Literature DB >> 22246804

Instantaneous exposure to nuclear medicine staff involved in PET-CT imaging in developing countries: experience from a tertiary care centre in India.

Sunil Kumar1, Anil Kumar Pandey, Punit Sharma, Shamim Ahmed Shamim, Arun Malhotra, Rakesh Kumar.   

Abstract

PURPOSE: To assess the radiation exposure to nuclear medicine staff at a positron emission tomography-computed tomography (PET-CT) centre with high patient throughput.
MATERIALS AND METHODS: This prospective study included 70 adult patients who underwent 18F-fluorodeoxyglucose (FDG) PET-CT for their clinical indications. The patients' actual injected FDG activity was calculated by subtracting the syringe activity (post-injection) from the loaded syringe activity (pre-injection). The instantaneous exposure to nuclear medicine staff involved in PET-CT imaging was measured. The instantaneous dose rate of the physicians was recorded during FDG injection and that of the technologist was recorded during the patient's positioning, respectively, at 1.0-m distance from the anterior chest using a calibrated portable gamma-ray survey meter.
RESULTS: The average FDG activity injected in adult patients was 308.5 MBq (range 173.1-438.8 MBq). The instantaneous exposure to the nuclear medicine (NM) physician during the injection time was 31 μSv/h (14-60 μSv/h). The instantaneous exposure to the NM technologist during positioning was 18 (10-34) μSv/h. With an average of 10 patients per day, the quarterly dose to physicians was 628 μSv and to technologists 182 μSv for 300 patients. The extrapolated annual dose was 2.5 mSv for physicians and 0.7 mSv for technologists, respectively.
CONCLUSION: Instantaneous exposure of nuclear medicine staff involved in PET-CT imaging at a busy tertiary care centre is within permissible limits of the International Commission on Radiological Protection (ICRP-103) (total <100 mSv over 5 years and not >50 mSv in a single year) and atomic energy regulatory board (total <100 mSv over 5 years and not >30 mSv in a single year).

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Year:  2012        PMID: 22246804     DOI: 10.1007/s11604-011-0045-4

Source DB:  PubMed          Journal:  Jpn J Radiol        ISSN: 1867-1071            Impact factor:   2.374


  12 in total

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Review 3.  New ICRP recommendations.

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5.  Are restrictions to behaviour of patients required following fluorine-18 fluorodeoxyglucose positron emission tomographic studies?

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6.  Radiation dose rates from patients undergoing PET: implications for technologists and waiting areas.

Authors:  N A Benatar; B F Cronin; M J O'Doherty
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7.  Radiation dose to technicians per nuclear medicine procedure: comparison between technetium-99m, gallium-67, and iodine-131 radiotracers and fluorine-18 fluorodeoxyglucose.

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8.  Radiation exposure of patients undergoing whole-body dual-modality 18F-FDG PET/CT examinations.

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Review 9.  PET/CT imaging: The incremental value of assessing the glucose metabolic phenotype and the structure of cancers in a single examination.

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Journal:  Eur J Radiol       Date:  2010-01-25       Impact factor: 3.528

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Authors:  Ronald Boellaard; Mike J O'Doherty; Wolfgang A Weber; Felix M Mottaghy; Markus N Lonsdale; Sigrid G Stroobants; Wim J G Oyen; Joerg Kotzerke; Otto S Hoekstra; Jan Pruim; Paul K Marsden; Klaus Tatsch; Corneline J Hoekstra; Eric P Visser; Bertjan Arends; Fred J Verzijlbergen; Josee M Zijlstra; Emile F I Comans; Adriaan A Lammertsma; Anne M Paans; Antoon T Willemsen; Thomas Beyer; Andreas Bockisch; Cornelia Schaefer-Prokop; Dominique Delbeke; Richard P Baum; Arturo Chiti; Bernd J Krause
Journal:  Eur J Nucl Med Mol Imaging       Date:  2010-01       Impact factor: 9.236

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  1 in total

1.  Evaluation of Radiation Exposure to Staff and Environment Dose from [18F]-FDG in PET/CT and Cyclotron Center using Thermoluminescent Dosimetry.

Authors:  S Zargan; P Ghafarian; A Shabestani Monfared; A A Sharafi; M Bakhshayeshkaram; M R Ay
Journal:  J Biomed Phys Eng       Date:  2017-03-01
  1 in total

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