与未计划给胎儿或胚胎的剂量有关的NRC医疗事件报告,2005-2024年
Jussi Sillanpaa1, Jianling Yuan
1Department of Radiation Oncology, University of Minnasota, 516 Delaware Street SE, Minneapolis, MN 55455.
Health physics
|February 10, 2026
概括
在2005年至2024年期间,核医学造成的意外胎儿辐射暴露发生了39次. 治疗事件往往导致高胎儿剂量,需要对患者同意和怀孕测试的政策审查.
科学领域:
- 医学物理 医学物理
- 放射学 放射学是一门学科.
- 核医学就是核医学.
背景情况:
- 在核医学诊断和治疗过程中,胎儿可能会无意中暴露于辐射.
- 美国核监管委员会 (NRC) 收集有关此类暴露的事件通知.
研究的目的:
- 分析NRC事件通知的未计划胎儿或胚胎暴露情况.
- 为了确定趋势,涉及的放射性同位素,怀孕测试实践和估计的胎儿剂量.
主要方法:
- 对2005年1月1日至2024年12月31日期间的NRC事件通知进行分析.
- 根据程序类型 (治疗与诊断) 和放射性同位素事件的分类.
- 对怀孕测试方案和预估的胎儿辐射剂量进行审查.
主要成果:
- 确定了39个事件:28个是治疗性的,11个是诊断性的.
- 在研究期间,事件数量下降.
- -131 (131I) 是最常见的放射性同位素 (71.8%).
- 在21/28治疗事件中进行了怀孕测试,但没有诊断事件.
- 胎儿的平均剂量为260mSv (治疗) 和17mSv (诊断).
结论:
- 核医学中的意外胎儿暴露正在进行中.
- 治疗过程中的胎儿剂量可能很高,造成不良影响的风险.
- 机构应审查患者同意和怀孕测试政策,以减轻风险.
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