[논문]Quality Assurance of Personal Radiation Shield for Kilovoltage Photon: A Multicentre Experience

Bawazeer, Omemh

doi:10.2147/rmhp.s298783

Quality Assurance of Personal Radiation Shield for Kilovoltage Photon: A Multicentre Experience 원문보기

Risk management and healthcare policy, v.14, 2021년, pp.1263 - 1270

Bawazeer, Omemh (Medical Physics Department, Umm Al-Qura University , Mecca , Saudi Arabia)

Abstract ▼ AI-Helper

PurposeTo optimize the maintenance of radiation shields, this study aims to analyze annual inspection files to assess the integrity of radiation shields and their associated factors with regard to defects in radiation shields in clinical settings.MethodsA multicenter cross-sectional study was conducted at hospitals in Saudi Arabia. The data from annual inspection files of 1019 clinical lead radiation shields were analyzed. The factors of shield shape, unit where a shield is used, shield thickness, short-term use and number of users were examined. In addition to the inspection file analysis, radiation attenuation measurements were obtained for a subset of shields to compare newly purchased shields with older shields. Statistical analyses were performed using Fisher’s exact test and a t-test.ResultsThe results show that the highest percentage of failing shields were found in the emergency unit, fluoroscopy unit and operation room with a failure of approximately 7.14%, 5.61%, and 3.98%, respectively, of these shields. Fluoroscopy and operation room units were statistically significantly associated with shield defects. There was no association between shield damage and shape of shield, shield thickness, short-term use or number of users. Radiation attenuation measurements were similar for new and older shields.ConclusionAs fluoroscopy units and operating rooms have a higher percentage of damaged shields, it is recommended that the shields employed in these units should be regularly inspected more frequently than once a year. The study highlights that the shields’ age, transmission measurements that confirm that the correct shields are purchased according to the required kVp, physical appearance, and cleanliness should be recorded in annual inspection files. This study highlights the need for uniform inspection files of radiation shields across hospitals. National and international organizations may apply these findings to develop appropriate recommendations.

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참고문헌 (20)

1. Institute of Physics and Engineering in Medicine . Medical and Dental Guidance Notes: A Good Practice Guide on All Aspects of Ionising Radiation Protection in the Clinical Environment . York : Institute of Physics and Engineering in Medicine ; 2002 .
2. Michel R , Zorn MJ . Implementation of an X-ray radiation protective equipment inspection program . Health Phys . 2002 ; 82 ( 2 Suppl ): S51 – S53 . doi: 10.1097/00004032-200202001-00012 11797906

상세보기
3. Lambert K , McKeon T . Inspection of lead aprons: criteria for rejection . Health Phys . 2001 ; 80 : S67 – S69 . doi: 10.1097/00004032-200105001-00008 11316086

상세보기
4. Australian/New Zealand Standard™ . Occupational Protective Gloves. Part 1: Selection, Use and Maintenance . 2000 . AS/NZS 2161.1 .
5. Matsuda M , Suzuki T . Evaluation of lead aprons and their maintenance and management at our hospital . J Anesth . 2016 ; 30 ( 3 ): 518 – 521 . doi: 10.1007/s00540-016-2140-2 26842670

상세보기
6. Oppliger-Schäfer D , Roser HW . Quality assurance of X-ray protection clothing at the university hospital basel . In: Annual Conference of SSRMP ; 2009 ; Basel . 1 – 5 .
7. Uche CH , Chimuanya UD , Okeji MC , Onwugalu E . How efficient are the lead aprons used for radiation protection in our hospitals . Indian j Appl Res . 2018 ; 8 ( 2 ).
8. Livingstone RS , Varghese A . A simple quality control tool for assessing integrity of lead equivalent aprons . Indian J Radiol Imaging . 2018 ; 28 ( 2 ): 258 . doi: 10.4103/ijri.IJRI_374_17 30050253

상세보기
9. Oyar O , Kislalioglu A . How protective are the lead aprons we use against ionizing radiation? Diagn Intervent Radiol . 2012 ; 18 ( 2 ): 147 .
10. Murphy PH , Wu Y , Glaze SA . Attenuation properties of lead composite aprons . Radiology . 1993 ; 186 ( 1 ): 269 – 272 . doi: 10.1148/radiology.186.1.8416577 8416577

상세보기
11. Papadopoulos N , Papaefstathiou C , Kaplanis PA , et al.. Comparison of lead-free and conventional x-ray aprons for diagnostic radiology . In: World Congress on Medical Physics and Biomedical Engineering, September 7–12, 2009 ; 2009 ; Munich, Germany ; Springer, Berlin, Heidelberg . 544 – 546 .
12. McCaffrey JP , Shen H , Downton B , Mainegra‐Hing E . Radiation attenuation by lead and nonlead materials used in radiation shielding garments . Med Phys . 2007 ; 34 ( 2 ): 530 – 537 . doi: 10.1118/1.2426404 17388170

상세보기
13. Aghaz A , Faghihi R , Mortazavi S , Haghparast A , Mehdizadeh S , Sina S . Radiation attenuation properties of shields containing micro and Nano WO3 in diagnostic X-ray energy range . Int J Radiat Res . 2016 ; 14 ( 2 ): 127 . doi: 10.18869/acadpub.ijrr.14.2.127
14. Botelho MZ , Künzel R , Okuno E , Levenhagen RS , Basegio T , Bergmann CP . X-ray transmission through nanostructured and microstructured CuO materials . Appl Radiat Isot . 2011 ; 69 ( 2 ): 527 – 530 . doi: 10.1016/j.apradiso.2010.11.002 21112215

상세보기
15. Cho JH , Kim MS , Rhim JD . Comparison of radiation shielding ratios of nano-sized bismuth trioxide and molybdenum . Radiat Effe Defects Solids . 2015 ; 170 ( 7–8 ): 651 – 658 . doi: 10.1080/10420150.2015.1080703

상세보기
16. Stam W , Pillay M . Inspection of lead aprons: a practical rejection model . Health Phys . 2008 ; 95 ( 2 ): S133 – S136 . doi: 10.1097/01.HP.0000314763.19226.86 18617796

상세보기
17. Stahl CM , Meisinger QC , Andre MP , Kinney TB , Newton IG . Radiation risk to the fluoroscopy operator and staff . Am J Roentgenol . 2016 ; 207 ( 4 ): 737 – 744 . doi: 10.2214/AJR.16.16555 28829623

상세보기
18. Burns KM , Shoag JM , Kahlon SS , et al. Lead aprons are a lead exposure hazard . J Am Coll Radiol . 2017 ; 14 ( 5 ): 641 – 647 . doi: 10.1016/j.jacr.2016.10.024 28082154

상세보기
19. Ang L , Almasoud A , Palakodeti S , Mahmud E . Bacterial contamination of lead aprons in a high-volume cardiac catheterization laboratory and disinfection using an automated ultraviolet-c radiation system . J Invasive Cardiol . 2018 ; 30 : 416 – 420 . 30373951
20. McAleese T , Broderick JM , Stanley E , Curran R . Thyroid radiation shields: a potential source of intraoperative infection . J Orthopaedics . 2020 ; 22 : 300 – 303 . doi: 10.1016/j.jor.2020.06.010

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Quality Assurance of Personal Radiation Shield for Kilovoltage Photon: A Multicentre Experience 원문보기

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