血液辐照的质量控制

F. Lópes, R. Rocha, E. Munhoz, F. C. Trigo, V. Feijó, M. Fernandes, T. C. de Paula, L. G. Padilha Filho, G. Araújo
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摘要

辐照是一种用于血液治疗的技术,用于使细胞血液成分中的活淋巴细胞功能失活,以降低输血相关移植物抗宿主病(AT-GVHD)的风险,这种技术罕见但致命。避免它的一种方法是在以下情况下照射血液成分:宫内输血、新生儿、接受免疫抑制治疗的骨髓移植患者。因此,对血液成分进行辐照是极其重要的,最重要的是,确保最低剂量为25 Gy。巴西的血液政策是通过法律和规范性法令实施的,从而形成了支撑血液治疗服务行动的法律体系。为了正确验证吸收剂量和质量保证过程以及辐照操作人员的安全,我们在本文中描述了一些物理测量,这些测量是支持物理学家在辐照过程中和之后评估质量保证的强制性测量。根据国家卫生监督局(ANVISA)的《血液治疗程序技术条例》和国家核能委员会(CNEN)的安全条例,从物理测量中获得的结果保证了血液治疗中使用的适当辐射剂量,以及用于保护患者、雇员和一般公众的方法和程序。
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Quality control in blood irradiation
Irradiation is a technique used in hemotherapy to functionally inactivateviable lymphocytes, in cellular blood components, to reduce the risk of Transfusion-associated Graft-versus-Host Disease (AT-GVHD), is rare but letal. One way to avoid it is to irradiate blood componentes in situations such as: intrauterine transfusion, newborns, patients receiving immunosuppressive therapy in bone marrow transplantation. Thus, it is extremely important that blood component is irradiated and, above all, ensure that the minimum dose is 25 Gy.The blood policy in Brazil is implemented through laws and normative decrees, giving rise to a legal system that underpins the actions of hemotherapy services. In order to correct verify absorbed doses and the quality assurance process as well as the safety for the irradiator operators we describe in this paper a several of physical measurements that is mandatory to support a physicist to evaluate the quality assurance during and after the irradiation process. The results obtained from this physical measurements  provided a guarantee of proper radiation dose used in hemotherapy as well as methods and procedures applied to protect the patient, employees and general public due to procedure of blood irradiation accordling the Technical Regulation of Hemotherapy Procedures of the National Health Surveillance Agency (ANVISA) and safety regulations by National Nuclear Energy Commission (CNEN).
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