YADRO TIBBIYOTI XODIMLARI QO‘L TERISINING NURLANISHGA UCHRASH DARAJASINI QIYOSIY BAHOLASH
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pozitron-emission tomografiya, individual doza ekvivalenti, teridagi ekvivalent doza, radiofarmatsevtik preparat, xodimlar##article.abstract##
Pozitron-emission tomografiya (PET) inson ichki a’zolarini tekshirishda qo‘llaniladigan zamonaviy va yuqori informativ radionuklid tomografik usullardan biridir. PET o‘sma jarayonining tarqalish darajasini to‘liq baholash imkonini beradi, tekshirilayotgan organdagi mutlaq faollikni o‘lchash hamda fiziologik jarayonlarni miqdoriy baholash imkoniyatini yaratadi. Radiopreparatlar bilan ishlash jarayonida tibbiyot xodimlari qo‘l terisining ionlashtiruvchi nurlanish bilan yaqin kontaktda bo‘lishi kuzatiladi va bu sezilarli sirt dozalari bilan kechadi. Shu sababli, xodimlar qo‘l terisiga radioaktiv ta’sir ko‘rsatish tibbiy PET/KT markazlarida radiatsion himoya nuqtai nazaridan muhim muammo hisoblanadi. Mazkur maqolada radiopreparatni ma’lum faollikda dozalashtirish hamda bemorlarga vena ichiga yuborish bilan shug‘ullangan hamshiralar qo‘l terisining yillik sirt dozalari baholandi. O‘rtacha qiymatlar 117 mSv dan 250 mSv gacha bo‘lib, bu ko‘rsatkichlar SanQvaN №0193-06 “Radiatsiya xavfsizligi normalari (RXN 2006) va radiatsiya xavfsizligini taʼminlashning asosiy sanitar qoidalari (RXTASQ 2006)” ga muvofiq qo‘l terisi uchun belgilangan 500 mSv yillik doza chegarasiga mos keladi.
Библиографические ссылки
United Nations Scientific Committee on the Effects of AtomicRadiation. UNSCEAR 2008 Report to the General Assembly with Scientific Annexes. Sources and Effects of Ionizing Radiation. V.I, Annex A. Medical radiation exposures. NY: United Nations, 2010.
Чипига Л.А., Звонова И.А., Рыжкова Д.В. и др. Уровни облучения пациентов и возможные пути оптимизации ПЭТ-1,3 диагностики в России // Радиационная гигиена. 2017. Т. 10, № 4. С. 31-43. DOI: 10.21514/1998-426Х-2017-10-4-31-43.
Vanhavere F., Carinou E., Donadille L. et al. An overview on extremity dosimetryin medical applications // Radiation Protection Dosimetry. 2008. Vol. 129, No 1–3. P. 350–355. DOI: 10.1093/rpd/ncn149.
ORAMED: Optimization of Radiation Protection of Medical Staff: EURADOS Report 2012-02, Braunschweig, April 2012. DOI: 10.12768/yc01-0d55.
International Commission on Radiological Protection. Radiation dose to patients from radiopharmaceuticals. Addendum 3to ICRP Publication 53. ICRP Publication 106. Annex E. Radiationexposure of hands in radiopharmacies: Monitoring of doses andoptimisation of protection // Annals of the ICRP. 2008. Vol. 38, No 1–2. P. 1–197. DOI: 10.1016/j.icrp.2008.08.003.
Wrzesień M. The Effect of Work System on the Hand Exposure of Workers in 18F-FDG Production Centers // Australasian Physical & Engineering Sciences in Medicine. 2018. No. 41.P. 541-548. DOI: 10.1007/s13246-018-0644-9.
Kollaard R., Zorz A., Dabin J. et al. Review of extremity dosimetry in nuclear medicine // Journal of Radiological Protection. 2021. Vol. 41, No 4. P. DOI: 10.1088/1361-6498/ac31a2. PMID: 34670207.
Cunha L., Dabin J., Leide-Svegborn S. et al. Extremity exposure of nuclear medicine workers: results from an EANM and EURADOS survey // The Quarterly Journal of Nuclear Medicine and Molecular Imaging. 2023. Vol. 67, No 1. P. 29-36. DOI: 10.23736/S1824-4785.22.03504-X..Epub 2023 Jan 11. PMID: 36630081.
Kyriakidou A., Schlief J., Ginjaume M., Kollaard R. Need for harmonisation of extremity dose monitoring in nuclear medicine: results of a survey amongst national dose registries in Europe // Journal of Radiological Protection. 2021. Vol. 41, No 4. DOI: 10.1088/1361-6498/abfff3. PMID: 34723834.
Beganović A., Petrović B., Surić Mihić M. Extremity dosimetry for exposed workers in positron emission tomography in Bosnia and Herzegovina // Radiation Protection Dosimetry. 2023. Vol. 199, No 8-9. P. 859-864. DOI:.10.1093/rpd/ncad117. PMID: 37225180.
Kaljevic J., Stankovic K., Stankovic J. et al. Hand dose evaluation of occupationally exposed staff in nuclear medicine // Radiation Protection Dosimetry. 2016. Vol. 170, No 1-4. 292-296. DOI: 10.1093/rpd/ncv500. Epub 2015 Dec 10. PMID: 26656262.
