OCCUPATIONAL RADIATION DOSE TO NUCLEAR MEDICINE STAFF DUE TO TC99M, F18-FDG PET AND THERAPEUTIC I-131 BASED EXAMINATIONS

Radiat Prot Dosimetry. 2019 Dec 31;186(4):443-451. doi: 10.1093/rpd/ncz046.

Abstract

The aim was to track the exposure to radiation workers in six nuclear medicine examinations. A number of 180 patients were recruited and external exposure was measured. Patients had undergone cardiac stress and rest, bone scan, I-131 therapy, Gallium-67 and FDG PET/CT imaging. The average dose received due to cardiac stress and rest were 20.4 ± 5.0 and 16.0 ± 3.8 μSv per patient, respectively, whereas for bone scan, Ga-67, FDG and I-131 therapy, the average dose was 6.1 ± 2.5, 6.0 ± 1.4, 11.1 ± 2.2 and 4.1 ± 2.6 μSv per patient. The patient-to-staff dose coefficients were on average 0.051 ± 0.009, 0.042 ± 0.010, 0.034 ± 0.016, 0.039 ± 0.021, 0.052 ± 0.012, 0.094 ± 0.021 μSv m2/MBq h for stress, rest, bone, I-131, Ga-67 and FDG reported post-administration, respectively. Patient injection and setup for imaging represent a high percentage of the total dose received by staff. The information revealed is able to revise local measures, safety standards, and could help further in dose optimization and minimal exposure to occupationally exposed worker in nuclear medicine laboratories.

MeSH terms

  • Fluorodeoxyglucose F18 / adverse effects
  • Gallium Radioisotopes / adverse effects
  • Humans
  • Iodine Radioisotopes / adverse effects
  • Middle Aged
  • Nuclear Medicine / methods*
  • Occupational Exposure / adverse effects
  • Occupational Exposure / analysis*
  • Positron-Emission Tomography / adverse effects*
  • Positron-Emission Tomography / methods
  • Prognosis
  • Radiation Dosage
  • Radiation Exposure / adverse effects
  • Radiation Exposure / analysis*
  • Radionuclide Imaging
  • Radiopharmaceuticals / adverse effects*
  • Technetium Tc 99m Medronate / adverse effects
  • Thyroid Neoplasms / diagnostic imaging*
  • Thyroid Neoplasms / pathology
  • Thyroid Neoplasms / radiotherapy*

Substances

  • Gallium Radioisotopes
  • Iodine Radioisotopes
  • Iodine-131
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18
  • Gallium-67
  • Technetium Tc 99m Medronate