Sironneen säteilyn kartoitus koronaariangiografiasalissa

Keskimääräisen eliniän kasvaessa tarvittavien kardiologisten toimenpiteiden määrä on lisääntynyt. Hoitohenkilökunnan altistumisaika säteilylle on näin ollen myös kasvanut, jonka vuoksi säteilyturvallisen toiminnan jatkuva kehittäminen on tärkeää. Sirontakartan muodostaminen on eräs tapa kehittää sät...

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Main Author: Ahokas, Jasmiina
Other Authors: Matemaattis-luonnontieteellinen tiedekunta, Faculty of Sciences, Fysiikan laitos, Department of Physics, Jyväskylän yliopisto, University of Jyväskylä
Format: Master's thesis
Language:fin
Published: 2023
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/91193
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author Ahokas, Jasmiina
author2 Matemaattis-luonnontieteellinen tiedekunta Faculty of Sciences Fysiikan laitos Department of Physics Jyväskylän yliopisto University of Jyväskylä
author_facet Ahokas, Jasmiina Matemaattis-luonnontieteellinen tiedekunta Faculty of Sciences Fysiikan laitos Department of Physics Jyväskylän yliopisto University of Jyväskylä Ahokas, Jasmiina Matemaattis-luonnontieteellinen tiedekunta Faculty of Sciences Fysiikan laitos Department of Physics Jyväskylän yliopisto University of Jyväskylä
author_sort Ahokas, Jasmiina
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description Keskimääräisen eliniän kasvaessa tarvittavien kardiologisten toimenpiteiden määrä on lisääntynyt. Hoitohenkilökunnan altistumisaika säteilylle on näin ollen myös kasvanut, jonka vuoksi säteilyturvallisen toiminnan jatkuva kehittäminen on tärkeää. Sirontakartan muodostaminen on eräs tapa kehittää säteilyturvallista toimintaa sairaalaympäristössä ja sen avulla suojien sijoittelu voidaankin toteuttaa optimoidusti. Sirontakartta on mahdollista muodostaa kardiologisessa toimenpidesalissa käyttäen läpivalaisupulssia, jonka aikana fantomista eli keinotekoisesta testikohteesta sironnutta säteilyä mitataan huoneen eri kohdissa ja korkeuksilla. Tässä tutkielmassa syvennyttiin erityisesti koronaariangiografiasalissa läpivalaisun käyttöön liittyviin säteilyturvallisuustekijöihin ja suojausmahdollisuuksiin. Osana tutkielmaa mitattiin sironnutta säteilyä koronaariangiografiasalissa Mikkelin keskussairaalassa kahdella eri läpivalaisulaitteen tutkimuskulmalla käyttäen tavanomaisia lyijysuojia. Tutkielmassa tarkasteltiin lisäksi mahdollisia toissijaisia sirontakohteita koronaariangiografiasalissa. Tutkielman loppupäätelmänä havaittiin sironneen säteilyn suunnan ja suuruuden olevan jokseenkin epäintuitiivista ja näin ollen sirontamittausten tekeminen auttoi henkilöstöä toimimaan sädehygieenisesti koronaariangiografiasalissa. Sirontakartoista pystyttiin päättelemään säteilyn siroaminen myös muista suunnista kuin operoivan lääkärin etupuolelta, joka vastasi alkuperäistä hypoteesia. Lisäksi tutkimuksessa havaittiin, että sironneen säteilyn annosnopeus oli suurinta, kun käytettiin syviä kallistuksia, kuten LAO 90 astetta. Tutkimustulosten pohjalta järjestettiin henkilöstölle lisäkoulutusta suojainten käyttämiseen sekä sijoittumiseen toimenpidesalissa. As the average life expectancy increases, the number of necessary cardiological procedures has increased causing increased radiation exposure time for the personnel, which is why the continuous development of radiation safety of these procedures is important. Creating a scattering map is one way to develop the safe use of radiation in the hospital environment, and with it, shield placement can be carried out in an optimized way. It is possible to create a scattering map in the cardiology operating room by using a fluoroscopy equipment and a phantom, where during radiation pulse the scattered radiation from the phantom is measured at different points and heights in the room. In this thesis the radiation safety factors and protection possibilities related to the use of a fluoroscopy pulse in the coronary angiography room were examined. The main goal of this study was to measure scattered radiation in the coronary angiography room at Mikkeli Central Hospital with two different treatment angles using standard lead shields. Additionally, secondary scattering sources were studied. As the final conclusion of this study, it was found that the direction and magnitude of the scattered radiation was unintuitive, and therefore, making the scattering measurements helped the personnel to operate in a more radiation safely in the coronary angiography room. From the scattering mapping, it was possible to conclude that the radiation is also scattered from directions other than the front of the operating doctor, which was parallel with the initial hypothesis. In addition, conclusion was that the dose rate of scattered radiation is highest when deep tilts are used, such as the LAO 90 degree. Based on these measurements, additional instructions were organized for the staff.
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Hoitohenkil\u00f6kunnan altistumisaika s\u00e4teilylle on n\u00e4in ollen my\u00f6s kasvanut, jonka vuoksi s\u00e4teilyturvallisen toiminnan jatkuva kehitt\u00e4minen on t\u00e4rke\u00e4\u00e4. Sirontakartan muodostaminen on er\u00e4s tapa kehitt\u00e4\u00e4 s\u00e4teilyturvallista toimintaa sairaalaymp\u00e4rist\u00f6ss\u00e4 ja sen avulla suojien sijoittelu voidaankin toteuttaa optimoidusti. Sirontakartta on mahdollista muodostaa kardiologisessa toimenpidesalissa k\u00e4ytt\u00e4en l\u00e4pivalaisupulssia, jonka aikana fantomista eli keinotekoisesta testikohteesta sironnutta s\u00e4teily\u00e4 mitataan huoneen eri kohdissa ja korkeuksilla. \nT\u00e4ss\u00e4 tutkielmassa syvennyttiin erityisesti koronaariangiografiasalissa l\u00e4pivalaisun k\u00e4ytt\u00f6\u00f6n liittyviin s\u00e4teilyturvallisuustekij\u00f6ihin ja suojausmahdollisuuksiin. Osana tutkielmaa mitattiin sironnutta s\u00e4teily\u00e4 koronaariangiografiasalissa Mikkelin keskussairaalassa kahdella eri l\u00e4pivalaisulaitteen tutkimuskulmalla k\u00e4ytt\u00e4en tavanomaisia lyijysuojia. Tutkielmassa tarkasteltiin lis\u00e4ksi mahdollisia toissijaisia sirontakohteita koronaariangiografiasalissa. \nTutkielman loppup\u00e4\u00e4telm\u00e4n\u00e4 havaittiin sironneen s\u00e4teilyn suunnan ja suuruuden olevan jokseenkin ep\u00e4intuitiivista ja n\u00e4in ollen sirontamittausten tekeminen auttoi henkil\u00f6st\u00f6\u00e4 toimimaan s\u00e4dehygieenisesti koronaariangiografiasalissa. Sirontakartoista pystyttiin p\u00e4\u00e4ttelem\u00e4\u00e4n s\u00e4teilyn siroaminen my\u00f6s muista suunnista kuin operoivan l\u00e4\u00e4k\u00e4rin etupuolelta, joka vastasi alkuper\u00e4ist\u00e4 hypoteesia. Lis\u00e4ksi tutkimuksessa havaittiin, ett\u00e4 sironneen s\u00e4teilyn annosnopeus oli suurinta, kun k\u00e4ytettiin syvi\u00e4 kallistuksia, kuten LAO 90 astetta. 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spellingShingle Ahokas, Jasmiina Sironneen säteilyn kartoitus koronaariangiografiasalissa angiografia sironnut säteily sirontakartta läpivalaisu Soveltava fysiikka Applied Physics 4023 säteily säteilyturvallisuus
title Sironneen säteilyn kartoitus koronaariangiografiasalissa
title_full Sironneen säteilyn kartoitus koronaariangiografiasalissa
title_fullStr Sironneen säteilyn kartoitus koronaariangiografiasalissa Sironneen säteilyn kartoitus koronaariangiografiasalissa
title_full_unstemmed Sironneen säteilyn kartoitus koronaariangiografiasalissa Sironneen säteilyn kartoitus koronaariangiografiasalissa
title_short Sironneen säteilyn kartoitus koronaariangiografiasalissa
title_sort sironneen säteilyn kartoitus koronaariangiografiasalissa
title_txtP Sironneen säteilyn kartoitus koronaariangiografiasalissa
topic angiografia sironnut säteily sirontakartta läpivalaisu Soveltava fysiikka Applied Physics 4023 säteily säteilyturvallisuus
topic_facet 4023 Applied Physics Soveltava fysiikka angiografia läpivalaisu sironnut säteily sirontakartta säteily säteilyturvallisuus
url https://jyx.jyu.fi/handle/123456789/91193 http://www.urn.fi/URN:NBN:fi:jyu-202311017215
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