyroid Hormones
5.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
5.1K


