Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Thyroid Ultrasonography Findings in Hospital Employees Exposed to Radiation: An Observational Descriptive Study
Radyasyona Maruz Kalınan Bölümlerde Çalışan Hastane Personelinde Tiroid Ultrasonografi Bulguları: Gözlemsel Tanımlayıcı Bir Çalışma
Ayşe Didem ESENa , Feyzanur ERDEMa
aProf. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Family Medicine, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(2):335-41
doi: 10.5336/healthsci.2023-100738
Article Language: EN
Full Text
ABSTRACT
 Objective: It was aimed to retrospectively evaluate the thyroid ultrasonography (USG) findings taken during periodic examinations of hospital staff in departments exposed to radiation. Material and Methods: Thyroid USG reports and demographic information of employees who worked in these departments in the past 2 years were recorded at the time of their first employment and during regular health examinations. Our study included 153 subjects that last two USG reports on the thyroid gland could be accessed retrospectively. Results: The mean age of the 153 individuals who participated in the study was 38.58 years, and the mean time worked was 11.13 years. The mean time between the participants' first and second thyroid USG was 11.9 months. While the rate of nodule detection on the first ultrasound was 30.1%, the rate of nodule detection on the second ultrasound was 34.6%. The rate of nodule detection at the second ultrasound was significantly higher in people who had nodules detected at the first ultrasound (p=0.000). No significant correlation was found between the presence of nodules on the first and second ultrasounds by participants' occupation and gender. The number of nodules on the second thyroid USG increased significantly with increasing age and years of work (p=0.05 and p=0.008, respectively). The presence of irregular nodal margins was significantly increased on the first and second ultrasound examination when the duration of radiation exposure increased (p=0.02 and 0.013, respectively). Conclusion: The presence of irregular nodule margins increased significantly with increasing radiation exposure.

Keywords: Nuclear medicine; occupational health; radiology; thyroid nodule; ultrasonography
ÖZET
 Amaç: Bu çalışmada, radyasyona maruz kalınan bölümlerde çalışan hastane personelinin periyodik muayeneleri sırasında çekilen tiroid ultrasonografi (USG) bulgularının retrospektif olarak değerlendirilmesi amaçlandı. Gereç ve Yöntemler: Radyasyona maruz kalınan bölümlerde son 2 yıl içinde çalışmış olan hastane personelinin ilk işe girişlerinde ve düzenli sağlık muayeneleri sırasında tiroid USG raporları ve demografik bilgileri kaydedildi. Çalışmamıza tiroid bezi ile ilgili son 2 USG raporuna retrospektif olarak ulaşılabilen 153 olgu dâhil edildi. Bulgular: Çalışmaya katılan 153 kişinin yaş ortalaması 38,58 ve ortalama çalışma süresi 11,13 yıldı. Katılımcıların ilk ve ikinci tiroid USG'leri arasındaki ortalama süre 11,9 aydı. İlk ultrasonda nodül saptanma oranı %30,1 iken, ikinci ultrasonda nodül saptanma oranı %34,6'dır. İlk ultrasonda nodül saptanan kişilerde ikinci ultrasonda nodül saptanma oranı anlamlı olarak daha yüksekti (p=0,000). Katılımcıların mesleği ve cinsiyetine göre birinci ve ikinci ultrasonlarda nodül varlığı arasında anlamlı bir ilişki bulunmamıştır. İkinci tiroid USG'sindeki nodül sayısı yaş ve çalışma yılı arttıkça anlamlı olarak artmıştır (sırasıyla p=0,05 ve p=0,008). Radyasyona maruz kalma süresi arttıkça ilk ve ikinci ultrason muayenesinde düzensiz nodal sınırların varlığı anlamlı olarak artmıştır (sırasıyla p=0,02 ve 0,013). Sonuç: Düzensiz nodül kenarlarının varlığı radyasyon çalışanlarında anlamlı olarak daha yaygındı.

Anahtar Kelimeler: Nükleer tıp; iş sağlığı; radyoloji; tiroid nodülü; ultrasonografi
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