Evaluation of Blood Parameters of the Medical Radiation Workers

Document Type: Original Paper

Authors

1 Student Research Committee, Faculty of Paramedicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Technology of Radiology Department Isfahan University of Medical Sciences Isfahan, Iran

Abstract

Introduction: Medical workers in the departments of radiology, computed tomography, nuclear medicine, and radiotherapy are always exposed to ionizing radiations. Complete blood count (CBC) test is commonly used to monitor the health of radiation workers. The aim of this study was to evaluate the hematological parameters of radiation workers of Isfahan, Iran, and reveal the effectiveness of the CBC tests in the prediction of the radiation effects on the health of such workers.
Material and Methods: The current study was conducted on 160 radiation workers and 103 healthy people using CBC tests. To obtain the main aim of the study the obtained results of the two groups were compared in terms of blood parameters.
Results: The hematocrit in the male radiation workers was estimated at 45.98±3.00, which was significantly higher than that of the control group (44.33±2.41%, P<0.05). However, mean corpuscular hemoglobin concentration and platelets counts were of lower levels in radiation workers, compared to the control group (P<0.05). The lymphocyte percentage of female radiation workers was 33.78±7.47%, which was significantly lower than that of the controls (37.84±8.97%, P<0.05).
Conclusion: The CBC test can be used to follow up on the overall health status of radiation workers. However, it is essential to perform complementary methods, such as chromosomal changes, cytokines, and interleukins evaluation, for the early detection of radiation effects.

Keywords

Main Subjects


1.        Jabeen A, Munir M, Khalil A, Masood M, Akhter P. Occupational exposure from external radiation used in medical practices in Pakistan by film badge dosimetry. Radiation protection dosimetry. 2010; 140(4):396-401.

  1. Masood K, Zafar J, Zafar T, Zafar H. Assessment of the occupational radiation exposure doses to workers at INMOL Pakistan (2007–11). Radiation protection dosimetry. 2012;155(1):110-4.
  2. Vakifahmetoglu H, Olsson M, Zhivotovsky B. Death through a tragedy: mitotic catastrophe. Cell death and differentiation. 2008;15(7):1153.
  3. Chaparian A, Tavakoli I, Karimi V. Organ doses, effective dose, and radiation risk assessment in radiography of pediatric paranasal sinuses (Waters view). Asian Biomedicine. 2013; 7(5): 695-8.
  4. Smirnova OA. Environmental radiation effects on mammals: a dynamical modeling approach. Springer; 2016 Oct 14.
  5. Linet MS, Freedman DM, Mohan AK, Doody MM, Ron E, Mabuchi K, et al. Incidence of haematopoietic malignancies in US radiologic technologists. Occupational and environmental medicine. 2005; 62(12): 861-7.
  6. Cardis E, Vrijheid M, Blettner M, Gilbert E, Hakama M, Hill C, et al. Risk of cancer after low doses of ionising radiation: retrospective cohort study in 15 countries. Bmj. 2005; 331(7508): 77.
  7. Davoudian Talab A. Effects of Occupational Exposure on Blood Cells of Radiographers Working in Diagnostic Radiology Department of Khuzestan Province. Iranian Journal of Medical Physics. 2018; 15(2): 66-70.
  8. Meo SA, Al Drees AM, Zadi SZ, Damgh SA, Al-Tuwaijri AS. Hazards of X-ray radiation on the quantitative and phagocytic functions of polymorphonuclear neutrophils in X-ray technicians. Journal of occupational health. 2006; 48(2):88-92.
  9. Mohammed MR, Abdulateef SM, Dawood NA, Taher MG, Jabur SA, Alwain AH. Effects of Radiation on the Hematological Parameters in X-Ray Technicians: A Case-Control Study. Journal of Pioneering Medical Sciences. 2014; 4(2): 85-88.
  10. Dainiak N. Hematologic consequences of exposure to ionizing radiation. Experimental hematology. 2002; 30(6): 513-28.
  11. Heidari S, Taheri M, Ravan AP, Moghimbeigi A, Mojiri M, Naderi-Khojastehfar Y, et al. Assessment of some Immunological and Hematological Factors among Radiation Workers. Journal of Biology and Today's World. 2016; 5(7): 113-9.
  12. Sayed D, Elwanis ME, Elhameed SY, Galal H. Does occupational exposure to low-dose ionizing radiation affect bone marrow thrombopoiesis?. International archives of medicine. 2011; 4(1): 8.
  13. Shahid S, Mahmood N, Chaudhry MN, Sheikh S, Ahmad N. Assessment of impacts of hematological parameters of chronic ionizing radiation exposed workers in hospitals. FUUAST Journal of Biology. 2014; 4(2): 135.
  14. Taqi AH, Faraj KA, Zaynal SA, Hameed AM, Mahmood AAA. Effects of occupational exposure of x-ray on hematological parameters of diagnostic technicians. Radiation Physics and Chemistry. 2018; 147: 45-52.‏
  15. Faraj K, Mohammed S. Effects of chronic exposure of X-ray on hematological parameters in human blood. Comparative Clinical Pathology. 2018; 27(1): 31-6.‏
  16. Jang S, Lee JK, Cho M, San Yang S, Kim SH, Kim WT. Consecutive results of blood cell count and retrospective biodosimetry: useful tools of health protection regulation for radiation workers. Occup Environ Med. 2016; 73(10):694-700.
  17. Shafiee M, Rashidfar R, Borzoueisileh S, Ghorbani M, Vafapour H, Rahimi S. The Effect of Occupational Exposure on Blood Parameters of Radiology Staffs in Yasuj. Armaghane danesh. 2016; 21(4):410-9.
  18. Torkabadi E, Kariminia A, Zakeri F. Alteration of peripheral blood T-reg cells and cytokines production in angiography personnel exposed to scattered X-rays. Iranian Journal of Allergy, Asthma and Immunology. 2007; 6(4):181-7.
  19. Sari-Minodier I, Orsière T, Auquier P, Martin F, Botta A. Cytogenetic monitoring by use of the micronucleus assay among hospital workers exposed to low doses of ionizing radiation. Mutation Research/Genetic Toxicology and Environmental Mutagenesis. 2007; 629(2):111-21.
  20. Mezhoud K, Sakly A, Ben Cheikh H, Saïdi M, Edery M. Radiobiology worker risk assessment using stress indicators and proteomics. International Journal of Low Radiation. 2014; 9(3):199-218.
        22. Zakeri F, Hirobe T, Akbari Noghabi K. Biological effects of low-dose ionizing radiation exposure on interventional cardiologists. Occupational medicine. 2010; 60(6):464-9.