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PL
Wprowadzenie: Ze względu na stosowanie promieniowania jonizującego medycyna nuklearna jest istotną i unikalną gałęzią metod diagnostycznych i leczniczych. Celem podjętych badań była ocena narażenia wewnętrznego pracowników zakładów medycyny nuklearnej na jod promieniotwórczy 131I i technet 99mTc oraz ocena dawek pochodzących z ekspozycji zewnętrznej. Materiał i metody: Pomiary zawartości radiojodu 131I i technetu 99mTc w tarczycy osób pracujących z tymi radionuklidami (ok. 100 osób) wykonano w 4 ośrodkach medycyny nuklearnej. Zastosowano przenośny zestaw detekcyjny mierzący radionuklidy in situ. Dawki pochodzące z ekspozycji zewnętrznej mierzono, wykorzystując środowiskowe dozymetry termoluminescencyjne (thermoluminescent dosimeters - TLD) o dużej czułości. Wyniki: Zawartość radiojodu 131I w tarczycy wynosiła średnio: 83 Bq (zakres aktywności: 70-250 Bq) w grupie personelu technicznego, 280 Bq (zakres: 70-4000 Bq) w grupie personelu medycznego i 275 Bq (zakres: 70-1000 Bq) w grupie personelu pomocniczego. Średnia zawartość technetu 99mTc w tarczycy wynosiła ok. 1500 Bq (zakres: 50-1800 Bq). Otrzymana moc dawek pochodzących z ekspozycji zewnętrznej mieściła się w zakresie 0,5-10 μGy/godz. Wnioski: Oszacowana średnia dawka skuteczna pochodząca z inhalacji radiojodu 131I stanowiła mniej niż 5% rocznego limitu dla narażenia zawodowego, które wynosi 20 mSv/rok. Med. Pr. 2013;64(5):625–630
EN
Background: Due to its use of ionising radiation, the field of nuclear medicine is a unique and significant part of medical diagnostics and patient treatment. The aim of this study was to assess the internal exposure of nuclear medicine employees to radioiodine 131I and technetium 99mTc as well as to assess the external exposure doses. Material and Methods: The radioiodine 131I and technetium 99mTc contents in the thyroid of staff members (about 100 persons) dealing with these radionuclides have been measured in four departments of nuclear medicine. The measurements were conducted with a portable detection unit for in situ measurements of radioiodine and technetium. High sensitivity environmental thermoluminescent dosimeters (TLD) were used to measure the external exposure dose. Results: The average values and ranges of radioiodine 131I activity measured in the thyroids of all of the medical units' employees were: 83 Bq (range: 70-250 Bq), 280 Bq (range: 70-4000 Bq), 275 Bq (range: 70-1000 Bq) for technical staff, nuclear medicine staff and hospital services staff, respectively. The mean value of technetium 99mTc content in the thyroids of nuclear medicine staff was approximately 1500 Bq (range: 50- -1800 Bq). External exposure dose rates were in the range of 0.5-10 μGy/h. Conclusions: The calculated average effective dose for particular person caused by the inhalation of radioiodine 131I is below 5% of 20 mSv/year (occupational exposure limit). Med Pr 2013;64(5):625–630
EN
The iodine-131 (I-131) content in the thyroid of staff members working with this radionuclides has been measured with about 500 employees in about 25 hospital’s departments of nuclear medicine performing therapy and diagnosis of thyroid disease in Poland. The measurements were performed with portable detection unit for in situ measurements of radioiodine. This is consist with scintillation detector sodium iodine activated by thallium (NaI(Tl)) – battery-powered and portable tube base Multichannel Analyzer Canberra UniSPEC. Based on direct measurements of the iodine content, the effective dose equivalent for workers due to inhalation of I-131 was estimated. All individuals actively working with iodine show measurable amounts of this isotopes in their thyroids. The average measured activity in the thyroid of the nuclear medicine staff was found to be equal at average 550 Bq within the range 70 Bq–2.5 kBq. There is no apparent correlation between the measured I-131 levels and risk categories. Nevertheless the technical and nuclear medicine staff show higher I-131 thyroid level comparing to hospital services staff. Calculated maximum committed effective dose for particular exposed person is <10% of 20 mSv/year.
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