放射性核素诊断中患者辐射防护优化过程中的设备质量控制

A. V. Petryakova, L. A. Chipiga, A. V. Vodovatov, M. Ya. Smolyarchuk
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引用次数: 0

摘要

俄罗斯联邦核医学的发展,特别是放射性核素诊断的发展和新技术的引进,使得有必要开发和实施放射性核素诊断优化方法。通过设备质量控制和校准对患者辐射防护进行优化是必要的,以尽量减少患者的暴露水平,并获得准确和可重复的摄取活性评估结果和高质量图像。然而,在国家实践中,由于缺乏质量控制的要求和方法,对设备进行质量控制和校准是困难的。本研究的目的是确定放射性核素诊断部门必要的设备质量控制和校准程序清单,这些清单将在国家和外国标准和准则之间进行协调。通过对国内外文献的分析,对伽玛相机和单光子发射计算机断层成像质量控制和校准程序进行了标准化和推荐。分析表明,国家标准对大多数参数的质量控制频率没有涉及。但是,国家标准中的方法描述完整,符合国外的方法,可以互换,可以用于质量控制。在分析的基础上,提出了优化患者辐射防护和获得准确诊断结果所必需的伽玛相机和单光子发射计算机断层成像质量控制和校准建议频率的程序清单。
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Equipment quality control during patient radiation protection optimisation in radionuclide diagnostics
The development of nuclear medicine and, in particular, radionuclide diagnostics in the Russian Federation and the introduction of new technologies causes the necessity of the development and actualizing of the methods of the radionuclide diagnostics optimisation. Patient radiation protection optimisation through the equipment quality control and calibration is necessary to minimize the patient exposure levels and to obtain accurate and reproducible results of the uptake activity evaluation and high-quality image. However, in the national practice, conducting the equipment quality control and calibration is difficult due the lack of the requirements and methodology for quality control. The aim of the current study is the determination of the list of the necessary equipment quality control and calibration procedures in the radionuclide diagnostics department which will be harmonized between national and foreign standards and guidelines. The analysis of the national and the foreign documents standardized and recommended the gamma-camera and single photon emission computed tomography quality control and calibration procedures was performed in the study. The analysis demonstrated the national standards do not involve the frequency of the quality control for the most parameters. However, the methodology in the national standards is completely described, meets with foreign methodology and can be interchangeable, and can be used for quality control. Based on the analysis the list of the gamma camera and single photon emission computed tomography quality control and calibration procedures with recommended frequency, which is necessary for patient radiation protection optimisation and achievement of the accurate diagnostic results, are presented in the study.
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