지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.3
- 발행연도
- 2017.3
- 수록면
- 156 - 163 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of the present study was to identify the radiation hazards to vascular surgeons and scrub nurses working in mobile fluoroscopy equipped hybrid vascular operation rooms; additionally, to estimate cumulative cancer risk due to certain exposure dosages.
Methods: The study was conducted prospectively in 71 patients (53 men and 18 women) who had undergone vascular intervention at our hybrid vascular theater for 6 months. OEC 9900 fluoroscopy was used as mobile C-arm. Exposure dose (ED) was measured by attaching optically stimulated luminescence at in and outside of the radiation protectors. To measure X-ray scatter with the anthropomorphic phantom model, the dose was measured at 3 distances (20, 50, 100 cm) and 3 angles (horizontal, upward 45°, downward 45°) using a personal gamma radiation dosimeter, Ecotest CARD DKG-21, for 1, 3, 5, 10 minutes.
Results: Lifetime attributable risk of cancer was estimated using the approach of the Biological Effects of Ionizing Radiation report VII. The 6-month ED of vascular surgeons and scrub nurses were 3.85, 1.31 mSv, respectively. The attenuation rate of lead apron, neck protector and goggle were 74.6%, 60.6%, and 70.1%, respectively. All cancer incidences among surgeons and scrub nurses correspond to 2,355 and 795 per 100,000 persons. The 10-minute dose at 100-cm distance was 0.004 mSv at horizontal, 0.009 mSv at downward 45°, 0.003 mSv at upward 45°.
Conclusion: Although yearly radiation hazards for vascular surgeons and scrub nurses are still within safety guidelines, protection principles can never be too stringent when aiming to minimize the cumulative harmful effects.
Methods: The study was conducted prospectively in 71 patients (53 men and 18 women) who had undergone vascular intervention at our hybrid vascular theater for 6 months. OEC 9900 fluoroscopy was used as mobile C-arm. Exposure dose (ED) was measured by attaching optically stimulated luminescence at in and outside of the radiation protectors. To measure X-ray scatter with the anthropomorphic phantom model, the dose was measured at 3 distances (20, 50, 100 cm) and 3 angles (horizontal, upward 45°, downward 45°) using a personal gamma radiation dosimeter, Ecotest CARD DKG-21, for 1, 3, 5, 10 minutes.
Results: Lifetime attributable risk of cancer was estimated using the approach of the Biological Effects of Ionizing Radiation report VII. The 6-month ED of vascular surgeons and scrub nurses were 3.85, 1.31 mSv, respectively. The attenuation rate of lead apron, neck protector and goggle were 74.6%, 60.6%, and 70.1%, respectively. All cancer incidences among surgeons and scrub nurses correspond to 2,355 and 795 per 100,000 persons. The 10-minute dose at 100-cm distance was 0.004 mSv at horizontal, 0.009 mSv at downward 45°, 0.003 mSv at upward 45°.
Conclusion: Although yearly radiation hazards for vascular surgeons and scrub nurses are still within safety guidelines, protection principles can never be too stringent when aiming to minimize the cumulative harmful effects.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
[학술지(정기간행물)] - Goodney PP / 2009 / National trends in lower extremity bypass surgery, endovascular interventions, and major amputations / J Vasc Surg 50 : 54 ~ 60
[학술지(정기간행물)] - Giles KA / 2009 / Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair / J Vasc Surg 49 : 543 ~ 550
[학술지(정기간행물)] - Youn Young Park / 2015 / National trends for the treatment of peripheral arterial disease in Korea between 2004 and 2013 / 대한외과학회지 89 (6) : 319 ~ 324
[학술지(정기간행물)] - 김민수 / 2010 / 다부위 말초동맥 폐색증에서 시행한 동시 혼합치료의 결과 / 대한외과학회지 79 (5) : 386 ~ 392
[학술지(정기간행물)] - Reed AB. / 2011 / Introduction. Radiation safety in vascular surgery / J Vasc Surg 53 (1Suppl) : 1S ~ 2S
[학술지(정기간행물)] - Giles KA / 2009 / Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair / J Vasc Surg 49 : 543 ~ 550
[학술지(정기간행물)] - Youn Young Park / 2015 / National trends for the treatment of peripheral arterial disease in Korea between 2004 and 2013 / 대한외과학회지 89 (6) : 319 ~ 324
[학술지(정기간행물)] - 김민수 / 2010 / 다부위 말초동맥 폐색증에서 시행한 동시 혼합치료의 결과 / 대한외과학회지 79 (5) : 386 ~ 392
[학술지(정기간행물)] - Reed AB. / 2011 / Introduction. Radiation safety in vascular surgery / J Vasc Surg 53 (1Suppl) : 1S ~ 2S
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UCI(KEPA) : I410-ECN-0101-2017-514-002247303