Scientific Journal of Kurdistan University of Medical Sciences
مجله علمي دانشگاه علوم پزشكي كردستان
SJKU
General
http://sjku.muk.ac.ir
54
journal54
1560-652X
2345-4040
sjku
10.61186/sjku
en
jalali
1402
2
1
gregorian
2023
5
1
28
2
online
1
fulltext
fa
بررسی میزان دوز اشعه در اطراف بیماران بعد از انجام اسکن پرفیوژن میوکارد و عوامل مرتبط با آن
Evaluation of Radiation Dose in Close Proximity to the Patients after Myocardial Perfusion Scan and Related Factors
عمومى
General
كاربردي
Applicable
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">زمینه و هدف:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> در این مطالعه اشعه ساطع شده از بیماران بعد از انجام اسکن پرفیوژن میوکارد و ترک بخش پزشکی هستهای اندازهگیری شد تا مشخص شود کارکنان بیمارستان و همراهان بیمار که در مجاورت بیمار قرار میگیرند چه، مقدار اشعه دریافت میکنند. همچنین ارتباط بین میزان دز اشعه با س</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">ن، جنس و شاخص توده بدنی ارزیابی شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مواد و روشها</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">: شصت بیمار (41 زن و 19 مرد)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بعد از انجام اسکن پرفیوژن میوکارد با </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Tc-sestamibi</span></span><sup><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">99m</span></span></sup><span style="font-size:12.0pt"><span b="" style="font-family:" zar=""> با </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اکتیویته</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">185</span></span><span lang="AR-SA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">925 مگابکرل بهطور اتفاقی انتخاب شدند. میزان تابش در فواصل 0/25</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">، 1 و 2 متر از بیماران توسط یک سرویمتر در زمان ترک بخش پزشکی هسته ایی و 12 و 24 ساعت بعد از ترک بخش اندازهگیری شد. دادهها توسط آزمون </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">T-test</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">، ضریب همبستگی پیرسون و آنالیز واریانس تحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">یافتهها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> میانگین میزان دوز معادل بر حسب میکروسیورت بر ساعت در فاصله 0/25، 1</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">و 2 متر به ترتیب 1/ 24 </span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">120/6، 3/8 </span><span cambria="" style="font-family:">±</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 19/4و 1/3 </span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 8/3 در هنگام ترک بخش،8/7 </span><span cambria="" style="font-family:">±</span><span b="" style="font-family:" zar="">29/1</span><span b="" style="font-family:" zar="">، 1/2</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 5/3، 0/8 </span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 2/1بعد از 12 ساعت و1/5 </span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 4/3، 0/6</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 0/8و 0/1</span><span cambria="" style="font-family:">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> 0/3 بعد از 24 ساعت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بود. جنس و سن بیمار با میزان تابش مرتبط نبودند</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">؛ اما میزان دوز معادل بعد از 24 ساعت با شاخص توده بدن بیمار رابطه معکوس داشت (0/05> </span></span><span dir="LTR" style="font-size:12.0pt"><span cambria="" style="font-family:">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نتیجهگیری:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> اگر مردم در فاصله حداقل یک متری یا در حد چند دقیقه در مجاورت این بیماران قرار بگیرند؛ اشعه نسبتاً «کمی دریافت میکنند. بعد از 24 ساعت، میزان دوز تابش در اطراف بیمار با شاخص توده بدن بیمار رابطه معکوس دارد</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span><br>
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<div style="text-align: justify;"><span style="font-size:11pt"><span style="background:white"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background and Aim:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> We measured radiation emission from the patients undergoing myocardial perfusion scan after leaving nuclear medicine department to demonstrate how much radiation hospital staff or patients’ companions, in the vicinity of the patients would receive. We also evaluated the relationship of age, sex, and body mass index with the emitted radiation rate.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Material and Methods:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In this study 60 patients (41 females and 19 males) after undergoing <sup>99m</sup>Tc-sestamibi myocardial perfusion scan with a dose of 925±185 MBq, were selected randomly. The equivalent dose rate at distances of 0.25 m, 1 m and 2 m from the patients were measured by a survey meter before leaving nuclear medicine department and after 12 & 24 hours. Data were analyzed by T-test, Pearson correlation coefficient and ANOVA.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The mean equivalent dose rates in unit of microsievert per hour at distances of 0.25 m, 1 m and 2 m from the patients were (120.6 ± 24.1, 19.4 ± 3.8, 8.4 ± 1.3) at leaving time, (29.1 ± 8.7, 5.3 ± 1.2, 2.1 ± 0.8) after 12 hours and (4.3 ± 1.5, 0.8 ± 0.6, 0.3 ± 0.1) after 24 hours, respectively. The mean equivalent dose rate showed no relationship with gender and age, but it was inversely correlated with body mass index (P-value <0.05) after 24 hours.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="background:white"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> People would receive reasonably low radiation if they keep a distance of at least 1 meter from the patients or stay only for a few minutes in the vicinity of the patients. After 24 hours, equivalent dose rate was inversely correlated with body mass index.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span><br>
</div>
اشعه, میزان دوز, اسکن پرفیوژن میوکارد, دز معادل
Radiation, Dose rate, Myocardial perfusion scan, Equivalent dose
122
133
http://sjku.muk.ac.ir/browse.php?a_code=A-10-913-2&slc_lang=fa&sid=1
Jamal
Amiri
جمال
امیری
Amirijamal123@gmail.com
5400319475328460055297
5400319475328460055297
No
Instructor, Department of Radiotherapy and Nuclear medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
مربی، گروه رادیوتراپی و پزشکی هسته ایی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران
Siamak
Derakhshan
سیامک
درخشان
siamakderakhshan@yahoo.com
5400319475328460055298
5400319475328460055298
Yes
Assistant professor, Department of Radiotherapy and Nuclear medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
استادیار، گروه رادیوتراپی و پزشکی هسته ایی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران