A look at the problem of exposure of the population caused by X-ray diagnostics: approaches to analysis and forecasting

Authors

DOI:

https://doi.org/10.26641/2307-0404.2021.4.248218

Keywords:

medical exposure of the population, X-ray diagnostics researches, the state of the dose load of the population

Abstract

The article is devoted to the analysis of limitation of dose load on the population as a result of radiological researches. It is especially actual and represents rather high scientific and practical interest. In this regard, it is very important to have information about the state of the dose load of the population in separate regions and to rank types of diagnostics by the amount of their contribution to the total dose of medical exposure. The aim of the work was to study the state of dose load of the population of Zaporizhzhia region due to X-ray diagnostics, to develop approaches to analysis and forecasting regarding its limitation. Analytical, statistical calculation and logical generalization methods were used in the course of the work. We used the results of studies carried out in accordance with the regional “Program for the Protection of the Population of Zaporizhzhia Region from the Effect of Ionizing Radiation. The authors analyzed scientific publications (15 sources), including 9 Ukrainian and 6 foreign on the relevance of the problem of exposure of the population caused by X-ray diagnostics. The analysis of the results allowed to determine that in 2010-2014 the radiation dose of the population of Zaporizhzhia region due to X-ray diagnostics averaged 0.92 mSv year-1, in 2015-2016 the dose increased and amounted to 0.96 mSv year-1. The proposed approach to the analysis makes it possible to summarize and model data on radiological studies of the population over a long period of time, to identify persistent trends in the contribution of different types of radiation diagnostics to the dose of medical radiation. All this is necessary for the development, first of all, of measures to reduce the frequency of radiography, its replacement by other diagnostic methods. Priority tasks aimed at reducing the dose load of the population due to X-ray examinations are proposed.

References

Kutsak AV, Sevalnev AI, Kostenetskii MI, Prozhugan TO, Kryvsun KV. [Monitoring of the state of the dose load on patients through medical irradiation]. Bulletin of problems in biology and medicine. Edition 4. 2017;154-8. Ukrainian. ISSN 2523-4110. Available from: http://nbuv.gov.ua/UJRN/Vpbm_2017_4%283%29__33

Kostenetskii MI. [The state of radiation safety of patients during X-ray procedures and ways to improve it]. Environment and health. 2015;1:35-37. ISSN 2077-7485 (Online). Ukrainian.

Kostenetskii MI, Sevalnev AI, Kutsak AV. [Radioecology of the living environment of the population of Zaporozhe region]. Monograph: ZSMU. 2017. p. 151. Ukrainian. Available from: https://elibrary.zsmu.edu.ua›cgi›cg

Kutsak AV. [Radiation and hygienic assessment of radiation doses of the population of Zaporizhian region and substantiation of ways to reduce radiation risks to public health]. Zaporizhzhya, 2016. p. 149. Ukrainian.

On amendments to the State of sanitary norms and rules [Hygienic requirements for the design and ope¬ration of X-ray rooms and X-ray procedures]: approved by the order of the Ministry of Health of Ukraine. 2017 Sep 22;1126. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z1269-17#n2

ICRP. [Recommendations of the International Commission on Radiological Protection]. Ann. ICRP. 2008;37(2-4):344. Available from: https://www.icrp.org/publication.asp?

ICRP (2007) Publication 105. Radiological Protection in Medicine. 2007;37(6). doi: https://doi.org/10.1016/j.icrp.2008.07.001

Sevalnev AI, Kostenetskii MI, Kutsak AV. [Modern principles of radiation protection of medical radiance exposed patients]. Zaporozhye medical journal. 2013;4:64-66. Ukrainian. doi: https://doi.org/10.14739/2310-1210.2013.4.16860

Stadnyk LL, Shalopa OYu, Nosyk OV. [The establishment of national recommended diagnostic levels in X-ray diagnosis as a tool for optimization of medical irradiation]. Environment and health. 2015;3:68-72. Ukrainian. Available from: http://nbuv.gov.ua/UJRN/dtz_2015_3_16

Stadnyk LL, Shalopa OYu, Nosyk OV. [The estimation of effective radiation doses of patients according to the largest X-ray diagnostic researches and their contribution to the general collective dose of medical irradiation of the population of Ukraine]. Radiation diagnostics, radiation therapy. 2014;1:86-89. Ukrainian. Available from: http://nbuv.gov.ua/UJRN/Pdpt_2014_1-2_23

ICRP (2000) Publication 85. Avoidance of radia¬tion injuries from medical interventional procedures. Ann. ICRP. Vienna: Pergamon Press. Ann ICRP. 2000;30(2):7-67. doi: https://doi.org/10.1016/S0146-6453(01)00004-5

ICRP. Publication 87. Managing patient dose in computed tomography. Ann ICRP. 2000;30(4):7-45. doi: https://doi.org/10.1016/S0146-6453(01)00049-5

ICRP. Publication 93. Managing patient dose in digital radiology. Ann ICRP. 2004;34(1):1-73. doi: https://doi.org/10.1016/j.icrp.2004.02.001.

ICRP. Publication 102. Managing patient dose in multi-detector computed tomography. Ann ICRP. 2007;37(1). ISBN-13: 978-0702030475.

Sevalnev AI, Kutsak AV, Sokolovska IA. [Problems of radio safety of the population of the Zaporizhzhia region, which relates to exposure to basic sources by review of the literature]. Problems of radiation medicine and radiobiology. 2019;24:53-64. Ukrai¬nian. doi: https://doi.org/10.33145/2304-8336-2019-24-53-64

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Published

2021-12-20

How to Cite

1.
 Sevalnev A, Kutsak A, Sharavara L, Volkova Y. A look at the problem of exposure of the population caused by X-ray diagnostics: approaches to analysis and forecasting. Med. perspekt. [Internet]. 2021Dec.20 [cited 2024Dec.21];26(4):166-73. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/248218

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Section

PREVENTIVE MEDICINE