Shi Xiaodong,Zhang Zihao,Yang Xiaoyong,et al.Monitoring and analysis of internal exposure of 131I treatment staff in nuclear medicine department in Jiangsu province from 2021 to 2024[J].Chinese Journal of Radiological Medicine and Protection,2025,45(6):512-518
Monitoring and analysis of internal exposure of 131I treatment staff in nuclear medicine department in Jiangsu province from 2021 to 2024
Received:May 14, 2024  
DOI:10.3760/cma.j.cn112271-20240514-00175
KeyWords:Internal exposure  Nuclear medicine department  Thyroid  131I
FundProject:江苏省卫生计生委卫生标准研究课题(S2017003);江苏省医学重点学科(ZDXK202249)
Author NameAffiliationE-mail
Shi Xiaodong Department of radiation protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China  
Zhang Zihao School of Public Health, Nanjing Medical University, 211166 Nanjing, China  
Yang Xiaoyong Department of radiation protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China  
Wang Jin Department of radiation protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China  
Chen Wei Department of radiation protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China  
Ma Jiayi Department of radiation protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China majy@jscdc.cn 
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Abstract::
      Objective To understand the basic situation of occupational internal exposure to 131I among nuclear medicine staff in Jiangsu province, and to analyze the relevant factors that contribute to the formation of internal exposure. Methods A four-year external direct measurement of thyroid organ counting was conducted on nuclear medicine staff who underwent 131I treatment in Jiangsu province. The result were statistically analyzed, and the effective dose of accumulated internal exposure was estimated. The relationship between the detection rate of internal exposure and 10 possible factors was analyzed. Results A total of 847 person-times were monitored during the monitoring period, of which 345 person-times were detected for 131I, with a detection rate of 40.7%. The highest individual monitoring result for internal exposure was 24.83 kBq, with an average value of 77.3 Bq and a median of 28.3 Bq among the detected individuals. The average committed effective dose of internal exposure for staff was 0.201mSv, with a median of 0.074mSv among the detected individuals. Conclusions There is statistically significant difference in the detection rate of individual doses of internal exposure among nuclear medicine staff in each year. It has been observed that the main factors related to the detection rate are age, hospital grade, job position, location, whether there is an automatic dispensing operation, operating method, exposure level and length of exposure. Sufficient attention should be given to the situation of internal exposure, and further effective monitoring should be conducted on all such staff members.
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