ORGANIZATION OF PERSONNEINDIVIDUAL PROTECTION CONDUCTING DIAGNOSTIC AND TREATMENT PROCEDURES USING RADIONUCLIDE AND GENERATING SOURCES OF IONIZING RADIATION
Abstract and keywords
Abstract (English):
Purpose: To improve radiation safety of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources. Materials and methods: Staff working conditions have been analyzed and the potential for using of various personal protective equipment has been assessed based on the developed framework of personal protection of medical staff and patients at nuclear medicine centers. In accordance with methods described in the current Russian standards, specimens of personal protective equipment manufactured at Russian industrial plants and suitable for use by medical staff and patients at nuclear medicine centers have been tested. Results: Results of laboratory tests of new advanced high-performance personal protective equipment of various purposes for protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources are provided. Training and information documents and guidelines have been developed, including “Study guide on personal protection during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources” for various departments of the Institute of Continuing Vocational Education, State Research Center – Burnasyan Federal Medical Biophysical Center of the FMBA of Russia, and “Guidelines on personal protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources”. Conclusion: Study guide and Guidelines on personal protection of medical staff and patients at nuclear medicine centers during diagnostic and treatment procedures with using of radionuclide radiation sources, as well as the draft of the Standard guidelines on delivery of free personal protective equipment to medical staff have been developed based on the results of work and studies.

Keywords:
nuclear medicine, medical exposure doses, external and internal exposure, radionuclides, personal protective equipment
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Медицинское диагностическое облучение последние годы является основным фактором радиационного воздействия на население. Вклад медицинского облучения в общую коллективную дозу за счет техногенных источников ионизирующего излучения (ИИИ) населения развитых стран составляет более 95 %. Развитие новых методов высокой информативности в рентгеновской и радионуклидной диагностике, в частности компьютерной томографии (KT) и позитронно-эмиссионной томографии (ПЭТ), сопровождается значительными дозами облучения пациентов, поэтому медицинское облучение является особой категорией облучения, для которого принцип оптимизации является наиболее актуальным. Проблема обеспечения радиационной безопасности персонала и пациентов при медицинском диагностическом облучении постоянно рассматривается в основных документах МАГАТЭ.

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