在使用现代数字光镜系统进行神经干预手术时评估辐射剂量
T Olgar1,2, S Ariman2, A Yalcin2
1Ankara University, Faculty of Engineering, Department of Physics Engineering, 06100 Ankara, Türkiye.
Health physics
|February 24, 2026
概括
这项研究测量了干预性神经放射学程序期间患者和工作人员的辐射剂量. 调查结果表明,对于大脑和大脑动脉血管学,特定的剂量水平,告知辐射安全协议.
科学领域:
- 医学物理 医学物理
- 放射学 放射学是一门学科.
- 辐射保护 辐射保护
背景情况:
- 干预性神经放射学程序涉及患者和工作人员的高辐射剂量.
- 精确的剂量评估对于优化这些程序中的辐射安全至关重要.
研究的目的:
- 为了测量患者的辐射剂量 (剂量-区域产物和累积空气克尔马) 在动脉和脑血管造影期间.
- 评估工作人员的辐射暴露,包括眼镜,手指和全身有效剂量.
- 为了确定每次手术和每单位的辐射剂量-剂量区域产品.
主要方法:
- 在质量控制评估后使用了飞利浦Azurion 7 M20 C臂光学系统.
- 使用剂量-面积产物 (DAP) 和累积空气克尔玛 (CAK) 方法测量患者剂量.
- 在领和腰部水平使用光学刺激发光剂量计 (OSL) 评估员工剂量,以确定Hp10),Hp03和Hp0.07).
主要成果:
- 对于大脑手术,患者的平均DAP/CAK为73/143 Gy cm2/657/1,888 mGy;有效剂量为4.04/8.16 mSv.
- 对于动脉手术,患者的DAP/CAK平均值为40/79 Gy cm2/487/679 mGy;有效剂量为2.11/3.93 mSv.
- 工作人员每次检查的有效剂量:干预放射科医生12.6μSv,护士7.1μSv,放射技术人员10.0μSv. 镜片剂量:分别为18.7和19.7和13.4μSv. 肢体剂量:分别为54.7,15.3和14.2μSv.
结论:
- 用于常见的干预神经放射学手术的量化患者和工作人员辐射剂量.
- 结果为加强干预套房的辐射保护策略和协议提供了必要的数据.
- 该研究强调了在数字光学中持续监测和剂量优化的重要性.
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