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Whole Body Occupational Exposure in Industrial Radiography in Cameroon (2012 -2022) 喀麦隆工业放射照相中的全身职业暴露(2012 -2022)
4区 医学 Q2 Energy Pub Date : 2023-10-09 DOI: 10.1051/radiopro/2023031
C.D. Njiki, T.C. Tella, G.H. Ben Bolie, J.F. Beyala Ateba, A.Simo; Y.H. Ebele Yigbedeck
Whole body doses records of industrial radiography workers in Cameroon were analysed in this study. Average annual effective dose and collective effective dose were estimated from dose records of 2012 to 2022. The average annual effective dose for monitored workers in the periods 2012-2022 and 2020-2022 were respectively equal to 1.28 mSv and 0.41mSv, and the average annual effective dose for measurably exposed workers in the periods 2012-2022 and 2020-2022 were respectively equal to 1.61 mSv and 0.66 mSv. The average annual effective dose for monitored workers in the period 2020-2022 is lower than the global value of 1.10 reported by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR 2020/2021 Report). The highest collective effective doses were obtained in 2013 and 2014 and were equal to 0.131 man.Sv and 0.126 man.Sv respectively. Many cases of high exposures and one case of effective dose limit exceeded were recorded during the period 2012-2022. Investigations carried out showed that high exposures were mainly caused by high workloads, working in elevated levels, failure to follow operational procedures, equipment malfunction or defect.
本研究分析了喀麦隆工业放射照相工人的全身剂量记录。根据2012 ~ 2022年的剂量记录,估计了年平均有效剂量和集体有效剂量。2012-2022年和2020-2022年期间受监测工人的平均年有效剂量分别为1.28毫西弗和0.41毫西弗,2012-2022年和2020-2022年期间可测量暴露工人的平均年有效剂量分别为1.61毫西弗和0.66毫西弗。2020-2022年期间受监测工作人员的平均年有效剂量低于联合国原子辐射影响科学委员会(UNSCEAR 2020/2021年报告)报告的全球值1.10。集体有效剂量在2013年和2014年达到最高,为0.131人。Sv和0.126男性。分别Sv。2012-2022年期间记录了多起高暴露病例和1起超过有效剂量限值的病例。进行的调查显示,高剂量接触主要是由高工作量、高水平工作、不遵守操作程序、设备故障或缺陷造成的。
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引用次数: 0
Medical Preparedness and Response for a Nuclear or Radiological Emergency: An Assessment Study in Selected Hospitals of The Ministry of Health Across Saudi Arabia 核或辐射紧急情况的医疗准备和响应:沙特阿拉伯卫生部选定医院的评估研究
4区 医学 Q2 Energy Pub Date : 2023-10-09 DOI: 10.1051/radiopro/2023028
Abdullah M. Assiri, Musaed Almalki, Nasser Shubayr, Ahmed Alqahtani, Rasha Darwish, Faisal Alotaibi, Mohalhal Alanazi, Mohammed Alzahrani, Saleh Alrumyan, Yasser Alghamdi
This study aimed to assess and improve the preparedness of selected hospitals in Saudi Arabia for nuclear and radiological emergencies. A team of experts developed and issued guidelines for radiation emergency response, selected 21 referral hospitals across the country, provided technical and logistical support, evaluated preparedness and provided recommendations for improvement. An evaluation process with four essential criteria (early detection of accidents, medical response team responsibilities, availability and accessibility of equipment and supplies, and training on the implementation of the emergency plan) and 50 sub-criteria was conducted, and hospitals' preparedness was assessed. The initial assessment showed that most hospitals had a moderate level of preparedness, with an average overall score of 67.5%. Interventions were implemented through training workshops, guidelines, checklists, and feedback. The follow-up assessment showed that the intervention was highly effective in enhancing the preparedness of all hospitals, with an average overall score of 99.1%. All hospitals achieved the benchmark of 80% or higher in all four aspects, with 14 hospitals scoring 100% and the remaining seven hospitals requiring further technical support. The study concluded that the intervention was successful in improving the preparedness of health facilities for nuclear and radiological emergencies and recommended continuous monitoring and evaluation to maintain the high level of readiness.
这项研究旨在评估和改进沙特阿拉伯选定医院应对核和辐射紧急情况的准备工作。一个专家小组制定并发布了辐射应急准则,在全国范围内选择了21家转诊医院,提供了技术和后勤支持,评估了准备工作,并提出了改进建议。开展了四个基本标准(早期发现事故、医疗反应小组的责任、设备和用品的可用性和可及性,以及关于执行应急计划的培训)和50个次级标准的评价进程,并对医院的准备情况进行了评估。初步评估显示,大多数医院的准备程度中等,平均得分为67.5%。干预措施通过培训研讨会、指导方针、检查清单和反馈来实施。随访评估结果显示,干预措施对提高各医院的防范能力非常有效,平均总分为99.1%。所有医院在四个方面均达到80%以上的基准,其中14家医院得分为100%,其余7家医院需要进一步的技术支持。研究的结论是,干预措施成功地改善了卫生设施应对核和辐射紧急情况的准备工作,并建议继续进行监测和评价,以保持高水平的准备工作。
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引用次数: 0
Patient Radiation Doses from Adult CT examinations at the Souss Massa regional hospital. 苏斯马萨地区医院成人CT检查的病人辐射剂量。
4区 医学 Q2 Energy Pub Date : 2023-10-09 DOI: 10.1051/radiopro/2023030
Mohamed EL FAHSSI, Slimane SEMGHOULI, Bouchra AMAOUI, Laila JROUNDI, Malika ÇAOUI
Introduction: CT is an essential part of medical diagnosis, and demand for this type of examination is growing all the time. Hence the need to optimise CT protocols in order to minimize the dose delivered to patients while maintaining good image quality. Objective: This study aims to assess patient radiation doses, and to establish diagnostic reference levels for Adult CT examinations at the Souss Massa regional hospital, Morocco. Method: This is a cross-sectional study, with data collected between January and June 2023 from 8 CT examinations at the Souss Massa regional hospital. Patient data was specified for each type of CT scan, including age, sex, weight, and height, as well as scanner acquisition parameters including number of series, use of contrast media, rotation time plus slice thickness, the displayed Computed Tomography Dose Index (CTDIvol), and the Dose Length Product (DLP). DRLs is calculated for each type of CT examinations by estimating the 75% percentile of the CTDIvol and the DLP. The effective dose is calculated according to the following formula: E(mSv) = EDLP × DLP (mGy.cm). The data are statistically analyzed by SPSS V 21.0 software. Results: DRLs in terms of CTDIvol, and DLP for brain without contrast media are 64,45 mGy, and 1405,77 mGy.cm respectively. For chest CT without contrast media, they are 11,13 mGy, and 417,73 mGy.cm respectively. The data from the Abdominal CT show that the CTDIvol (9,74 mGy) and DLP (529,31 mGy.cm) values with contrast media are higher than those without contrast media, which are (9,35 mGy) and (515,21 mGy.cm) respectively. DRls in terms of CTDIvol and DLP for Abdomen and Pelvis CT with contrast media are 8,14 mGy and 444,51 mGy.cm respectively. For Chest Abdomen and Pelvis with contrast media they are 8,51 mGy, and 571,30 mGy.cm respectively. The effective dose was 2,37, 6,50, 6,24, 6,76, 5,07, 7,13 mSv for Brain without contrast media, Chest without contrast media, Abdomen without contrast media, Abdomen with contrast media, Abdomen and Pelvis with contrast media, and Chest Abdomen and Pelvis respectively. Conclusion: Adapting CT protocols according to the morphology of patients and the conditions under which each examination is carried out can help to maintain the doses received by patients at an optimum level.
导读:CT是医学诊断的重要组成部分,对这种检查的需求一直在增长。因此,需要优化CT方案,以尽量减少给患者的剂量,同时保持良好的图像质量。& # x0D;目的:本研究旨在评估摩洛哥Souss Massa地区医院患者的辐射剂量,并建立成人CT检查的诊断参考水平。& # x0D;方法:这是一项横断面研究,数据收集于2023年1月至6月期间在Souss Massa地区医院进行的8次CT检查。每种类型的CT扫描都指定了患者数据,包括年龄、性别、体重和身高,以及扫描仪采集参数,包括序列数、造影剂的使用、旋转时间加上切片厚度、显示的计算机断层扫描剂量指数(CTDIvol)和剂量长度乘积(DLP)。通过估计CTDIvol和DLP的75%百分位数来计算每种类型CT检查的drl。有效剂量按下式计算: E(mSv) = EDLP × DLP (mGy.cm)。采用SPSS V 21.0软件对数据进行统计分析。& # x0D;结果:无造影剂脑CTDIvol的drl为64、45 mGy, DLP为1405、77 mGy。cm分别。不含造影剂的胸部CT分别为11,13 mGy和417,73 mGy。cm分别。腹部CT数据显示,造影剂组CTDIvol (9.74 mGy)和DLP(529、31 mGy.cm)值均高于未造影剂组,分别为9.35 mGy和515、21 mGy.cm。腹部和骨盆CT造影剂的CTDIvol和DLP的DRls分别为8,14 mGy和444,51 mGy。cm分别。胸腹和骨盆造影剂分别为8,51 mGy和571,30 mGy。cm分别。脑无造影剂、胸部无造影剂、腹部无造影剂、腹部有造影剂、腹部和骨盆有造影剂、胸腹和骨盆有效剂量分别为2、37、6、50、6、24、6、76、5、07、7、13毫西弗。& # x0D;结论:根据患者的形态和每次检查的条件调整CT方案有助于将患者接受的剂量维持在最佳水平。
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 Method: This is a cross-sectional study, with data collected between January and June 2023 from 8 CT examinations at the Souss Massa regional hospital. Patient data was specified for each type of CT scan, including age, sex, weight, and height, as well as scanner acquisition parameters including number of series, use of contrast media, rotation time plus slice thickness, the displayed Computed Tomography Dose Index (CTDIvol), and the Dose Length Product (DLP). DRLs is calculated for each type of CT examinations by estimating the 75% percentile of the CTDIvol and the DLP. The effective dose is calculated according to the following formula: 
 E(mSv) = EDLP × DLP (mGy.cm). The data are statistically analyzed by SPSS V 21.0 software. 
 Results: DRLs in terms of CTDIvol, and DLP for brain without contrast media are 64,45 mGy, and 1405,77 mGy.cm respectively. For chest CT without contrast media, they are 11,13 mGy, and 417,73 mGy.cm respectively. The data from the Abdominal CT show that the CTDIvol (9,74 mGy) and DLP (529,31 mGy.cm) values with contrast media are higher than those without contrast media, which are (9,35 mGy) and (515,21 mGy.cm) respectively. DRls in terms of CTDIvol and DLP for Abdomen and Pelvis CT with contrast media are 8,14 mGy and 444,51 mGy.cm respectively. For Chest Abdomen and Pelvis with contrast media they are 8,51 mGy, and 571,30 mGy.cm respectively. The effective dose was 2,37, 6,50, 6,24, 6,76, 5,07, 7,13 mSv for Brain without contrast media, Chest without contrast media, Abdomen without contrast media, Abdomen with contrast media, Abdomen and Pelvis with contrast media, and Chest Abdomen and Pelvis respectively. 
 Conclusion: Adapting CT protocols according to the morphology of patients and the conditions under which each examination is carried out can help to maintain the doses received by patients at an optimum level.
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引用次数: 0
Evaluation of awareness and knowledge of CT technologists regarding diagnostic reference levels in Iran 评估伊朗CT技术人员对诊断参考水平的认识和知识
4区 医学 Q2 Energy Pub Date : 2023-10-04 DOI: 10.1051/radiopro/2023032
A. Mir Derikvand, S. Dalvand, A. MohammadSharifi, S. Bagherzadeh
The diagnostic reference level (DRL) is a powerful tool for dose optimization in every radiological examination. This research aimed to assess the level of knowledge and awareness regarding radiation protection and DRLs among 102 CT technologists in various hospitals across Iran. A questionnaire including 20 multiple-choice and open-format questions was devised and distributed among 115 CT technologists in medical imaging departments in various hospitals in Iran. The questionnaire was divided into demographic information, general radiation protection knowledge, and DRL knowledge. A response rate of 88.69% was achieved. Regarding radiation protection knowledge concerning CT, about 56.9% of participants exhibited awareness of the dose display on the CT machine’s console, and about 78.4% selected the correct dosimetric unit’s expressed CT dose. Unexpectedly, 90.2% of participants failed to define the concept of dose optimization. A significant relationship (p < 0.05) was observed between radiographers’ radiation protection and DRL knowledge with a level of education, type of hospital, and work experience. Also, the results indicate a relationship between radiographers’ DRL knowledge and their tendency to join training courses. Regarding knowledge of the DRLs, 26.5% of participants exhibited awareness of DRLs in CT practice, while 49% and 76.5% of participants were unable to correctly identify DRLs’ concept and function. Because the dose delivery is the CT technologist’s responsibility, techniques that could improve the CT technologist's knowledge of radiation dose must be provided to reduce patient dose in accordance with the ALARA principle of radiation protection. These techniques can include training and re-training courses, additional lectures, self-directed learning, and teaching files.
诊断参考水平(DRL)是每次放射检查中剂量优化的有力工具。本研究旨在评估伊朗各医院102名CT技术人员对辐射防护和drl的知识和意识水平。设计了一份问卷,其中包括20个选择题和开放式问题,并在伊朗各医院医学成像部门的115名CT技术人员中分发。问卷分为人口统计信息、一般辐射防护知识和DRL知识。 问卷调查的有效率为88.69%。在CT辐射防护知识方面,约56.9%的参与者了解CT机控制台上的剂量显示,约78.4%的参与者选择了正确的剂量计量单位表示的CT剂量。出乎意料的是,90.2%的参与者没有定义剂量优化的概念。显著关系(p <放射技师的放射防护与DRL知识与学历、医院类型、工作经验之间存在显著性差异(0.05)。此外,结果显示放射技师的DRL知识与他们参加培训课程的倾向之间存在关系。在drl知识方面,26.5%的参与者在CT实践中表现出对drl的认识,而49%和76.5%的参与者不能正确识别drl的概念和功能。由于剂量的传递是CT技师的责任,因此必须根据ALARA辐射防护原则,提供能够提高CT技师对辐射剂量知识的技术,以降低患者的剂量。这些技术可以包括培训和再培训课程、额外的讲座、自主学习和教学文件。
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引用次数: 0
Importance of improving radiation risk perception during reconstruction of Futaba town at 11 years after lifting of Fukushima nuclear accident evacuation orders 福岛核事故疏散令解除 11 年后的双叶町重建过程中改善辐射风险认知的重要性
IF 1.1 4区 医学 Q2 Energy Pub Date : 2023-10-01 DOI: 10.1051/radiopro/2023026
V. Hande, M. Orita, H. Matsunaga, Y. Kashiwazaki, X. Xiao, Y. Taira, N. Takamura
The last among the towns in Fukushima prefecture to lift its evacuation order after the 2011 nuclear accident, Futaba started allowing residents to return in August 2022. To facilitate the future influx of residents, a survey regarding the expectations for reconstruction among current Futaba residents and evacuees was conducted. The survey revealed that 74.0% of respondents had expectations for the reconstruction of Futaba, and similar proportions for the recovery of workplaces, farming, and residential areas. Among these respondents, 11.3% had already returned or expressed a desire to return to Futaba, and 4.2% stated that they did not wish to return. Respondents who were not concerned about treated water to be released in the sea (odds ratio 0.6, 95% confidence interval [CI] 0.4–1.0), drinking tap water from Futaba (odds ratio 0.4, 95%CI 0.3–0.7), experiencing health effects from radiation exposure (odds ratio 0.5, 95%CI 0.3–0.9) and genetic effects (odds ratio 0.4, 95%CI 0.2–0.6) had higher expectations of the town’s recovery. It is essential to promote practical radiological culture in Futaba town to encourage local involvement in recovery processes of the town and to minimize radiation-related anxiety.
作为福岛县 2011 年核事故后最后一个解除避难令的城镇,双叶市于 2022 年 8 月开始允许居民返回。为了方便今后居民的涌入,我们对目前居住在双叶的居民和避难人员进行了重建期望调查。调查结果显示,74.0%的受访者对双叶市的重建抱有期望,对工作场所、农业和住宅区的恢复抱有期望的受访者比例相近。在这些受访者中,11.3%的人已经返回或表示希望返回双叶,4.2%的人表示不希望返回。不担心经过处理的水被排放入海(几率比 0.6,95% 置信区间 [CI]0.4-1.0)、不担心饮用来自双叶的自来水(几率比 0.4,95%CI 0.3-0.7)、不担心辐照对健康的影响(几率比 0.5,95%CI 0.3-0.9)和不担心遗传影响(几率比 0.4,95%CI 0.2-0.6)的受访者对该镇的恢复抱有更高的期望。有必要在双叶镇推广实用的放射文化,以鼓励当地人参与该镇的恢复进程,并最大限度地减少与辐射有关的焦虑。
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引用次数: 0
A study of radon, thoron and annual effective dose in some Egyptian dwellings by twin-cup dosimeter technique with LR-115 detectors 通过使用 LR-115 探测器的双杯剂量计技术对埃及一些住宅中的氡、钍和年有效剂量进行研究
IF 1.1 4区 医学 Q2 Energy Pub Date : 2023-10-01 DOI: 10.1051/radiopro/2023025
A.S. Hussein
In the present study, Solid State Nuclear Track Detectors (LR-115–type II) based twin-cup dosimeters were used for estimating radon (222Rn) and thoron (220Rn) gas concentration levels in the environmental air of thirty dwellings in ten cities in Egypt. In the studied dwellings radon concentration levels were found to vary from 24.80 ± 3.98 to 39.71 ± 8.71 Bq m−3 with an average of 32.64 ± 4.34 Bq m−3 whereas thoron concentration is found to vary from 10.46 ± 2.87 to 15.41 ± 2.72 Bq m−3 with an average of 12.48 ± 1.58 Bq m−3. The total annual effective dose by the inhabitants of these dwellings due to radon and thoron was found below the recommended limit by the international agencies. The present study concluded that the dwellings are safe without posing significant radiological threats to human beings.
本研究使用基于 LR-115 II 型固态核轨道探测器的双杯剂量计来估算埃及十个城市三十个住宅环境空气中的氡(222Rn)和钍(220Rn)气体浓度水平。在所研究的住宅中,氡浓度水平从 24.80 ± 3.98 到 39.71 ± 8.71 Bq m-3 不等,平均值为 32.64 ± 4.34 Bq m-3,而钍浓度从 10.46 ± 2.87 到 15.41 ± 2.72 Bq m-3 不等,平均值为 12.48 ± 1.58 Bq m-3。这些住宅的居民每年因氡和钍而受到的总有效剂量低于国际机构建议的限值。本研究的结论是,这些住宅是安全的,不会对人类造成重大的辐射威胁。
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引用次数: 0
Attitudes toward future motherhood among female college students in Fukushima Prefecture at seven years after the Fukushima Daiichi Nuclear Power Plant accident 福岛第一核电站事故发生七年后福岛县女大学生对未来做母亲的态度
IF 1.1 4区 医学 Q2 Energy Pub Date : 2023-10-01 DOI: 10.1051/radiopro/2023033
S. Ito, S. Okabe, A. Goto
This study aimed to clarify factors related to confidence in future childbirth and infant care in regard to radiation exposure at 4 and 7 yr after the Fukushima Daiichi Nuclear Power Plant disaster. A survey was conducted on 310 female college students in Fukushima Prefecture, Japan, in December 2015, and readministered to 275 students in November 2018. The analysis included 309 patients from 2015 and 253 from 2018. The Fukushima Future Parents Attitude Measure was used to assess attitudes about future childbirth and infant care in regard to radiation exposure. The results indicated that attitudes toward future childbirth were significantly influenced by self-esteem (β = –0.22), advice about radiation (β = 0.19), concerns about radiation effects on a future partner (β = –0.18), and college-related stress (β = 0.20). Moreover, attitudes toward infant care were influenced by self-esteem (β = –0.22) and perception of the genetic risks of radiation (β = –0.17). Therefore, to improve confidence in future childbirth and infant care among female college students in Fukushima, it is important to enhance self-esteem, reduce college-related stress, and create an environment where female college students feel comfortable discussing radiation concerns with experts and each other.
本研究旨在阐明与福岛第一核电站灾难后4年和7年的辐射照射有关的未来生育和婴儿护理信心的相关因素。2015年12月,对日本福岛县的310名女大学生进行了调查,并于2018年11月对275名学生进行了重新登记。分析包括 2015 年的 309 名患者和 2018 年的 253 名患者。福岛未来父母态度量表用于评估对未来生育和婴儿护理与辐射照射有关的态度。结果表明,自尊(β = -0.22)、有关辐射的建议(β = 0.19)、担心辐射对未来伴侣的影响(β = -0.18)和大学相关压力(β = 0.20)对未来生育的态度有显著影响。此外,自尊(β = -0.22)和对辐射遗传风险的认知(β = -0.17)也影响了对婴儿护理的态度。因此,要提高福岛县女大学生对未来生育和婴儿护理的信心,重要的是要增强自尊心,减轻与大学相关的压力,并创造一种环境,让女大学生能够自在地与专家和彼此讨论辐射问题。
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引用次数: 0
Cosmic radiation exposure of airline crews in France over the period 2015–2019 2015-2019 年期间法国航空公司机组人员的宇宙辐射暴露情况
IF 1.1 4区 医学 Q2 Energy Pub Date : 2023-10-01 DOI: 10.1051/radiopro/2023027
P. Lestaevel, C. Huet, V. Lejeune, C. Moreno, C. Villagrasa, J. Feuardent, F. Trompier
Cosmic particle flux increases with latitude and altitude and is significantly higher on-board aircraft than at ground level. Furthermore, its intensity depends on solar activity and eruptions. Due to their professional activity, flight crews (FCs) may receive an annual dose of some millisieverts. Therefore, the European directive adopted in 1996 requires the aircraft operators to assess the dose. The effective dose is to be estimated using various experimental and calculation means. In France, it is carried out by the computerized system for flight assessment of exposure to cosmic radiation SIEVERTPN, which sends to SISERI, the national dose registry, the monthly effective dose of each crew member. The average annual effective dose of French FCs was 2.19 mSv in 2019, i.e. between the standard permissible limits set for the public and the limit set for occupationally exposed persons. The effective dose received by the most exposed French FCs increased during the period 2015–2019 and that could be due to the solar cycle effect, changes in the staff flight time or the aircraft model. It can also be noted that more technical flight crews (TFCs) received a dose greater than 5 mSv over the 2016 to 2019 period than commercial flight crew (CFCs). Our study indicates that the number of FCs having received a dose greater than 5 mSv also increased over the period 2016 to 2019. Some parameters, that may affect the assessment of the aircrew effective dose, are not considered in SIEVERTPN calculations, as for example the Forbush decreases and the location in the plane. Lastly, several factors lead us to expect a decrease in the doses received by French aircrew staff in the coming years, such as the peak activity of the 25th eleven-year solar cycle expected in July 2025. However, some unexpected events, as for instance the war in Ukraine, can alter this prediction.
宇宙粒子通量随着纬度和高度的增加而增加,飞机上的宇宙粒子通量明显高于地面。此外,其强度取决于太阳活动和爆发。由于其职业活动,飞行机组人员(FCs)每年可能会受到约毫西弗的剂量。因此,1996 年通过的欧洲指令要求飞机运营商对剂量进行评估。有效剂量需要通过各种实验和计算方法进行估算。在法国,这项工作由宇宙辐射飞行评估计算机系统 SIEVERTPN 完成,该系统会向国家剂量登记处 SISERI 发送每位机组人员的每月有效剂量。2019年,法国FC的年平均有效剂量为2.19毫希沃特,即介于为公众设定的标准允许限值和为职业暴露者设定的限值之间。在 2015-2019 年期间,受辐射最严重的法国功能界别人员收到的有效剂量有所增加,这可能是由于太阳周期效应、工作人员飞行时间或飞机型号的变化。还可以注意到,在 2016 年至 2019 年期间,与商业飞行机组人员(CFCs)相比,更多技术飞行机组人员(TFCs)受到的剂量大于 5 mSv。我们的研究表明,在 2016 年至 2019 年期间,接受剂量大于 5 mSv 的 FC 人数也有所增加。有些参数可能会影响机组人员有效剂量的评估,但在 SIEVERTPN 计算中并未考虑这些参数,例如福布什下降率和在飞机上的位置。最后,一些因素使我们预计法国机组人员在未来几年中受到的剂量会减少,例如预计在 2025 年 7 月出现的第 25 个 11 年太阳周期的活动高峰。然而,一些意想不到的事件,如乌克兰战争,可能会改变这一预测。
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引用次数: 0
La relation linéaire sans seuil (LNT) et l’évolution du système de radioprotection 线性无阈值(LNT)关系与辐射防护系统的演变
IF 1.1 4区 医学 Q2 Energy Pub Date : 2023-10-01 DOI: 10.1051/radiopro/2023035
Joël Bertho, M. Bourguignon
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引用次数: 0
Evaluation of X-Ray Doses in Pediatrics Multislice Computed Tomography 儿科多层计算机断层扫描x射线剂量的评价
4区 医学 Q2 Energy Pub Date : 2023-09-26 DOI: 10.1051/radiopro/2023029
Hassan Khajmi, Fatima Ait Nouh, Abdessamad Tounsi, Rodouan Touti
The present paper aims to estimate the doses delivered to children during a multislice computed tomography examination at the Mohammed VI University Hospital Center of Marrakech in Morocco and to compare our values with the dosimetric data the others countries. Method of Study. This study was conducted from 1st January 2020 to 1stMay 2020 at the pediatrics Computed Tomography unit in radiology service of Mother and Child Hospital of Marrakech –Safi region Morocco. Tube voltage, the Volume Computed Tomography dose index CTDIvol and the Dose-Length-Product DLP, current tube in milliamper seconds mAs), rotation time in seconds, slice thickness and collimation were collected by dosimetric sheet for three age groups of young with age ranged between 1 year- 4 year (AG1y5y), 5 year-10 year (AG5y10y) and 10 year-15 year (AG10y15y) The CT examinations studied are CTs of the Head, Chest and Abdominal-Pelvis. Results. For the studied age’s groups of children, 67 % of Computed Tomography exams were performed with a value of tube voltage 120 kV and 33% with a value of 110 kV. A comparison of CTDIvol and the Dose-Length-Product DLP For the three age groups AG1y5y, AG5y10y and AG10y15y of younger’s considered with other studies revealed that our DLP values from head CT are less than the recommended standards registered in literatures However, those of the Abdomen Pelvis and Chest CT are significantly higher than the Belgium and Germany diagnostic references levels. Furthermore the effective dose distributions ED were: 37, 2.2 and 1.2 mSv for head CT, 5.60, 3.2 and 3.1 mSv for chest CT protocol and 3.2, 88 and 8 mSv for abdominal-pelvis CT protocol. Conclusion. This study showed that our mean values of DLP for head CT are less than other National Diagnostic Dose Reference Levels. However, those of the Abdomen Pelvis and Chest CT are significantly higher than the diagnostic references levels in Belgium and Germany.
本论文旨在估计在摩洛哥马拉喀什穆罕默德六世大学医院中心进行多层计算机断层扫描检查时给予儿童的剂量,并将我们的值与其他国家的剂量学数据进行比较。研究方法。本研究于2020年1月1日至2020年5月1日在马拉喀什-萨菲地区摩洛哥妇幼医院放射科儿科计算机断层摄影科进行。通过剂量计片收集了3组年龄在1 - 4岁(AG1y5y)、5 -10岁(AG5y10y)和10 -15岁(AG10y15y)的青少年的管电压、体积计算机断层扫描剂量指数CTDIvol和剂量-长度-积DLP、电流管(毫安秒mAs)、旋转时间(秒)、切片厚度和准直所研究的CT检查为头部、胸部和腹部-骨盆CT。结果。在研究年龄组的儿童中,67%的计算机断层扫描检查的管电压值为120千伏,33%的管电压值为110千伏。通过比较AG1y5y、AG5y10y和AG10y15y三个年龄组的CTDIvol和剂量-长度-积DLP与其他研究发现,我们头部CT的DLP值低于文献中推荐的标准,而腹部骨盆和胸部CT的DLP值明显高于比利时和德国的诊断参考水平。此外,有效剂量分布ED分别为:头部CT为37、2.2和1.2 mSv,胸部CT为5.60、3.2和3.1 mSv,腹部-骨盆CT为3.2、88和8 mSv。结论。本研究显示,我们的头部CT DLP平均值低于其他国家诊断剂量参考水平。然而,腹部骨盆和胸部CT的诊断参考水平明显高于比利时和德国的诊断参考水平。
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Radioprotection
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