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  • 28 October 2021 Volume 30 Issue 5
      

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  • ZHANG Liang'an
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    In order to better promote the effective implementation of GBZ120—2020 Requirements for Radiation Protection in Nuclear Medicine, this paper will start by introducing the key content of the latest relevant standards and technical specifications of the International Atomic Energy Agency, and then analyze the relatively entangled issues in the domestic implementation of GBZ120—2020, so as to promote our country's strict and effective implementation of the national mandatory standard GBZ120—2020, improve the level of radiation protection of our country’s professionals, members of the public, and those involved in medical exposure.
  • MA Jiying, YANG Xueqin
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    Objective To analyze the medical examinations of radiation worker in medical institutions and provide some basic data for radiation protection management.Methods The occupational health examination of 3568 radiation workers from 681 medical institutions who came to our hospital for occupational health examination from January 1 to December 31 in 2020 were summarized and analyzed.Results There was no case of suspected occupational radiation sickness. The abnormal rate was in the range of 2.17%~2.99%, the rate of occupational contraindicated was about 1.44%~2.17%. The total review rate was about 13.00%, more than 79.48% of the radiation workers were checked out other diseases or abnormal. The abnormal examination items are mainly ophthalmology, B ultrasound of liver, gallbladder, spleen and pancreas, liver function, electrocardiogram, blood routine, urine routine, blood pressure, B ultrasound of both kidneys and kidney function. The abnormal rate of ophthalmology in each level of institutions was decreased with the increase of the length of service, while the abnormal results of B-ultrasound of liver, gallbladder, spleen and pancreas, blood pressure, B-ultrasound of both kidneys and renal function were increased with the increase of service.Conclusion Maybe the radiation protection of radiation workers in medical institutions was well in Shenzhen, but there were different effects of the health status of the staff. Therefore, it is important to further strengthen the occupational health monitoring management.
  • WANG Haitao, LI Wei, YANG Yunfu, GAO Li
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    Objective To understand the status of radiological diagnosis and radiotherapy in southeaster Chongqing area, and to provide evidence for health authorities to carry out radiological diagnosis and radiotherapy management.Methods The questionnaire survey was carried out in radiological diagnosis and radiotherapy institutions.Results In 2020 there are 224 radiological diagnosis and radiotherapy institutions, including 3 tertiary hospitals and 16 secondary hospitals. Three hospitals carried out radiotherapy, two hospitals carried out nuclear medicine, and seven hospitals carried out interventional radiology. There were 376 sets of radiological diagnosis and radiotherapy equipment, and the number of DR and CT machine was large (58.8% and 14.9% respectively). There were 786 radiological workers (66.9% male), and most of them were X-ray diagnostic workers (85.8%). There were 977, 043 cases of routine X-ray diagnosis(application frequency of 357.7 per 1000 population), mainly in the first level and below hospitals (accounting for 45.3%). There were 391, 067 cases of CT diagnosis (application frequency 143.8 per 1000 population), mainly in secondary hospitals (66.0%). 4860 patients received interventional therapy (application frequency 1.78 per 1000 population) and 781 patients received radiotherapy (application frequency 0.003 per 1000 population), mainly in tertiary hospitals (55.3% and 69.8% respectively).Conclusion Radiological diagnosis and radiotherapy resources in southeast Chongqing area backward and unevenly developed, and there are few hospitals carrying out radiotherapy, nuclear medicine and interventional radiology. Except for Qianjiang district, the level of radiological diagnosis and radiotherapy in the other five districts and counties (autonomous counties) is weak, it is necessary to further improve the level of radiological diagnosis and radiotherapy.
  • ZHU Weishou, LEI Shuqin, LI Zhongxiu, WANG Yuwen, SUN Xiaona
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    Objective To understand the radioactivity level of food surrounding a uranium mine in Xinjiang, to supplement the baseline database of food radionuclides in Xinjiang, to analyze the content of radionuclides and to estimate the internal exposure dose of residents caused by dietary intake.Methods The specific activity of 238U, 232Th, 226Ra, 40K and 137Cs of interest nuclides was measured, statistically analyzed by high purity germanium γ spectrometer, and the annual effective dose of these nuclides was estimated.Results No nuclide 238U was detected in food samples from 2018 to 2020. The average activity concentration and detection rate of other radionuclides were 232Th: 0.428 ±0.038 Bq/kg (18.3%)、226Ra: 0.477 ±0.063 Bq/kg (38%)、40K: 162 ±7 Bq/kg (100%)、137Cs: 0.071 ±0.011 Bq/kg (29.6%). The annual effective dose of residents due to food radionuclides was about 0.198 mSv.Conclusion The radioactivity level of food in the vicinity of a uranium mining mountain in Xinjiang is within the national standard limit, and the average annual effective dose caused by the diet of residents is consistent with the report of UNSCEAR in 2000. The content of artificial radionuclide 137Cs detected in food samples will not cause harm to the health of residents.
  • SHI Erwei, CUI Yong, YAO Shuang, LI Di, ZHOU Guixia, SUN Sumei
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    Objective To investigate the food radioactivity levels in areas around the Xudabao nuclear plant before operation.Methods The food radioactivity levels were achieved by detecting samples collected within 30 km around the Xudabao nuclear power plant with a HPGe detector.Results The major radionuclides in food were 238U, 226Ra, 232Th, 40K and the man-made radionuclide of 137Cs. The average activity levels of natural 238U、226Ra、232Th、40K were(1.2×10-11 ±2.6×10-11)、(9.2×10-12 ±1.6×10-11)、(3.6×10-11 ±6.5×10-12)、(9.0×101 ±5.8×101)Bq/kg respectively. The average level of 137Cs in food was (1.2×10-12 ±9.0×10-13)Bq/kg.Conclusion The man-made radionuclides were not detected except 137Cs in the collected food. The radioactivity concentrations were lower than the national standards. The effective dose for local residents by ingestion of 137Cs was around 6.0×10−12 μSv/a.
  • WANG Kaiyi, DING Yanqiu, HU Aiying, GUO Wen
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    Objective In order to improve the personal dose monitoring ability of radiation health technical institutions, and standardize the detection methods and procedures.Methods Develop adetailed assessment plan according to GBZ 207—2016 “Testing criteria of personnel dosimetry performance for external exposure”, organize a national assessment of personal dose monitoring capabilities in 2020, analyze the problems arising from the assessment, and strengthen supervision and training in the future.Results A total of 457 institutions participated in this assessment, of which 421 were qualified (including 74 excellent institutions, with an excellent rate of 16.2%), and 36 were unqualified, accounting for 92.1% and 7.9% respectively.Conclusion The number of institutions that participated in the assessment this year reaches a record high, with a passing rate 4.08% higher than that in 2019. The overall monitoring capacity of the country has been greatly improved. However, some institutions still have problems such as irregular symbol writing, unupdated detection standards, and large deviations in testing data. It is necessary to improve the ability of loboratory detection and data analysis, standardize the operation process, and ensure the quality of assessment.
  • QIAN Xiaolian, FANG Huilian
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    Objective To explore the advantages of automatic chromosome harvester in lymphocyte micronucleus test.Methods The peripheral blood of 80 radiation workers was collected, then lymphocytes were harvested with an automatic chromosome harvester and manual methods. After Giemsa stained the slides, the micronucleus of the lymphocytes was analyzed under a microscope.Results For lymphocytes from the same batch of specimens, the time of the automatic harvester (185 min) was less than that of the artificial group (350 min). The micronucleus rate (1.04‰ ±0.63‰), micronucleus cell rate (0.89‰ ±0.69) and micronucleus positive rate (70.0%) that obtained by the harvester were all higher than manual method (0.60‰ ±0.68‰, 0.51‰ ±0.55‰, 48.8%), and the difference was statistically significant (P < 0.01).Conclusion The automatic chromosome harvester can shorten the experimental operation time, reduce the workload of laboratory personnel, and protect the physical and mental health of laboratory personnel. At the same time, it can increase the detection rate of lymphocyte micronucleus, which can provide more accurate detection data for the clinic.
  • YANG Baolu, ZHANG Jing, ZHOU Qiang, TUO Fei
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    Objective The effect of sieved particle size and equilibration time of soil samples on the measurement of radionuclides was studied to improve the accuracy of the specific activity of radionuclides in soil samples measured by gamma spectrometer.Methods The collected soil samples were dried and divided into four parts. After sieved with width of the mesh 2.0 mm, 1.0 mm, 0.5 mm and 0.25 mm respectively, they were filled into sample containers and sealed. The activity concentrations of 226Ra, 210Pb, 228Ra, 40K and 137Cs in different sieved soil samples were then measured at the sealed interval of 0, 4, 8, 12, 16, 21, 25 and 29 days by HPGe gamma-ray spectrometry respectively.Results The coefficients of variation ofthe specific activities of 226Ra, 210Pb, and 228Ra in soil samples measured at different equilibration intervals range from 0.9% to 4.3%. The coefficients of variation of the specific activities of 226Ra, 210Pb, 228Ra, 40K and 137Cs in soil samples with different sieved particle sizes range from 3.7% to 14.1%.Conclusion When the specific activities of radionuclides are determined by gamma-ray spectrometer, the effect of the sieved particle size on the measurement result must be considered, and its impact is higher than the equilibration time. This study is very useful for improving the accuracy of the determination of radionuclides in soil sample using gamma-ray spectrometer.
  • MA Xiufeng, FENG Yue, WANG Zhe, LIU Lu, LIU Qingyun, GAN Ruilin, GONG Zengyan, HUANG Wei
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    Objective To investigate the distribution of gross α and gross β levels of centralized drinking-water of township in Beijing from 2018 to 2019, so as to carry out better monitoring and evaluating the radioactivity in water.Methods A total of 215 underground drinking water samples were collected from 12 districts of Beijing, then monitored and evaluated according to the Determination of gross alpha activity in water-thick source method EJ/T 1075—1998 and Determination of gross beta activity in water-evaporation method EJ/T 900—1994.Results The gross α level of centralized drinking water of township in Beijing was 0.050 (0.052) Bq/L, ranging from 0.001 to 0.210 Bq/L, and the gross β level was 0.048 (0.038) Bq/L, ranging from 0.002 to 0.261 Bq/L from 2018 to 2019. Gross α and gross β levels of all samples did not exceed the guidance value recommended by standards for drinking water quality. There was no significant difference in the distribution of gross α and gross β levels of samples of all districts from 2018 to 2019(P > 0.05), there were significant differences in the distribution of gross α and gross β levels of samples from different district in the same period (P < 0.05). And the levels of Miyun, Huairou and Shunyi in Chaobai River system were higher than other districts.Conclusion The distribution of radioactive background of centralized drinking-water of township in Beijing was mastered, which was in the normal range.
  • DAI Xinxiang, ZHANG Jingli, ZHANG Yaying
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    Objective To ascertain the levels and distributions of individual dose of radiologic workers arising from external exposure in medical institutions in Yangpu District during 2018—2020, so as to provide basic data for the prevention of occupational radiation diseases.Methods Based on the individual dose monitoring specifications for occupational external exposure, the individual dose of radiologic workers was monitored by the thermoluminescence dosimetry systems, and the data were collected and analyzed.Results A total of 2082 people were monitored from 2018 to 2020, and the average annual effective dose per capital was 0.20 mSv·a−1. The average annual effective dose per capital in 2020 was lower than that in 2018 and 2019, and the difference was statistically significant (P < 0.05). The average annual effective dose of 4 radiologic workers exceeded 5 mSv·a−1 per capital. The average annual effective dose of diagnostic radiology was 0.20 mSv·a−1, which was higher than that of dental radiology and other medical applications, and the difference was statistically significant (P < 0.05). The average annual effective dose per capital of nuclear medicine was 0.34 mSv·a−1, which was higher than that of other medical categories, and the difference was statistically significant (P < 0.05). The average annual effective dose per capital in unrated hospitals was 0.14 mSv·a−1, which was lower than that in tertiary hospitals and secondary hospitals, and the difference was statistically significant (P < 0.05).Conclusion The average annual effective dose per capital of radiologic workers in medical institutions in Yangpu District is generally kept at a low level. The radiation protection of radiologic workers in nuclear medicine, secondary and tertiary hospitals should be strengthened to reduce the occupational external exposure doses to the lowest level as possible.
  • SHI Hongmei, ZHAO Sijing, WEI Xiang, LIU Jinglei
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    Objective To investigate the status of quality control of dental X-ray equipment in Beijing Dongcheng District, to explore the problems involved in radiation protection.Methods 41 medical dental X-ray machines were detected in Beijing Dongcheng District in accordance with Specification for testing of quality control in dental X-ray equipment (WS 581—2017).Results The qualified rate was higher in imported machines (100%) than that in domestic machines (76.92%), the overall qualified rate was 92.68%. In performance detection, the qualified rates were 100% except for the deviation of loading time (92.68%) and tube voltage (95.12%). No leakage was detected in 41 dental institutes.Conclusion The overall status of dental X-ray machines was good in Beijing Dongcheng District. More attention was paid to shield protection than to quality control of dental X-ray machines. Therefore, health administration should take measures to strengthen advocation of WS 581—2017, and improve radiation protection through routine equipment performance test, supervision of X-ray protection and radiation health education.
  • XU Mingfa, PENG Wenbin, XIANG Huiyun, LIN Pingxing, ZHENG Huangting, LIN Mingmei, LIN Chen, JIANG Yue, ZHANG Wei
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    Objective The radioactivity level survey was carried out in Weizhou Island area of Beihai, to comprehensively master the radiation environment status in the area, understand the natural radioactivity level and its distribution law, and provide basic data for scientific evaluation of radiation environment quality.Methods According to the relevant standards and technical specifications, the air absorbed dose rate of gamma radiation in Weizhou Island area was monitored from April 2020 to March 2021, the concentrations of radionuclides in water, soil and other environmental samples were sampled and analyzed, and the monitoring results were analyzed and discussed in combination with the regional characteristics.Results The results show that the air absorbed dose rate of gamma radiation in Weizhou Island area ranges from 0.2~122 nGy/h; the activity concentrations of 238U, 226Ra, 232Th, 40K and 137Cs in solid samples range 17.0~37.3 Bq/kg, < 0.501~29.5 Bq/kg, < 0.766~54.3 Bq/kg, 18.7~369 Bq/kg and < 0.212~1.48 Bq/kg, respectively, the concentrations of U and Th in well water and reservoir water range 0.065~0.25 μg/L, 0.046~0.079 μg/L, the activities of 226Ra, 40K, total α and total β range 1.42~3.08 mBq/L, 0.069~0.231 Bq/L, 0.025~0.163 Bq/L, 0.082~0.572 Bq/L, respectively, the concentrations of U and Th in seawater samples range 1.81~2.25 μg/L, 0.634~0.648 μg/L, and the activities of 226Ra, 40K, 90Sr and 137Cs range 9.38~19.7 mBq/L, 11.3~11.8 Bq/L、0.193~0.866 mBq/L、1.13~1.42 mBq/L.Conclusion The environmental ionizing radiation level in Weizhou island of Beihai is in the range of background fluctuation and at a relatively low level, indicating that the radiation environmental quality of Weizhou Island and its surrounding areas is good.
  • ZHAO Xiaoai, XU Li, JIN Xiuhua
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    Objective To investigate and analyze the cause of the abnormal results in the individual dose monitoring conducted by this laboratory from 2014 to 2017.Methods Radiologic workers wear personal thermoluminescent dosimeters to monitor the individual dose equivalent HP(10). A statistical analysis is conducted on the results above the investigation level.Results During the time when our individual dose monitoring was conducted from 2014 to 2017, this laboratory had detected 69 person-time abnormal results in 40 workplaces, of which 83% occurred in the profession of diagnostic roentgenology. 54% of the dose level range from 1.25 to 5.00 mSv. The main causes of the abnormal results include improper wearing of personal dosimeters (67%), unknown causes (20%), increased workload (10%) and equipment maintenance (3.0%)etc.Conclusion Radiation workplaces should enhance the management of radiologic workers, improve their trainings on radiation protection and raise their protection awareness.
  • JIA Bin, ZHU Jianguo, YANG Shuhui, NIU Fei, LU Feng, ZHANG Lin, MIN Nan
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    Objective By measuring the induced radioactivity of the medical electron linear accelerator, and analyzing the measuring results and the measuring process, the cooling law of the induced radioactivity was studied, to provide basic data for evaluating additional doses to patients, medical staff and the public.Methods Five Medical Electron Linear accelerators were used to measure the induced radioactivity by using automes-6150AD6/H+6150AD-b/H x-γ radiation peripheral dose equivalent rate meter for environmental monitoring.Results The level of induced radioactivity of 5 medical electron linear accelerators is related to the factors such as measuring position and time: 10 second after the end of beam output, the maximum dose equivalent rate is 5.55 μSv/h around 5 cm on the surface of the head housing of the accelerator, and the maximum ambient dose equivalent rate at 1 m from the fixed point of the housing is 4.07 μSv/h, 5 minutes after the end of output, the maximum dose equivalent rate is 2.11 μSv/h around the 5 cm surface and 1.77 μSv/h around the 1 m fixed point.Conclusion The measured radioactivity induced by the medical electron linear accelerator gradually cools over time, the measurement valuesare maintained in a relatively fixed range, and the fluctuation range of the values is narrow.
  • WANG Yun, WANG Jie, WU Jialong, ZHANG Hanyu
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    Objective To master and analyze the current situation of the monitoring technical ability of the radiation occupational hazards in the grass-roots CDCs in our province, and to provide relevant scientific basis for the modernization of the occupational health technical support system of the radiation occupational hazards in our province.Methods By means of questionnaire, we investigated, summarized and analyzed the status of the department setting, personnel and equipment of the technical service institutions for monitoring radiation occupational hazards in grassroots CDCs in our province.Results In terms of department setting, the setting rate of city and state level is 40.0%, and that of county and district level is 12.8%. In terms of human resources, the average number of people in each institution is 2.6, of which 61.1% are part-time employees and 38.9% are full-time employees. The average number of employees in each institution at county and district level is 1.1, of which 95.7% are part-time employees and 4.3% are full-time employees. The educational background distribution of municipal and county-level institutions were mainly undergraduate, accounting for 80.5% and 50.0% respectively. The educational background of staff in municipal and state level institutions was mainly occupational health, accounting for 58.3%, while the education background of staff in county and district level institutions was mainly other disciplines of medical and health, accounting for 64.1%.Conclusion Therefore, health administrative departments at all levels should support and guide CDCs at all levels to speed up the system layout and basic capacity-building according to the construction standards of technical support system for occupational disease prevention and control.
  • FANG Jiangqi, YANG Jinzheng, AN Zhengwei, WANG Shugang
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    In order to test the practicability and operability of the emergency plan for environmental emergencies of district, the ability of radiation accidents quickly respond, emergency monitoring and disposal of the radiation emergency monitoring team, and to inspect cooperative disposal ability according to the responsibilities stipulated in the plan of police department, health department, and publicity departments, and to further standardize the emergency response procedures for radiation accidents, and carry out radiation accident emergency drills. To describe the radiation accident drill organized by the district and jointly held by environmental protection, police department, health department, publicity and other departments, to analyze the scenario design, emergency equipment, emergency monitoring, on-site disposal, emergency termination, and to summarize and analyze the drill. The drill strictly implemented the emergency response procedures for radiation accidents, and comprehensively verified the nuclear and radiation emergency system in Chang'an District. By relying on the existing national technical force, the drill vigorously coordinated and cooperated to improve the rapid response ability of radiation emergency. The drill is an important way to effectively improve the emergency management ability of radiation accidents, to improve the technical ability of effectively response and emergency disposal of radiation environmental safety, and improve the technical level of the emergency monitoring team. It is also one of the technical means for the effective supervision of radioactive sources. It is suggested to continuously carry out the construction of online supervision capability during the transportation of radioactive sources, to improve the professional qualities and skills of road transport operators and reduce the probability of accidents, and continue to strengthen emergency exercises (drills) and technological innovation.
  • XIAO Fei, YUAN Haijun, LIU Yulong
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    Objective To explore radiation protection cognition and mental health status of the staff in the second level and lower hospitals of a certain city.Methods Design a questionnaire on radiation protection knowledge and conduct a mental health test. The content of the questionnaire includes 26 questions in 2 dimensions, including general personal information and radiation protection knowledge. Among them, there are 20 questions about radiation protection knowledge. the self-rating symptom scale (SCL-90) is selected for the mental health test, with a total of 90 questions.Results The average score of the radiation protection knowledge question survey was (13.62 ±2.21) points. The accuracy is less than 60% 102 people (16.04%); 60%~79% 430 people (67.61%); ≥ 80% 104 people (16.35%). SCL90 test indicates that 38.99% (248/636) of radiation workers is poor in mental health, the scores of each main factor are higher than the national norm. Among them, the somatization, obsessive-compulsive symptoms, interpersonal sensitivity and anxiety of radiation workers were relatively significant, with statistical differences (P < 0.05).Conclusion The overall cognition level of radiation protection staff in primary hospitals of a certain city is very low, therefore, training and supervision need to be strengthened. There are still some radiation workers whose mental health is not good, and active psychological intervention measures should be taken.
  • LI Ruibo, JIA Rufu, YE Qi, ZHU Chenghong, SUN Xiuyan, ZHANG Wei
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    Objective The nursing treatment ability scale of patients with nuclear radiation damagein the hospital was developed to provide an evaluation basis for improving the nursing ability of nurses with nuclear radiation damage.Methods The scale was prepared by literature review, expert interview and expert consultation, and a total of 330 clinical nurses from a third-class hospital was randomly selected as the research objects. The scales were issued for item analysis and reliability and validity test.Results The scales were divided into 6 dimensions, including basic knowledge of nuclear radiation damage, specialized equipment use ability, specialized ward management ability, basic nursing ability, specialized nursing ability and self-ability recognition, with 51 items. After exploratory factor analysis, there were 6 principal components, and the cumulative interpreted variance was 70.757%. The χ2, df, χ2/df, CFI, IFI, TLI, NFI, PNFI, PCFI, RMSEA fitting indexes of confirmatory factor analysis were all acceptable. Cronbach's α coefficient was 0.976, the retest reliability was 0.823, and the S-CVI (S-CVI/UA) was 0.84. The evaluation content validityS-CVI (S-CVI/AVE) was 0.98, and the content validity I-CVI of the item level was 0.78~1.00.Conclusion The items and dimension Settings of this scale have been tested, and all indicators met the requirements. The reliability and validity test results were good. It can be used as a scale for preliminary evaluation of hospital nursing ability of patients with nuclear radiation damage.
  • CHEN Biao, CHEN Chunhui
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    It is an important technical means to ensure that the radiodiagnosis and radiotherapy equipment can be put into use normally to carry out acceptance test after the newly installed, maintained or replaced important components. Health inspection found that medical institutions are often easy to ignore the acceptance test in the process of use, and do not carry out acceptance test on the radiodiagnosis and radiotherapy equipment after maintenance or replacement of important components. However, it is difficult to ask medical institutions to correct them without the definition and scope of ‘important components’ according to laws or technical standards. This paper studies and discusses the definition of ‘important components’ of radiodiagnosis and radiotherapy equipment, and puts forward some suggestions onthe practical application of the research results.
  • ZOU Yusong, LI Baoxin
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    Objective To understand the situation of radiological diagnosis and treatment of health examination institutions in our city, and standardize the behavior of radiological diagnosis and treatment of health examination institutions.Methods According to the requirements of the circular issued by Beijing Institute of health and family planning on carrying out special supervision and inspection of radiation diagnosis and treatment in health examinaion institutions in 2019, on-site investigation and on-site interviews were conducted.Results The investigation on the health examination institution shows that the radiation hygiene management work of Beijing health examination institution is generally good, and the holding rate of radiological diagnosis and treatment permit is 100%. The radiological diagnosis and treatment of health examination institutions is mainly based on X ray photograph. A total of 215 institutions were configured with 822 radiological diagnosis and treatment equipment, including 138 CT machines and 20 physical examination vehicles, respectively. X ray radiography equipment in health examination institutions accounted for 93% of total application frequency, and CT accounted for 7%. The annual radiodiagnosis frequency of the 215 health examination institutions was about 5 million. The penal institutions accounted for a relatively low proportion, only 2.8%. Among them, 6 were warned, 2 fined, 6 issued penalties and 3 required to rectify.Conclusion The radiation hygiene management work of Beijing health examination institutions is generally good. There are still some problems in the rational application of CT machines and the configuration of protective equipment.
  • FU Qingmei, LI Bing, WU Anshan, DUAN Hongtao
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    Objective To evaluate the value of transvaginal color Doppler ultrasonography for pathologic grading of endometrial cancer.Methods A total of 68 patients with histopathologic diagnosis of endometrial cancer were recruited as study subjects, and all patients underwent transvaginal color Doppler ultrasonography. The accuracy, sensitivity, specificity, positive predictive value, negative predictive value of transvaginal color Doppler ultrasonography for identification of myometrial invasion by endometrial cancer were evaluated among endometrial cancer patients with postoperative histopathological examinations as a gold standard.Results The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of transvaginal color Doppler ultrasonography were 70.0%, 67.9%, 75.7%, 61.3% and 69.1% for the detection of myometrial invasion by endometrial cancer, respectively. The resistance index values of left and right uterine arteries were both significantly higher in endometrial cancer patients with myometrial invasion ≤ 50% than those with myometrial invasion > 50% (P < 0.01), and the resistance index values of left and right uterine arteries increased with the reduced tumor grade among endometrial cancer patients (P < 0.05).Conclusion Transvaginal color Doppler ultrasonography shows a high accuracy for identification of myometrial invasion among endometrial cancer patients, which may be used as a non-invasive tool for preoperative pathologic grading of endometrial cancer.
  • YAO Shangpeng, ZOU Wanji, WANG Shuai
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    Objective To evaluate the value of multiparametric MRI for prediction of prostate cancer pathology and tumor staging.Methods A total of 80 patients with prostate cancer admitted during the period from 2016 to 2021 were enrolled as the study subjects, and all patients underwent multiparametric MRI. The pathological examination of radical prostatectomy specimens was used as a gold standard to evaluate the predictive value of multiparametric MRI for significant prostate cancaer, extracapsular extension, index lesion location and lymph node metastasis.Results Multiparametric MRI showed a sensitive of 96%, specificity of 60%, positive predictive value of 97.3% and negative predictive value of 50% for prediction of significant prostate cancer, and the concordance between multiparametric MRI and pathology of radical prostatectomy specimens was 75% for prediction of index lesions. In addition, multiparametric MRI showed a 40% sensitivity, 91.4% specificity, 85.7% positive predictive value and 54.2% negative predictive value for identification of extracapsular extension and a 16.7% accuracy for detection of lymph node metastasis.Conclusion Multiparametric MRI is highly sensitive for predicting significant prostate cancer with a high positive predictive value and is highly accurate for identification of index lesions of prostate cancer, which is of great value to propose prostate cancer treatment schemes and evaluate the clinical prognosis among prostate cancer patients.
  • SUN Yanbo, TENG Siyong, LUO Zhenli, LI Bing, XUE Xiaojian
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    Objective To evaluate the effect of percutaneous coronary intervention (PCI) on anxiety and depression among patients with coronary heart disease (CHD).Methods A total of 600 CHD patients were divided into the stent group (n = 400) and the non-stent group (n = 200) according to stent implantation during coronary angiography, and 400 cases in the stent group were further divided into the intervention group (n = 200) and the non-intervention group (n = 200) according to post-stenting psychological interventions. The anxiety and depression were scored using self-rating anxiety and depression scales 1 day after admission, 1 day after PCI and at discharge from hospital, and the anxiety and depression scores were compared at different time points.Results The mean age, sex ratio, hemoglobin, total cholesterol, triglyceride, high-density lipoprotein cholesteroland low-density lipoprotein cholesterol levels were comparable among the three groups (P > 0.05). There were no significant differences among the three groups in terms of anxiety or depression scores one day after admission (P > 0.05). One day after PCI, the anxiety and depression scores were significantly higher among CHD patients in the intervention and non-intervention groups than in the non-stent group (P < 0.05), and the anxiety (t = 11.21, P < 0.01; t = 9.96, P < 0.01) and depression scores (t = 8.56, P < 0.01; t = 6.73, P < 0.01) were significantly higher in the intervention and non-intervention groups one day after PCI than one day after admission. At discharge from hospital, there were significant differences among the three groups in terms of anxiety and depression scores (P < 0.05), and the anxiety (t = 21.57, P < 0.01; t = 15.77, P < 0.01) and depression scores (t = 24.33, P < 0.01; t = 15.01, P < 0.01) were significantly higher in the intervention and non-intervention groups at discharge from hospital than one day after PCI, while the anxiety and depression scores were significantly lower among CHD patients in the intervention group than in the non-intervention group (P < 0.05).Conclusion The anxiety and depression are aggravated among CHD patients after PCI, and psychological interventions may alleviate the anxiety and depression.
  • ZONG Rui, WANG Nan, BO Wenzhu, LIU Lei, ZHAI Hezheng, GAO Jie, CAO Wentian, YU Xinguang, ZHAI Zipo
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    Objective To measure the peripheral dose distributions of the mobile head cone beam computed tomography (CBCT) and evaluate the impact of CBCT on the surrounding personnel and environment, and provide data support for clinical radiation protection management. Methods Combined with the structural characteristics of CBCT, AT1123 was used in the direction of 0° (counterclockwise), 45°, 90°, 135°, 180°, 225°, 270° and 315° in front of CBCT to measure the ambient dose equivalent rate of 30 cm, 80 cm and 130 cm away from the ground when the equipment was normally out of the beam, and the boundary of the temporary control area was drawn. At the same time, the dose level behind the lead screen 1 m away from the external surface of the equipment was measured and analyzed. Results The dose field around CBCT was symmetrically distributed with the dividing line of 0° and 180°, and the radiation dose level of 5.5 m in the direction of 0°, 3.5 m in the direction of 45°, 0.5 m in the direction of 90° and within 1.0 m in the direction of 180° (inside the "spoon" type) was higher than 2.5 μSv/h. The radiation dose levels of CT aperture 0° (straight forward), 45° and 315° behind the lead screen 1 m away from the equipment surface were 0.37 μSv/h, 0.22 μSv/h and 0.54 μSv/h, respectively. Conclusion The results show that the radiation dose around the mobile head cone beam CT is in a low dose level, the distribution of the dose field can provide necessary reference for the administrative and medical personnel to strengthen the radiation safety management. At the same time, it is suggested that lead screens should be set up in the clinical use of mobile CT to ensure the health and safety of the surrounding people and the environment.
  • YANG Luxun, YIN Yaru, LUO Shenglin, LIU Jing, LU Binghui, YANG Zhangyou, LI Rong
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    With the rapid development of nuclear technology in the fields of industry and medicine, the possibility of people suffering from radiation damage has also increased. Radiation injury prevention and treatment drugs are the most effective and direct means for the treatment and protection of radiation injury, but the current radiation injury prevention and treatment drugs have limited effects. Due to the unique valence structure of cerium nanomaterials, it has a variety of enzymatic simulation activities and reproducibility. It shows superior oxidation resistance, powerful free radical scavenging function, and can protect cells from radiation damage. It can be used as an ideal it is a radioprotective agent, and is used in a variety of biological fields. A review of relevant literature shows that the antioxidant properties, high SOD mimicking activity, free radical scavenging ability and radiation resistance of ceria nanoparticles are derived from the mutual conversion of Ce3+/Ce4+ and the formation of oxygen vacancies. This article mainly introduces the basis of anti-radiation activity of ceria nanoparticles, radiation protection effects and the research progress of radiotherapy sensitization, and provides theoretical basis and reference for ceria nanoparticles in the field of radiation direction.
  • LI Yuan, FENG Qi
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    Gynecologic cancer, a class of malignant tumors originating from female reproductive systems, consists of approximately 20% of all female malignancies, which severely affects female health and causes disease, economic, social and family burdens. Imaging tools, such as ultrasound, CT and magnetic resonance imaging (MRI), have been widely used in screening and clinical diagnosis of gynecologic cancers, which provide insights into the pre-surgical evaluation and treatment planning. This review summarizes the advances of MRI in the diagnosis of common gynecologic cancers, including endometrial cancer, cervical cancer, vulvar cancer and ovarian cancer.
  • CHEN Huifang, YUAN Long, LEI Cuiping
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    With the continuous development of nuclear energy, more and more people live around nuclear power plants. However, they generally lack basic knowledge of nuclear radiation and know little about protective actions against nuclear accidents. Timely and correct protective actions can minimize the harm of nuclear power plant accidents to public health. This paper introduces the public protective actions after the nuclear power plant accident: sheltering, decontamination of body surface contamination, evacuation, stable iodine prophylaxis, food and drinking water control, personal protective measures, pet care and psychological support, to guide the public to carry out protection actions correctly and improve the public's emergency response ability during the nuclear power plant accident.