铅屏风在医用诊断X射线机放射防护中的优化应用研究OA
Research on the Optimal Application of Lead Screens in Radiation Protection of Medical Diagnostic X-ray Machines
目的 通过分析不同铅当量的铅屏风对不同类型医用诊断X射线机的防护效果,为医务人员和陪检人员选择合适的铅屏风提供指导.方法 利用蒙特卡罗方法模拟管电压为50~140 kV、总滤过厚度为0.5~5.0 mm(Al)、阳极角度为12°时的X射线能谱.以此为源项模拟铅屏风对X射线屏蔽后的归一化剂量率和衰减倍数,并结合实验测量评估不同铅当量铅屏风对不同X射线机的实际防护效果.结果 铅屏风的衰减倍数随着铅当量的增加而增加,当超过1.5 mmPb时,衰减倍数显著增加.1.0 mmPb铅屏风可有效屏蔽管电压60 kV X射线机产生的X射线;如果机头和铅屏风距离在3 m以上,1.0 mmPb铅屏风可使得机头在任何方向上1 m处的剂量率都降至1 µSv/h以下.结论 X射线机的管电压、过滤厚度,铅屏风的铅当量和防护距离是影响铅屏风防护效果的重要因素.1.0 mmPb铅屏风能有效屏蔽牙片机等管电压设置在60 kV以下的X射线机.数字减影血管造影(DSA)、口腔CT、移动C型臂等管电压设置在100 kV以下的X射线机,在避开原发射线的情况下,距离机头0.5 m处可选择2.2 mmPb铅屏风,距离机头1 m处可选择2.0 mmPb铅屏风.数字放射成像(DR)、CT等管电压设置在140 kV以上的X射线机,应重点考虑距离防护.
Objective By analyzing the protective effects of lead screens with different lead equivalents on different types of medical diagnostic X-ray machines,to provide guidance for medical staffand accompanying personnel in choosing appropriate lead screens.Methods The X-ray energy spectrum was simulated by the Monte Carlo method when the tube voltage was 50-140 kV,the total filtration thickness was 0.5-5.0 mm(Al),and the anode angle was 12°.Taking this as the source term,the normalized dose rate and attenuation factor of lead screens after X-ray shielding were simulated,and the actual protective effects of lead screens with different lead equivalents on different X-ray machines were evaluated in combination with experimental measurements.Results The attenuation factor of lead screens increased with the increase of lead equivalent.When it exceeded 1.5 mmPb,the attenuation factor increased significantly.A 1.0 mmPb lead screen could effectively shield the X-rays generated by a 60 kV X-ray machine with a tube voltage.If the distance between the machine head and the lead screen was more than 3 m,a 1.0 mmPb lead screen could reduce the dose rate of the machine head to below 1 µSv/h at a distance of 1 m in any direction.Conclusion The tube voltage of the X-ray machine,the filtration thickness,the lead equivalent of the lead screen and the protective distance are important factors affecting the protective effect of the lead screen.1.0 mmPb lead screen can effectively shield X-ray machines such as dental X-ray machines with tube voltages set below 60 kV.For X-ray machines with tube voltages set below 100 kV,such as digital subtraction angiography(DSA),oral CT,and mobile C-arm,a 2.2 mmPb lead screen can be selected at a distance of 0.5 meters from the machine head and a 2.0 mmPb lead screen at a distance of 1 meter from the machine head,while avoiding the primary radiation.For X-ray machines with tube voltages such as digital radiography(DR)and CT set above 140 kV,distance protection should be given priority consideration.
张晓斌;张文亮;刘犇;王运
安徽医科大学第一附属医院 医学工程部,安徽 合肥 230022安徽省辐射环境监督站,安徽 合肥 230071安徽省辐射环境监督站,安徽 合肥 230071安徽医科大学第一附属医院 医学工程部,安徽 合肥 230022
医药卫生
铅当量铅屏风医用诊断X射线机X射线能谱归一化X射线剂量率衰减倍数
lead equivalentlead screenmedical diagnosticX-ray machineX-ray energy spectrumnormalized X-ray dose rateattenuation factor
《中国医疗设备》 2025 (8)
52-57,6
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