우리나라에서 방사성옥소입원치료 관리 최적화

Optimization of Inpatient Management of Radioiodine Treatment in Korea

  • 박민재 (서울대학교 의과대학 핵의학교실) ;
  • 김중현 (서울대학교 의과대학 핵의학교실) ;
  • 장정찬 (서울아산병원 핵의학과) ;
  • 김창호 (인하대학교병원 핵의학과) ;
  • 정재민 (서울대학교 의과대학 핵의학교실) ;
  • 이동수 (서울대학교 의과대학 핵의학교실)
  • Park, Min-Jae (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Kim, Jung-Hyun (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Jang, Jung-Chan (Department of Nuclear Medicine, Asan Medical Center) ;
  • Kim, Chang-Ho (Department of Nuclear Medicine, Inda University Hospital) ;
  • Jeong, Jae-Min (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Lee, Dong-Soo (Department of Nuclear Medicine, Seoul National University College of Medicine)
  • 발행 : 2008.08.31

초록

We established a model to calculate radioactive waste from sewage disposal tank of hospitals to optimize the number of patients receiving inpatient radioiodine therapy within the safety guideline in our country. According to this model and calculation of radioactivity concentration using the number of patients per week, the treatment dose of radioiodine, the capacity and the number of sewage tanks and the daily amount of water waste per patient, estimated concentration of radioactivity in sewage waste upon disposal from disposal tanks after longterm retention were within the safety guideline (30 Bq/L) in all the hospitals examined. In addition to the fact that we could increase the number of patients in two thirds of hospitals, we found that the daily amount of waste water was the most important variable to allow the increase of the number of patients within the safety margin of disposed radioactivity. We propose that saving the water amount be led to increase the number of patients and they allow two patients in an already furnished hospital inpatient room to meet the increasing need of inpatient radioiodine treatment for thyroid cancer.

키워드

참고문헌

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