著者
宮島 隆一 藤淵 俊王 宮地 優介 立石 哲士 宇野 善徳 天川 一利 大浦 弘樹 折田 信一
出版者
公益社団法人 日本放射線技術学会
雑誌
日本放射線技術学会雑誌 (ISSN:03694305)
巻号頁・発行日
vol.74, no.4, pp.326-334, 2018 (Released:2018-04-20)
参考文献数
16
被引用文献数
3 8

Medical staffs like radiological technologists, doctors, and nurses are at an increased risk of exposure to radiation while assisting the patient in a position or monitor contrast medium injection during computed tomography (CT). However, methods to protect medical staff from radiation exposure and protocols for using radiological protection equipment have not been standardized and differ among hospitals. In this study, the distribution of scattered X-rays in a CT room was measured by placing electronic personal dosimeters in locations where medical staff stands beside the CT scanner gantry while assisting the patient and the exposure dose was measured. Moreover, we evaluated non-uniform exposure and revealed effective techniques to reduce the exposure dose to medical staff during CT. The dose of the scattered X-rays was the lowest at the gantry and at the examination table during both head and abdominal CT. The dose was the highest at the trunk of the upper body of the operator corresponding to a height of 130 cm during head CT and at the head corresponding to a height of 150 cm during abdominal CT. The maximum dose to the crystalline lens was approximately 600 μSv during head CT. We found that the use of volumetric CT scanning and X-ray protective goggles, and face direction toward the gantry reduced the exposure dose, particularly to the crystalline lens, for which lower equivalent dose during CT scan has been recently recommended in the International Commission on Radiological Protection Publication 118.
著者
清水 翔太 荒川 弘之 本田 城二 徳森 謙二 藤淵 俊王
出版者
日本保健物理学会
雑誌
保健物理 (ISSN:03676110)
巻号頁・発行日
vol.56, no.4, pp.315-323, 2021-12-28 (Released:2022-03-01)
参考文献数
24
被引用文献数
1

Clear radiation protection training and explanation tools for medical staff, patients, and caregivers during radiography are required. In this study, we developed visualization tool of scattered radiation distribution image of each X-ray room conditions. The 400 cases of X-ray room conditions were simulated using a Monte Carlo simulation code, Particle and Heavy Ion Transport code System (PHITS). The simulation conditions were (i) width and depth of the X-ray room (200 cm, 250 cm, 300 cm, 400 cm and 500 cm), (ii) opening or closing of the sliding door, (iii) direction of the X-ray table, (iv) X-ray posture, and (v) with or without protective clothing/shield. The scattered radiation distribution images were published on the Internet. The images are easily accessible on the Internet with selecting each radiography room condition. In radiation protection education, our tool can be used to (a) reduce radiation dose by keeping away from X-ray sources and scattered radiation sources, (b) shield scattered radiation by protective clothing and protective screens, and (c) prevent leakage of scattered radiation outside the room by closing the door of the radiography room. Our tool would improve the efficiency of radiation protection training for medical staff and alerting to patients and caregivers.
著者
荒川 弘之 徳森 謙二 亀澤 秀美 藤淵 俊王
出版者
公益社団法人 日本アイソトープ協会
雑誌
RADIOISOTOPES (ISSN:00338303)
巻号頁・発行日
vol.67, no.1, pp.11-15, 2018-01-15 (Released:2018-01-15)
参考文献数
6
被引用文献数
5 5

一般の病院等ではX線撮影装置がその有用性から広く普及している一方,患者・介助者や医療従事者への不必要な被ばく量増大の可能性がある。本研究では放射線防護教育を目的としたX線撮影室内での放射線散乱の可視化図の作成を行った。モンテカルロシミュレーションコードPHITSを用いて,PHITSの利用初学者においても簡便に作成できる放射線の散乱を表した図を作成することで,端的かつ的確な放射線防護教育と不必要な被ばくへの注意喚起ができると考えられる。
著者
藤淵 俊王 藤田 克也 五十嵐 隆元 西丸 英治 堀田 昇吾 桜井 礼子 小野 孝二
出版者
公益社団法人 日本放射線技術学会
雑誌
日本放射線技術学会雑誌 (ISSN:03694305)
巻号頁・発行日
vol.77, no.2, pp.160-171, 2021 (Released:2021-02-20)
参考文献数
21
被引用文献数
2

Purpose: To investigate the actual condition of the crystalline lens equivalent dose and effective dose according to the type of job and the type of duties in a medical institution. We also sought to clarify effective exposure reduction strategies. Methods: Equivalent crystalline lens doses, effective doses, job type, and duties for 8656 persons · year were obtained from 17 medical facilities. We analyzed the relationship between the effective dose and the crystalline lens equivalent dose in uniform exposure control and non-uniform exposure control conditions. Exposure data were obtained for 13 unique job types and duties. Results: The ratio of the lens equivalent dose to the effective dose of non-uniform exposure managers was 2 to 6 times and varied depending on the occupation. The percentage of persons whose annual lens equivalent dose exceeded 20 mSv was 4.75% for medical doctors, 1.17% for nurses, and 0.24% for radiological technologists. Highly exposed tasks included doctors in cardiology and gastroenterology performing angiography and endoscopy, nurses in endoscopy, and radiological technologists in radiography and CT examinations. Conclusion: Thorough unequal exposure control for operations with high crystalline lens exposure, radiation protection education, and effective use of proper personal protective equipment such as the use of radiation protection glasses may reduce lens exposure levels.
著者
藤淵 俊王
巻号頁・発行日
2012

筑波大学博士 (医学) 学位論文・平成24年3月23日授与 (甲第6235号)