The Morbidity Structure of Personnel Working with Man-Made Radiation Sources Referred for Computed Tomography at the State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency in 2020–2024

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Abstract

In recent years, the use of radiation diagnostic methods in medical examinations of both the Russian Federation population and personnel working with man-made radiation sources has increased, with a large proportion of these being computed tomography (CT), which incurs additional radiation exposure to the individuals being examined [1–3]. This has resulted in a significant increase in the contribution ofCT to the collective patient dose—from 54.38% in 2018 to 73.83% in 2020 and 68.8% in 2022 [4]. For the period 2020–2024, the main contributors to the morbidity structure according toCT withoutCE were respiratory diseases (41.4%) and neoplasms (13.1%). ForCT withCE, the greatest contribution was made by neoplasms (48.3%) and circulatory diseases of types I00–I99 (14.1%). The average radiation dose during the study period forCT withoutCE varied depending on the class from 2.22 to 10.54 mSv, while for CTwithCE, it ranged from 8.2 to 34.33 mSv, significantly exceeding occupational radiation doses in industrial settings (0.35–2.41 mSv). Peculiarities in the pattern of illnesses among workers referred for CTexaminations were identified, depending on their age and gender. This is important to consider when developing recommendations for optimizing radiation diagnostic methods.

About the authors

E. I. Matkevich

State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: ei.matkevich@yandex.ru
ORCID iD: 0000-0001-5917-7706
PhD in Medical Sciences, Radiologist, Head of the Department of MRI Diagnostics of the Radiology Center based on State Research Center–Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency Moscow

A. G. Sivenkov

State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: ei.matkevich@yandex.ru
ORCID iD: 0000-0001-7980-7680
Engineer of Laboratory of Radiation and Hygienic Research on State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency Moscow

A. S. Samoylov

State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: ei.matkevich@yandex.ru
ORCID iD: 0000-0002-9241-7238
M.D., Professor, Corresponding Member of the Russian Academy of Sciences, Chief Researcher, The Federal State Budgetary Scientific Institution “Izmerov Research Institute of Occupational Health” Moscow

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