影像引导介入手术的放射风险分析

A. J. González, L. Sanchez, A. Torres, A. Machado
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引用次数: 0

摘要

图像引导介入手术已经成为对患者和参与其中的人员产生最高剂量辐射的医疗应用之一。安全评估应用于进行图像引导介入程序的一般服务,使用风险矩阵的半定量方法,在古巴SECURE-MR-FMEA代码中实施。编制了工艺流程图,确定了6个阶段76个意外序列。数值显示,开发模型的第一次筛选报告45%的高风险,42%和13%的中度和低风险,一旦控制器数量增加,高风险降低到11%,中度和低风险分别增加54%和35%。这些结果强调了采取一切必要措施保护公众、患者和职业暴露工人的重要性。
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Radiological risk analysis of image-guided interventional procedures
Image-guided interventional procedures have become one of the medical applications that produces the highest doses of radiation for both the patient and the personnel involved in it. Safety assessment was applied to a generic service where image-guided interventional procedures was carried, using the semi-quantitative method of risk matrix, implemented in the Cuban SECURE-MR-FMEA code. The process map was prepared, identifying 6 stages with 76 accidental sequences. Values showed that the first screening for the developed model reports 45 % of high risks, 42% and 13 % of moderate and low risks, and once the number of controllers increased, high risks decrease to 11 % and there is an increase in moderate and low risks of 54 % and 35 % respectively. These results stress the importance of using all necessary measures for the protection of the public, patients and occupationally exposed workers.
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