몬테카를로 방법을 이용한 이동형 X선 투시검사 시 수술실 내 공간선량평가
Spatial Dose Distribution for C-arm Examination within Operation Room Using Monte Carlo Method
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초록
The purpose of this study was to analyze the spatial dose according to the distance by location of medical workers when using a mobile X-ray fluoroscopy device in the operating room through a simulation experiment. The MCNPX program was used for the simulation, and the location of medical workers was set around the operating table, and the spatial dose distribution according to the distance and changes in imaging conditions was evaluated. As a result, The highest score was 2.74×10-4 mGy, 2.72×10-4 mGy, and 1.18×10-4 mGy based on the 10 cm distance from the operating table. Spatial dose depending on the distance 100cm, A point 5.15×10-5 mGy is decreased 19% of 10cm, D point 5.12×10-5 mGy, 19 % of 10cm , and G pint, 1.73×10-5 mGy is reduced by 15% of 10cm. Based on this study, medical-related workers directly or indirectly participating in surgery carry potential risks of radiation exposure during surgery, but there are difficulties in radiation protection due to the nature of their work. Therefore, efforts to reduce exposure suitable for the operating room environment will be required.
Abstract
The purpose of this study was to analyze the spatial dose according to the distance by location of medical workers when using a mobile X-ray fluoroscopy device in the operating room through a simulation experiment. The MCNPX program was used for the simulation, and the location of medical workers was set around the operating table, and the spatial dose distribution according to the distance and changes in imaging conditions was evaluated. As a result, The highest score was 2.74×10-4 mGy, 2.72×10-4 mGy, and 1.18×10-4 mGy based on the 10 cm distance from the operating table. Spatial dose depending on the distance 100cm, A point 5.15×10-5 mGy is decreased 19% of 10cm, D point 5.12×10-5 mGy, 19 % of 10cm , and G pint, 1.73×10-5 mGy is reduced by 15% of 10cm. Based on this study, medical-related workers directly or indirectly participating in surgery carry potential risks of radiation exposure during surgery, but there are difficulties in radiation protection due to the nature of their work. Therefore, efforts to reduce exposure suitable for the operating room environment will be required.
참고문헌 (16)
- 김지완, "골절 치료 시 정형외과 의사에 대한 방사선 노출", 대한정형외과학회지, 45(2), pp.107~113 (2010), 대한정형외과학회
- Bae SY, "Radiation exposure from fluoroscopy during orthopaedic surgical procedures", Journal of The Korean Fracture Society, 14(4), pp.792~798 (2001)
- Health Insurance Review&Assessment Service, "2020Status of equipment retention in medical institutions", Healthcare Bigdata Hub, ~ (2021)
- 성경정, "방사선작업종사자 피폭선량 관리에 대한 연구", 방사선산업학회지, 14(3), pp.273~285 (2020), (사)한국방사선산업학회[DOI]
- Ministry of Food and Drug Safety, "Safety Guidelines for Medical Radiation Staff. No.40", ~ (2014)
- Radiation Exposure Experience Survey, "Korea Intern Resident Association", ~ (2018)
- 김봉희, "수술실 종사자의 방사선 노출에 대한 방사선 방어관련 지식, 인식도, 자기효능감 및 수행도에 관한 연구", 한국산학기술학회논문지, 18(5), pp.343~354 (2017), 한국산학기술학회[DOI]
- 정홍문, "Micro-CT 촬영 시 발생되는 산란선에 관한 공간선량률 측정", 한국방사선학회논문지, 7(1), pp.45~50 (2013), 한국방사선학회[DOI]
- Catalogue of diagnostic X-ray spectra and other data, "Cranley K", The Institute of Physics and Engineering in Medicine, ~, pp.IMPEM report 78 (1997)
- Bujila R, "A validation of SpekPy: A software toolkit for modelling X-ray tube spectra", European Journal of Medical Physics, 75, pp.44~54 (2020)
- Aisan Institute for Bioethics and Health Law, "Improvement of facility standards in medical institutions", Ministry of Health and Welfare Report, ~ (2013)
- ICRP, "Radiological protection in Fluoroscopically Guided Procedures outside the Imaging Department. ICRP Publication 117", Annal of the ICRP, 40(6) (2010)
- 이동연, "유방촬영 시 방사선관계종사자의 위치에 따른 공간선량평가", 방사선기술과학, 39(3), pp.297~303 (2016), 대한방사선과학회[DOI]
- 도상록, "수술실에서 방사선 차폐기 사용 유무에 따른 공간산란선량분포의 측정", 방사선기술과학, 40(4), pp.549~556 (2017), 대한방사선과학회[DOI]
- 김민정, "통증 치료에서의 방사선 노출에 의한 눈의 영향과 보호", Anesthesia and Pain Medicine, 12(4), pp.297~305 (2017), 대한마취통증의학회
- 최준구, "진단용방사선발생장치의 안전관리에 관한 규칙 개정에 따른 이동형 방사선검사의 개선방안", 방사선기술과학, 30(1), pp.53~59 (2007), 대한방사선과학회
