ความปลอดภัยทางรังสีสำหรับแรงงาน ของโครงการพัฒนาระเบียงเศรษฐกิจ ภาคตะวันออก
คำสำคัญ:
ความเสี่ยงทางอาชีพ, การป้องกันอันตรายจากรังสี, แรงงานทางรังสี, แรงงานด้านอุตสาหกรรมบทคัดย่อ
แรงงานของโครงการพัฒนาระเบียงเศรษฐกิจภาคตะวันออกมีความเสี่ยงต่อการเกิดมะเร็งและต้อกระจก
จากการได้รับรังสีในสถานประกอบการหรือโรงงานอุตสาหกรรม แรงงานทางรังสีจึงควรมีความรู้ว่าอาชีพของตน
มีความเสี่ยงต่อการได้รับรังสีในรูปแบบใดและการใช้อุปกรณ์ป้องกันรังสีในระหว่างการปฏิบัติงานแบบใดจึงจะ
เหมาะสม นอกจากนั้น หน่วยงานที่มีการใช้รังสีควรมีการอบรมด้านการป้องกันอันตรายจากรังสีให้กับแรงงาน
ควรจัดเตรียมอุปกรณ์ป้องกันรังสี และกำหนดมาตรการการเฝ้าระวังอันตรายจากรังสีที่สอดคล้องกับบริบทของ
หน่วยงาน
References
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มิถุนายน 2560. เข้าถึงได้จาก: http://www.oap.
go.th/component/content/article/98-thai/
information/news/584-60-69-4-0
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exposure from C arm fluoroscopy during
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exposure during cerebral angiography
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monitoring system. J Neurointerv Surg.
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exposure to staff during endoscopic
retrograde cholangiopancreatography in
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retrograde cholangiopancreatography
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monitoring methods in diagnostic and
interventional radiology. Radiat Prot
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radiation exposure among fluoroscopyguided
interventional medical workers:
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occupational exposure among Pakistani
medical staff during 2007-2011. Australas
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equivalent dose and fatal cancer risk for
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102.
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distribution of occupational exposures
in medical and research departments for
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Dosimetry. 2014; 158: 241-5.
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Occupational radiation monitoring at a
large medical center in Japan. Radiol Phys
Technol. 2014; 7: 271-6.
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survey of occupational radiation exposure
among diagnostic radiologic technologists
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4699-704.
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Breast cancer risk and protracted low-tomoderate
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1105-12.
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Subclinical carotid atherosclerosis and
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ionizing radiation exposure: a genetic,
telomere, and vascular ultrasound study
in cardiac catheterization laboratory staff.
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DL, Miller JS, Sigurdson AJ, et al. Incidence
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ส?ำนักงานปรมาณูเพื่อสันติ. เข้าถึงเมื่อ: 01
มิถุนายน 2560. เข้าถึงได้จาก: http://www.oap.
go.th/component/content/article/98-thai/
information/news/584-60-69-4-0
2. Piotrowski I, Kulcenty K, Suchorska WM,
Skrobała A, Skórsk, M, Kruszyna-Mochalska
M, et al. Carcinogenesis induced by lowdose
radiation. Radiol Oncol. 2017; 51:
369-77.
3. Sigurdson AJ, Bhatti P, Preston DL, Doody
MM, Kampa D, Alexander BH, et al.
Routine diagnostic X-ray examinations
and increased frequency of chromosome
translocations among U.S. radiologic
technologists. Cancer Res. 2008; 68: 8825-
31.
4. Zakeri F, Hirobe T. A cytogenetic approach
to the effects of low levels of ionizing
radiations on occupationally exposed
individuals. Eur J Radiol. 2010ว 73: 191-5.
5. Djokovic-Davidovic J, Milovanovic A,
Milovanovic J, Antic V, Gajic M. Analysis
of chromosomal aberrations frequency,
haematological parameters and received
doses by nuclear medicine professionals.
J BUON. 2016; 21: 1307-15.
6. Kumar D, Kumari S, Salian SR, Uppangala
S, Kalthur G, Challapalli S, et al. Genetic
instability in lymphocytes is associated
with blood plasma antioxidant levels
in health care workers occupationally
exposed to ionizing radiation. Int J Toxicol.
2016; 35: 327-35.
7. Qian QZ, Cao XK, Liu HY, Shen FH, Wang
Q, Tong JW, et al. Analysis of hemogram
of radiation workers in Tangshan, China. J
Clin Lab Anal. 2016; 30: 682-8.
8. Daniels RD. Schubauer-Berigan MK. A metaanalysis
of leukaemia risk from protracted
exposure to low-dose gamma radiation.
Occup Environ Med. 2011; 68: 457-64.
9. Linet MS, Kim KP, Miller DL, Kleinerman RA,
Simon SL, Berrington GA. Historical review
of occupational exposures and cancer risks
in medical radiation workers. Radiat Res.
2010; 174: 793-808.
10. Venneri L, Rossi F, Botto N, Andreassi MG,
Salcone N, Emad A, et al. Cancer risk from
professional exposure in staff working in
cardiac catheterization laboratory: insights
from the National Research Council’s
Biological Effects of Ionizing Radiation VII
Report. Am Heart J. 2009; 157: 118-24.
11. Beganović A, Bašić B, Gazdić-Šantić M,
Kulić M, Spužić M, Skopljak-Beganović A,
et al. Occupational and patient exposure
in interventional cardiology in Bosnia and
Herzegovina. Radiat Prot Dosimetry. 2011;
147: 102-5.
12. Kaljevic J, Ciraj-Bjelac O, Stankovic J, Arandjic
D, Bozovic P, Antic V. Occupational dose
assessment in interventional cardiology in
Serbia. Radiat Prot Dosimetry. 2016; 170:
279-83.
13. Sauren LD, van Garsse L, van Ommen
V, Kemerink GJ. Occupational radiation
dose during transcatheter aortic valve
implantation. Catheter Cardiovasc Interv.
2011; 78: 770-6.
14. Bacchim Neto FA, Alves AF, Mascarenhas
YM, Nicolucci P, Pina DR. Occupational
r a d i a t i o n e x p o s u r e i n v a s c u l a r
interventional radiology: A complete
evaluation of different body regions. Phys
Med. 2006; 32: 1019-24.
15. Alazzoni A, Gordon CL, Syed J, Natarajan
MK, Rokoss M, Schwalm J D, et al.
Randomized controlled trial of radiation
protection with a patient lead shield and
a novel, nonlead surgical cap for operators
performing coronary angiography or
intervention. Circ Cardiovasc Interv. 2015;
8: e002384.
16. Mohapatra A, Greenberg RK, Mastracci
TM, Eagleton MJ, Thornsberry B. Radiation
exposure to operating room personnel and
patients during endovascular procedures.
J Vasc Surg. 2013; 58: 702-9.
17. Radhi AM, Masbah O, Shukur MH, Shahril Y,
Taiman K. Radiation exposure to operating
theatre personnel during fluoroscopicassisted
orthopaedic surgery. Med J
Malaysia. 2016; 61 (Suppl A): 50-2.
18. Mahajan A, Samuel S, Saran AK, Mahajan
MK, Mam MK. Occupational radiation
exposure from C arm fluoroscopy during
common orthopaedic surgical procedures
and its prevention. J Clin Diagn Res. 2015;
9: 1-4.
19. Kesavachandran CN, Haamann F, Nienhaus
A. Radiation exposure of eyes, thyroid
gland and hands in orthopaedic staff: a
systematic review. Eur J Med Res. 2012;
30: 17-28.
20. James RF, Wainwright KJ, Kanaan HA,
Hudson S, Wainwright ME, Hightower JH,
et al. Analysis of occupational radiation
exposure during cerebral angiography
utilizing a new real time radiation dose
monitoring system. J Neurointerv Surg.
2015; 7: 503-8.
21. Sulieman A, Elzaki M, Khalil M. Occupational
exposure to staff during endoscopic
retrograde cholangiopancreatography in
Sudan. Radiat Prot Dosimetry. 2011; 144:
530-3.
22. Oztas E, Parlak E, Kucukay F, Arhan M, Daglı
U, Etik DO, et al. The impact of endoscopic
retrograde cholangiopancreatography
education on radiation exposure to
experienced endoscopist: ‘trainee effect’.
Dig Dis Sci. 2012; 57: 1134-43.
23. Lönnroth N, Hirvonen-Kari M, Timonen M,
Savolainen S, Kortesniemi M. Transition
in occupational radiation exposure
monitoring methods in diagnostic and
interventional radiology. Radiat Prot
Dosimetry. 2012; 151: 58-66.
24. Rajaraman P, Doody MM, Yu C L, Preston
DL, Miller JS, Sigurdson A J, et al. Cancer
risks in U.S. radiologic technologists
working with fluoroscopically guided
interventional procedures, 1994-2008. AJR
Am J Roentgenol. 2016; 206: 1101-8.
25. Ko S, Kang S, Ha M, Kim J, Jun JK, Kong
KA, et al. Health effects from occupational
radiation exposure among fluoroscopyguided
interventional medical workers:
a systematic review. J Vasc Interv Radiol.
2018; 29: 353-66.
26. Masood K, Ahmad M, Zafar J, ul Haq
M, Ashfaq A, Zafar H. Assessment of
occupational exposure among Pakistani
medical staff during 2007-2011. Australas
Phys Eng Sci Med. 2012; 35: 297-300.
27. Saengruang-Orn S, Mongkolsuk M,
Rangsiphat T. The average collective
equivalent dose and fatal cancer risk for
radiation workers in Radiology department
at Phramongkutklao hospital, 2004-2008.
J Med Assoc Thai. 2012; 95(Suppl 5): S96-
102.
28. Samerdokiene V, Atkocius V, Ofomala
R. Radiation exposure received by the
medical radiation workers in Lithuania at
the Institute of oncology, Vilnius university,
2004-2011. Radiat Prot Dosimetry. 2013;
157: 152-7.
29. Park M, Kim GS, Ji YH, Jung MS, Kim KB,
Jung H. Trends of the effective dose
distribution of occupational exposures
in medical and research departments for
KIRAMS in Republic of Korea. Radiat Prot
Dosimetry. 2014; 158: 241-5.
30. ALMasri HY, Kakinohana Y, Yogi T.
Occupational radiation monitoring at a
large medical center in Japan. Radiol Phys
Technol. 2014; 7: 271-6.
31. Lee J, Cha ES, Jeong M, Lee WJ. A national
survey of occupational radiation exposure
among diagnostic radiologic technologists
in South Korea. Radiat Prot Dosimetry.
2015; 167: 525-31.
32. United Nations Scientific Committee on
the Effects of Atomic Radiation (UNSCEAR).
Sources and effects of ionizing radiation,
UNSCEAR 2008 Report: 01 Annex B
(Exposures of the public and workers from
various sources of radiation). New York:
United Nations Publications; 2008.
33. Wang FR, Fang QQ, Tang WM, Xu XS,
Mahapatra T, Mahapatra S, at el. Nested
case-control study of occupational
radiation exposure and breast and
esophagus cancer risk among medical
diagnostic X-ray workers in Jiangsu of
China. Asian Pac J Cancer Prev. 2015; 16:
4699-704.
34. Preston DL, Kitahara CM, Freedman DM,
Sigurdson AJ, Simon SL, Little MP, et al.
Breast cancer risk and protracted low-tomoderate
dose occupational radiation
exposure in the US radiologic technologists
cohort, 1983-2008. Br J Cancer. 2016; 115:
1105-12.
35. Hamada N, Fujimichi Y, Iwasaki T, Fujii N,
Furuhashi M, Kubo E, et al. Emerging issues
in radiogenic cataracts and cardiovascular
disease. J Radiat Res. 2014; 55: 831-46.
36. Andreassi MG, Piccaluga E, Gargani L,
Sabatino L, Borghini A, Faita F, et al.
Subclinical carotid atherosclerosis and
early vascular aging from long-term lowdose
ionizing radiation exposure: a genetic,
telomere, and vascular ultrasound study
in cardiac catheterization laboratory staff.
JACC Cardiovasc Interv. 2015; 8: 616-27.
37. Rajaraman P, Doody MM, Yu CL, Preston
DL, Miller JS, Sigurdson AJ, et al. Incidence
and mortality risks for circulatory diseases
in US radiologic technologists who worked
with fluoroscopically guided interventional
procedures, 1994-2008. Occup Environ
Med. 2016; 73: 21-7.
38. Koukorava C, Carinou E, Simantirakis G,
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