血管造影検査における透視環境の違いによる術者の被曝線量

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Scattered radiation levels near ana imaging system commonly used in angiography were measured with a 200 mm thick water phantom. The scattered radiation exposure rate was measured in lines parallel in space to the central ray of the x-ray beam, at lateral distances of 30-100 cm. The effects of an x-ray beam limiting device, geometric and electric magnification, and rotation angle of the C-arm were also determined. The results indicated that the highest scattered radiation levels occurred near the surface of the phantom where the x-ray beam enters. In P-A geometry, the highest radiation levels occurred below the angiographer's waist. These areas of the body corresponded to the gonads of the angiographer. It has been suggested that angiographers' exposure rates are higher near the gonads than near the chest. However, lead aprons efficiently protect these areas. When smaller field sizes were limited by a variable x-ray beam limiting device, the volume of irradiated tissue was reduced, and the scattered radiation exposure rate was decreased. Further, when larger magnification factors were chosen for the analogue magnification method, the volume of irradiated tissue was reduced by the automatic x-ray beam limiting device, and the scattered radiation exposure rate was decreased. However, smaller field sizes markedly increased patient exposure by auto brightness control. To mitigate the angiographer's exposure, smaller field sizes with x-ray limiting devices are required. However, a larger field size should by used whenever possible to minimize patient exposure. The angiographer's exposure rate was influenced by the incidence direction of the x-ray beam when the C-arm had been rotated around the phantom. Consequently, the angiographer's exposure rate was maximum when the x-ray tube most closely approached the angiographer and was minimum when the image intensifier most closely approached the angigrapher. Therefore, to mitigate the angiographer's exposure, attention needs to be given to the incidence direction of the x-ray beam.
公益社団法人日本放射線技術学会の論文
2000-04-20

血管造影検査における透視環境の違いによる術者の被曝線量

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