Investigation of Blood Indices (Red Blood Cells, White Blood Cells, Platelets) in Radiology Workers in Shahrud County in 2024-2025
Subject Areas : Medical Sciences
Melody Omraninava
1
*
,
Bahman Taheri
2
,
Milad Mokfi
3
1 - Infectious disease department, Assistant Professor, Hospital Administration Research Center, Sar. C., Islamic Azad University, Sari, Iran
2 - Medical Student, Islamic Azad University of Medical Science, Sari, Iran, Radiology Technologist, Radiology Unit Staff Member, Bahar Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
3 - Radiologist, Khatam Hospital, Islamic Azad University of Shahroud, Shahroud, Iran
Keywords: Ionizing radiation, Radiation workers, Hematological indices, Cumulative dose, Radiation,
Abstract :
Background and Aim: Ionizing radiation is extensively used in medical, industrial, and military applications, playing a pivotal role in technological advancements. However, prolonged exposure to radiation, even at low doses, can adversely impact the hematological system
and health of radiation workers. This study aimed to assess the effects of ionizing radiation on the hematological indices of radiology staff in Shahroud hospitals.
Materials and Methods: This cross-sectional study was conducted on 57 radiation workers. Demographic, dosimetry (including HP(10), beta dose, 6-month and 30-month cumulative doses), and hematological index (RBC, WBC, PLT) data were collected and analyzed using descriptive and analytical statistical tests (including t-test, ANOVA, and correlation) with SPSS 26.
Results: The mean Red Blood Cell (RBC) count significantly decreased at doses exceeding 0.2 mSv (P<0.001). A significant correlation was observed between cumulative radiation doses and alterations in hematological indices, with the most substantial changes seen in RBC. No significant correlation was found between hematological indices and demographic variables such as age, work experience, or number of shifts.
Conclusion: Ionizing radiation, even at low doses, can adversely affect the hematological system, with pronounced effects on RBC. Comprehensive monitoring of radiation workers and advanced assessment methods, such as cytogenetic assays, are crucial for evaluating radiation-induced biological damage. Developing effective protective protocols is recommended to mitigate radiation-associated risks.
1. Zakova M. Occupational exposure in angiography (Prague workplaces). Radiat Prot Dosimetry,2001; 94(1-2): 129-132.
2. Puthran S, Sudha K, Rao GM, et al. Oxidative stress and low dose ionizing radiation. Indian J Physiol Pharmacol, 2009; 53(2): 181184.
3. Klucinski P, Mazur B, Sedek L, et al. Assessment of selected B cells populations in the workers of X-ray departments. Int J Occup Med Environ Health,2014; 27(3): 467-473.
4. Cengiz M, Grkaynak M, Vural H, et al. Tissue trace element change after total body irradiation. Nephron Exp Nephrol,2003; 94(1): e1216.
5. Kopjar N, Garaj-Vrhovac V. Assessment of DNA damage in nuclear medicine personnel--comparative study with the alkaline comet assay and the chromosome aberration test. Int J Hyg Environ Health,2005; 208(3): 179-191.
6. Salek Moghaddam AR, Sharafi AA, Osati Ashtiani F, Jalali Galousang F. Comparative evaluation of cellular and humoral immunity parameters in radiographers and non radiographers. Razi J Med Sci, 2004; 10(37): 727-733.
7. Zargan S, Seyedmehdi SM, Emami H, Attarchi MS, Yazdanparast T. Comparison of blood cells in radiology workers and nonradiation workers staff of a governmental hospital in Tehran. Iran Occup Health,2016; 13(4): 3138.
8. Khedr M. Evaluation the Effect of Low Dose Ionizing Radiation on Radiological Staff. IOSR Journal of Applied Physics,2017; 9(2): 1-7.
9. Koç HA, Altınöz Güney C. Low-Dose Ionizing Radiation Exposure and Its Impact on Skin Aging Among Healthcare Workers. Clin Exp Dermatol. 2024 Dec 21:llae547. doi: 10.1093/ced/llae547. Epub ahead of print. PMID: 39707903.
10. Li Y, Xu H, Li R, Cheng M, Wen C. Prevalence and risk factors of work-related musculoskeletal disorders among healthcare workers in medical radiation environments. Work. 2024;79(4):1867-1877. doi: 10.3233/WOR-230552. PMID: 39670983.
11. Zhuntova G, Azizova TV, Bannikova MV. Chronic bronchitis and bronchial asthma: the impact of chronic occupational radiation exposure on incidence and mortality of Mayak nuclear workers. J Radiol Prot. 2024 Nov 11. doi: 10.1088/1361-6498/ad90ee. Epub ahead of print. PMID: 39527848.
12. Bahrami Asl F, Islami-Seginsara M, Ebrahimi Kalan M, Hemmatjo R, Hesam M, Shafiei-Irannejad V. Exposure to ionizing radiations and changes in blood cells and interleukin-6 in radiation workers. Environ Sci Pollut Res Int. 2023 Mar;30(13):35757-35768. doi: 10.1007/s11356-022-24652-8. Epub 2022 Dec 20. PMID: 36538225; PMCID: PMC9764314.