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2020, vol. 77, br. 9, str. 962-966
Izloženost radijaciji tokom neurointerventnih procedura u modernim angiografskim sistemima - iskustvo jednog centra
aUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za radiologiju, nuklearnu medicinu i onkologiju, Srbija
bUniverzitet u Beogradu, Medicinski fakultet, Srbija + Klinički centar Srbije, Klinika za neurohirurgiju, Beograd, Srbija
cUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za hirurgiju, Srbija + Klinički centar Kragujevac, Centar za neurohirurgiju, Srbija
dKlinički centar Srbije, Centar za radiologiju i magnetnu rezonancu, Beograd, Srbija
eKlinički centar Srbije, Klinika za neurohirurgiju, Beograd, Srbija

e-adresalukas.rasulic@gmail.com
Ključne reči: zračenje, odnos doza-reakcija; neuroradiografija; zračenje, doziranje; zračenje, zaštita
Sažetak
Uvod/Cilj. U toku interventnih neuroradioloških procedura bolesnici su izloženi jonizujućem zračenju. Cilj ove studije bio je da utvrdi doze jonizujućeg zračenja koje bolesnik primi tokom interventnih neuroradioloških procedura i proceni rizik od negativnih efekata i posledica jonizujućeg zračenja. Metode. Studijom su obuhvaćeni svi bolesnici kojima su urađene dijagnostičke i/ili terapijske procedure na Odseku interventne neuroradiologije u Kliničkom centru Kragujevac, Srbija, u periodu 1.12.2014-1.12.2016. godine. Beležene su sledeće vrednosti: kerma-area product; air kerma; vreme izloženosti jonizujućem zračenju; maksimamalna kožna doza i efektivna doza. Rezultati. Srednja vrednost kerma-area product-a iznosila je 87,802 Gy·cm², 78,567 Gy·cm², 117,626 Gy·cm²; efektivne doze 12,731 mSv, 11,392 mSv, 17,056 mSv; maksimalne kožne doze 0,456 Gy, 0,409 Gy, 0,612 Gy i procenjene doze za mozak 254,62 mGy, 227,84 mGy, 341,12 mGy, za dijagnostičke, terapijske i kombinovane procedure, redom. Zaključak. Interventne neuroradiološke procedure pokazuju izrazitu varijabilnost u emitovanoj i primljenoj dozi zračenja, u zavisnosti od konstitucije bolesnika, opreme, kao i iskustva radiologa. Poznavanje veličine ovih doza u različitim uslovima, može biti od velike koristi za bolesnike, kao i za medicinsko i paramedicinsko osoblje u smislu smanjenja mogućih determinističkih i stohastičkih efekata zračenja.
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O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP180112024L
objavljen u SCIndeksu: 09.10.2020.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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