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의료인의 직업적 방사선 노출과 건강 영향

Occupational Radiation Exposure and Health Effects among Medical Workers

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초록

Medical radiation workers occupy the largest group of radiation workers and is rapidly increasing worldwide. They expose to protracted low-dose radiation and include a large proportion of women. The purpose of this article is to provide an overview of occupational radiation exposure and health effects among medical radiation workers through literature review and from the findings of Korean medical radiation workers’ studies. Occupational radiation exposure increases the risk of many chronic diseases including cancer, cataract, cardiovascular diseases, thyroid diseases, and others. Although Korean medical radiation workers had a more favorable mortality than in general population, male workers experienced higher mortality from all cancers, leukemia, cancers of the stomach and the colon, and diseases of circulatory system after adjusting for the lower overall mortality. The potential adverse health risks from occupational radiation exposure are not negligible in medical radiation workers if current working level remains. Therefore, effective prevention efforts are needed to reduce the risks of diseases from occupational radiation exposures.

Abstract

Medical radiation workers occupy the largest group of radiation workers and is rapidly increasing worldwide. They expose to protracted low-dose radiation and include a large proportion of women. The purpose of this article is to provide an overview of occupational radiation exposure and health effects among medical radiation workers through literature review and from the findings of Korean medical radiation workers’ studies. Occupational radiation exposure increases the risk of many chronic diseases including cancer, cataract, cardiovascular diseases, thyroid diseases, and others. Although Korean medical radiation workers had a more favorable mortality than in general population, male workers experienced higher mortality from all cancers, leukemia, cancers of the stomach and the colon, and diseases of circulatory system after adjusting for the lower overall mortality. The potential adverse health risks from occupational radiation exposure are not negligible in medical radiation workers if current working level remains. Therefore, effective prevention efforts are needed to reduce the risks of diseases from occupational radiation exposures.

참고문헌 (30)

  1. "2016 Report Occupational Radiation Exposure in Diagnostic Radiology in Korea" (2017)[URL]
  2. "2016 NUCLEAR SAFETY YEARBOOK" (2017)[URL]
  3. Kim J, "Work procedures and radiation exposure among radiologic technologists in Sout Korea", Radiat Prot Dosimetry, 178, pp.345~353 (2018)[DOI]
  4. Lee WJ, "A cohort enrollment of medical interventional radiation workers" (2018)
  5. Ko S, "Health effects from occupational radiation exposure among fluoroscopy-guided interventional medical workers: a systematic review", J Vasc Interv Radiol, 29, pp.353~366 (2018)[DOI]
  6. Lee WJ, "Occupational radiation exposure and health effects in a cohort of diagnostic radiation workers in Korea" (2013)
  7. Berrington A, "100 years of observation on British radiologists: mortality from cancer and other causes 1897-1997", Br J Radiol, 74, pp.507~519 (2001)[DOI]
  8. Ulrich H, "The incidence of leukemia in radiologists", N Engl J Med, 234, pp.45~ (1946)[DOI]
  9. International Agency for Research on Cancer, "IARC Monographs on the Evaluation of the Carcinogenic Risks to Humans Volume 100D" (2012)
  10. Hamblin TJ, "Have we been wrong about ionizing radiation and chronic lymphocytic leukemia?", Leuk Res, 32, pp.523~525 (2008)[DOI]
  11. Yoshinaga S, "Cancer risks among radiologists and radiologic technologists: review of epidemiologic studies", Radiology, 233, pp.313~321 (2004)[DOI]
  12. Linet MS, "Mortality in U.S. physicians likely to perform fluoroscopy-guided interventional procedures compared with psychiatrists, 1979 to 2008", Radiology, 284, pp.482~494 (2017)[DOI]
  13. Ward EM, "Increasing incidence of thyroid cancer: is diagnostic scrutiny the sole explanation?", Future Oncol, 6, pp.185~188 (2010)[DOI]
  14. Richardson DB, "Site-specific solid cancer mortality after exposure to ionizing radiation: a cohort study of workers (INWORKS)", Epidemiology, 29, pp.31~40 (2018)[DOI]
  15. National Research Council, "Health risks from exposure to low levels of ionizing radiation: BEIR VII phase 2. Vol. 7" (2006), National Academies Press
  16. Boice JD Jr, "The linear nonthreshold (LNT) model as used in radiation protection: an NCRP update", Int J Radiat Biol, 93, pp.1079~1092 (2017)[DOI]
  17. Little MP, "Radiation and circulatory disease", Mutat Res, 770, pp.229~318 (2016)
  18. Rajaraman P, "Incidence and mortality risks for circulatory diseases in US radiologic technologists who worked with fluoroscopically guided interventional procedures, 1994-2008", Occup Environ Med, 73, pp.21~27 (2016)[DOI]
  19. Andreassi MG, "Subclinical carotid atherosclerosis and early vascular aging from long-term low-dose ionizing radiation exposure: a genetic, telomere, and vascular ultrasound study in cardiac catheterization laboratory staff", JACC Cardiovasc Interv, 8, pp.616~627 (2015)
  20. Seals KF, "Radiation-induced cataractogenesis: a critical literature review for the interventional radiologist", Cardiovasc Intervent Radiol, 39, pp.151~160 (2016)[DOI]
  21. Jacob S, "Interventional cardiologists and risk of radiation-induced cataract: results of a French multicenter observational study", Int J Cardiol, 167, pp.1843~1847 (2013)[DOI]
  22. Chodick G, "Risk of cataract after exposure to low doses of ionizing radiation: a 20-year prospective cohort study among US radiologic technologists", Am J Epidemiol, 168, pp.620~631 (2008)[DOI]
  23. Ron E, "Non-malignant thyroid diseases after a wide range of radiation exposures", Radiat Res, 174, pp.877~888 (2010)[DOI]
  24. Chen TY, "Higher risk for thyroid diseases in physicians than in the general population: a Taiwan nationwide population-based secondary analysis study", QJM, 110, pp.163~168 (2017)
  25. Little MP, "Association of chromosome translocation rate with low dose occupational radiation exposures in U.S. radiologic technologists", Radiat Res, 182, pp.1~17 (2014)[DOI]
  26. Doll R, "Low mortality of British radiologists", Br J Radiol, 78, pp.1057~1058 (2005)[DOI]
  27. Richardson DB, "Evidence of confounding by smoking of associations between radiation and lung cancer mortality among workers at the Savannah River Site", Am J Ind Med, 54, pp.421~427 (2011)[DOI]
  28. Fournier L, "Impact of considering non-occupational radiation exposure on the association between occupational dose and solid cancer among French nuclear workers", Occup Environ Med, 75, pp.199~204 (2018)[DOI]
  29. National Council on Radiation Protection, "Uncertainties in the Estimation of Radiation Risks and Probability of Disease Causation" (2012)
  30. International Commission on Radiological Protection, "Recommendations of the ICRP" (1966), Pergamon Press

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