radhydРадиационная гигиенаRadiatsionnaya Gygiena = Radiation Hygiene1998-426X2409-9082NIIRG10.21514/1998-426X-2023-16-1-120-129radhyd-939Research ArticleОбзорыReviewsАктуализация методики установления референтных диагностических уровней для интервенционных рентгенологических процедурActualization of methodology of diagnostic reference levels establishment for interventional radiological proceduresСарычеваС. С.SarychevaS. S.

Сарычева Светлана Сергеевна – кандидат биологических наук, старший научный сотрудник лаборатории радиационной гигиены медицинских организаций

197101, Россия, Санкт-Петербург, ул. Мира, д. 8

Svetlana S. Sarycheva – candidate of biological sciences, Senior Scientific Researcher

Mira Str., 8, St. Petersburg, 197101, Russia

Svetlana2003@mail.ruСанкт-Петербургский научно-исследовательский институт радиационной гигиены имени профессора П.В. Рамзаева, Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человекаРоссияSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingRussian Federation202305042023161120129Copyright © Сарычева С.С., 20232023Сарычева С.С.Sarycheva S.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radhyg.ru/jour/article/view/939

Интервенционные исследования сопровождаются высокими уровнями облучения пациентов, вплоть до возможности возникновения лучевых поражений кожи, поэтому любые меры по снижению уровней облучения пациентов для данного вида медицинских процедур имеют очень важное значение. Использование референтных диагностических уровней считается одной из наиболее успешных мер по снижению уровней облучения пациентов, однако базовая концепция их установления малоприменима для интервенционных исследований, где предположение о «стандартной» процедуре недействительно. В статье подробно изучены основные сложности применения стандартной концепции референтных диагностических уровней для процедур интервенционной радиологии и предложена новая актуальная концепция, учитывающая особенности выполнения данных процедур; проанализированы опубликованные отечественные и международные документы в этой области. В работе предложен перечень интервенционных процедур, для которых рекомендуется первоочередное установление референтных диагностических уровней, согласно статистическим данным о наиболее проводимых в Российской Федерации процедурах данного типа. Результаты данного исследования были использованы при создании новых методических рекомендаций МР 2.6.1.0296-22 «Оптимизация радиационной защиты пациентов в лучевой диагностике посредством применения референтных диагностических уровней».

Interventional procedures are accompanied with high levels of patient exposure and even with the possibility of radiation skin damage. That’s why any actions leading to reduction of patients’ exposure levels are of utmost importance. Implementation of diagnostic reference levels is considered to be one of the most successful actions to reduce patient exposure levels. However the basic concept of diagnostic reference levels cannot be used for interventional radiology due to fact that procedures are not standardized. The article studies the main difficulties in applying the standard concept of diagnostic reference levels for interventional radiology procedures and proposes a new concept, taking into account the specifics of these procedures; the domestic and international documents are analyzed. The list of interventional procedures for diagnostic reference levels establishment is suggested based on the statistical data on performed procedures in the Russian Federation. The results of this study were used for the new Russian guidelines “Optimization of radiation protection of patients undergoing medical radiation diagnostic examinations through the use of diagnostic reference levels”.

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The authors declare that there are no conflicts of interest present.