核医学技术人员的职业辐射暴露:一个范围审查
Alyssa Payne1, Christopher Skilton2, Daphne James1
1University of Newcastle (UoN), NSW, Australia.
核医学技术人员 (NMTs) 面临职业辐射暴露风险,特别是随着 pozitron发射断层扫描 (PET) 程序的增加. 虽然剂量在极限之内,但需要进一步的研究来完善对NMT辐射安全的理解和方法.
科学领域:
- 医疗成像医学成像
- 辐射安全 辐射安全
- 职业健康 职业健康 职业健康
背景情况:
- 核医学技术人员 (NMTs) 经历的辐射暴露率高于大多数医学成像专业人员.
- 电离辐射对健康的潜在随机影响令人担忧,因不断变化的做法和劳动力短缺而加剧.
- 增加的工作量和先进的程序,如正子发射断层扫描 (PET),增加了NMT的暴露风险.
研究的目的:
- 自2000年以来,探索核医学技术人员 (NMTs) 的职业辐射暴露.
- 在NMT中分析影响辐射剂量的因素.
- 确定NMT辐射安全的未来研究领域.
主要方法:
- 对相关文献进行了全面的范围审查.
- 四个主要的数据库 (Medline,Embase,CINAHL,Scopus) 进行了搜索.
- 数据提取和研究选择由两位独立审查员使用Covidence进行.
主要成果:
- 对全球21项研究的分析显示,每年有效剂量从0.06mSv到13.9mSv不等.
- 程序包括一般核医学,放射性核素治疗和PET,使用各种剂量计 (TLD,电影章,ED等). ) 的情况.
- 新出现的相关性表明程序类型,剂量计使用和报告的职业辐射暴露之间存在联系.
结论:
- 在更广泛的程序,特别是PET和增加的辐射剂量之间存在潜在的关联.
- 特定的剂量计在高能环境中显示出更高的灵敏度.
- 尽管研究异质,但所有报告的剂量都保持在建议的年限内,突出了需要精细的研究方法的需要.
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