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            <front>

                <journal-meta>
                                                                <journal-id>genel tıp derg</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Genel Tıp Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2602-3741</issn>
                                                                                            <publisher>
                    <publisher-name>Selçuk Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.54005/geneltip.1729733</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Nuclear Medicine</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Nükleer Tıp</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Radiation Safety at the Time of Patient Discharge in Persons Undergoing Fluorine-18 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET/CT) Imaging</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="tr">
                                    <trans-title>Flor-18 Florodeoksiglukoz (FDG) Pozitron Emisyon Tomografisi (PET/BT) Görüntüleme Yapılan Kişilerde Hasta Taburcu Edilme Sırasında Radyasyon Güvenliği</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8136-513X</contrib-id>
                                                                <name>
                                    <surname>Yılmaz</surname>
                                    <given-names>Farise</given-names>
                                </name>
                                                                    <aff>SELCUK UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0001-2208-7309</contrib-id>
                                                                <name>
                                    <surname>Koru</surname>
                                    <given-names>Tayyip Remzi</given-names>
                                </name>
                                                                    <aff>SELCUK UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-0204-6657</contrib-id>
                                                                <name>
                                    <surname>Akdam</surname>
                                    <given-names>Neriman</given-names>
                                </name>
                                                                    <aff>SELCUK UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1002-2097</contrib-id>
                                                                <name>
                                    <surname>Önner</surname>
                                    <given-names>Hasan</given-names>
                                </name>
                                                                    <aff>SELCUK UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-4607-8615</contrib-id>
                                                                <name>
                                    <surname>Kara Gedik</surname>
                                    <given-names>Gonca</given-names>
                                </name>
                                                                    <aff>AKDENIZ UNIVERSITY</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260402">
                    <day>04</day>
                    <month>02</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>36</volume>
                                        <issue>2026</issue>
                                        <fpage>1</fpage>
                                        <lpage>5</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250701">
                        <day>07</day>
                        <month>01</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20260112">
                        <day>01</day>
                        <month>12</month>
                        <year>2026</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1990, Genel Tıp Dergisi</copyright-statement>
                    <copyright-year>1990</copyright-year>
                    <copyright-holder>Genel Tıp Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Aim: F-18 FDG (fluorodeoxyglucose) PET/CT is an imaging method increasingly used in nuclear medicine due to the rising incidence of cancer in society. Additionally, since this imaging is performed with higher photon energy, it significantly increases anxiety among hospital staff. In our study, we aimed to measure the radiation dose rate ratio released to the environment and evaluate environmental radiation exposure in patients who underwent PET/CT with F-18 fluorodeoxyglucose (FDG) at the time of discharge.Materials and Methods: Dose rates at 0.5 meters (m), 1 m, and 2 m from the anterior chest of 123 patients (M/F: 69/54) who underwent F-18 FDG PET/CT imaging in the Department of Nuclear Medicine PET/CT were measured using a survey meter.Findings: Patients received an average of 8.05 mCi (millicurie) of radioactive material and waited in the clinic for 78.34 minutes. Following the imaging, the average radiation dose rates at 0.5 m, 1 m, and 2 m were found to be 11.33 ± 2.67, 5.7 ± 1.3, and 2.3 ± 5 µSv/h, respectively (Tables 1, 2, 3) (Figure 1). There was a statistically significant (p &amp;lt; 0.0001) negative correlation between the duration of hospital stay after F-18 FDG injection and the F-18 FDG dose injected into the patient and the dose rates measured at all three distances. (Table 4, 5) (Figure 1).Conclusion: Our study showed that the F-18 FDG PET/CT scans done in the Nuclear Medicine Department were for diagnostic purposes. This means that, according to international and national radiation safety rules, the department is exposed to low doses and does not pose a threat to the environmental radiation safety. Additionally, the staff member or caregiver receives a significantly lower dose as they are farther from the patient.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="tr">
                            <p>Amaç: F-18 florodeoksiglukoz (FDG) PET/BT, toplumda kanser insidansındaki artışa paralel olarak nükleer tıpta giderek daha yaygın kullanılan bir görüntüleme yöntemidir. Ancak diğer nükleer tıp yöntemlerine kıyasla daha yüksek foton enerjisine sahip olması, hastane personelinde radyasyon maruziyetine yönelik kaygıları artırmaktadır. Bu çalışmanın amacı, kliniğimizde F-18 FDG PET/BT görüntülemesi yapılan hastalardan çevreye yayılan radyasyon düzeyini, doz hızı ölçümleri ile belirleyerek radyasyon güvenliği açısından değerlendirmektir.Gereç ve Yöntemler: Selçuk Üniversitesi Nükleer Tıp bölümünde F-18 FDG PET/BT görüntülemesi yapılan 118 hastanın (E/K: 69/54) göğüs ön kesiminden 0,5 metre (m), 1 m ve 2 m mesafedeki doz oranlarını ölçmek için bir ölçüm cihazı kullanıldı.Bulgular: Hastalara ortalama 8,05 mCi (miliküri) radyoaktif madde verildi ve hastalar klinikte ortalama 78,34 dakika kaldı. Görüntüleme sonrasında 0,5 m, 1 m ve 2 m’deki ortalama radyasyon doz hızı oranları sırasıyla 11,33 ± 2,67, 5,7 ± 1,3 ve 2,3 ± 5 µSv/h olarak hesaplandı (Tablo 1, 2) (Şekil 1). Bekleme süresi ve dozu ile her üç mesafedeki radyoaktif madde oranı arasında istatistiksel olarak anlamlı (p &amp;lt; 0,0001) negatif bir ilişki bulundu.Sonuç: Nükleer Tıp Bölümü’nde gerçekleştirilen F-18 FDG PET/BT incelemeleri tanısal amaçlıdır ve ulusal ile uluslararası radyasyon güvenliği standartlarına uygun olarak uygulanmaktadır. Çalışmamız, hastalardan çevreye yayılan radyasyonun çevresel ve mesleki açıdan anlamlı bir risk oluşturmadığını desteklemektedir. Ayrıca, hasta ile personel arasındaki mesafe arttıkça personelin maruz kaldığı radyasyon dozunun belirgin şekilde azaldığı dikkati çekmiştir.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>F-18 FDG PET-CT</kwd>
                                                    <kwd>  Radiation Safety</kwd>
                                                    <kwd>  Dose Rate</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="tr">
                                                    <kwd>F-18 FDG PET-CT</kwd>
                                                    <kwd>  Radyasyon Güvenliği</kwd>
                                                    <kwd>  Doz Hızı Oranı</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.Phillips EH, Iype R, Wirth A. PET-guided treatment for personalised therapy of Hodgkin lymphoma and aggressive non-Hodgkin lymphoma. Br J Radiol. 2021;94:20210576.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.Haidar M, Rizkallah J, El Sardouk O, El Ghawi N, Omran N, Hammoud Z, et al. Radiotracer Innovations in Breast Cancer Imaging: A Review of Recent Progress. Diagnostics (Basel). 2024;14:1943.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.Boellaard R, Delgado-Bolton R, Oyen WJ, Giammarile F, Tatsch K, Eschner W, et al. FDG PET/CT: EANM procedure guidelines for tumour imaging: version 2.0. Eur J Nucl Med Mol Imaging. 2015;42:328-54.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.Leide-Svegborn S. Radiation exposure of patients and personnel from a PET/CT procedure with 18F-FDG. Radiat Prot Dosimetry. 2010;139:208-13.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.Parlak Y, Uysal B, Kıraç FS, Kovan B, Demir M, Ayan A, et al. Radyasyon Güvenliği Kılavuzu: Genel Tanımlar ve Nükleer Tıp Uygulamalarında Radyasyondan Korunma Kuralları. Nucl Med Semin. 2020;6:71-89.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.European Commission. Radiation Protection 97: Radiation Protection Following Iodine-131 Therapy (Exposure due to out-patients or discharged inpatients). Luxembourg, Belgium: Office for Official Publications of the European Communities; 1998.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.Radyasyon Güvenliği Yönetmeliği, 24.3.2000. Resmî Gazete (Sayı: 23999). Erişim adresi: https://www.resmigazete.gov.tr/arsiv/23999.pdf</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.Yeyin N, Abuqbeıtah M, Çavdar İ, Sönmezoğlu K, Demir M. The Evaluation of Dose Rate Measurements and Patients Discharge In Radionuclide Therapy. İst Tıp Fak Derg. 2017;80:1-6.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.Roberts FO, Gunawardana DH, Pathmaraj K, Wallace A, U PL, Mi T, et al. Radiation dose to PET technologists and strategies to lower occupational exposure. J Nucl Med Technol. 2005;33:44-7.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.Valentin J. Radiation dose to patients from radiopharmaceuticals: (Addendum 2 to ICRP Publication 53) ICRP Publication 80 Approved by the Commission in September 1997. Annals of the ICRP. 1998;28:1-126.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.Uslu Erdemir R, Salihoğlu YS. Environmental Radiation Safety During Discharge of Patients after PET/CT Imaging with F-18 FDG. Med J West Black Sea 2022;6:373-377.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.Bartlett ML. Estimated dose from diagnostic nuclear medicine patients to people outside the Nuclear Medicine department. Radiat Prot Dosimetry. 2013;157:44-52.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.Demir M, Demir B, Sayman H, Sager S, Sabbir Ahmed A, Uslu I. Radiation protection for accompanying person and radiation workers in PET/CT. Radiat Prot Dosimetry. 2011;147:528-32.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.de Groot EH, Post N, Boellaard R, Wagenaar NR, Willemsen AT, van Dalen JA. Optimized dose regimen for whole-body FDG-PET imaging. EJNMMI Res. 2013;3:63.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.Masuda Y, Kondo C, Matsuo Y, Uetani M, Kusakabe K. Comparison of imaging protocols for 18F-FDG PET/CT in overweight patients: optimizing scan duration versus administered dose. J Nucl Med. 2009;50:844-8.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.Alenezi A, Soliman K. Trends in radiation protection of positron emission tomography/computed tomography imaging. Ann ICRP. 2015;44:259-75.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
