Occupational Radition Dose of Personal in Pediatric Interventional Cardiology

Öz

This study aimed to determine the effective doses of the cardiologist, nurses, and technical staff in the pediatric angiography laboratory during their diagnostic and therapeutic applications. This study also compares the radiation dose in the applications performed in the country with the effective doses exposed on a world scale. A total of 39 coronary angiography (CA) + percutaneous transluminal angioplasty (PTCA) methods were performed in the pediatric angiography laboratory during the study. The radiation dose received for each person in a single application was determined, and the total dose values were measured in sequential applications. If the annual workload is taken into consideration, it is calculated that the person with a high workload may be exposed to a dose of 1384.7 μSv per year. Furthermore, from the total effective dose values, the doses per procedure were calculated to be in the range of 6.5 to 11.1 μSv. These results are consistent with the literature.

Anahtar Kelimeler

• Personal dose
• interventional radiology
• pediatric cardiology
• TLD

Kaynakça

1. [1] Miller, D. L., "Overview of Contemporary Interventional Fluoroscopy Procedures", Health Physics 95 (2008) : 638-644
2. [2] United Nations Scientific Committee on the Effects of Atomic Radiation, Sources, Effects and Risks of Ionizing Radiation, UNSCEAR 2017 Report, United Nations (2018).
3. [3] International Atomic Energy Agency. Dosimetry in Diagnostic Radiology. An International Code of Practice, Technical Reports Series No. 457, IAEA, Vienna (2007).
4. [4] European Guidlines on Diagnostic Reference Levels for Pediatric Imaging Medical Radiation Exposure of the European Population. Radiation Protection No. 185, European Union, Luxembourg. EC (2018)
5. [5] IAEA Human Health Series. Dosimetry in diagnostic radiology for paediatric patients. No. 24 (2013), (ISSN 2075-3772).
6. [6] Medical Radiation Exposure of the European Population. Radiation Protection No.180, (2014), European Union, Luxembourg. EC.
7. [7] Stisova V. ;"Effective dose to patient during cardiac interventional procedures (prague workplaces)", Radiation Protection Dosimetry 111(3) (2004) : 271- 274.
8. [8] Miller, D. L ,Vañó, E., Bartal, G., Balter, S., Dixon, R., Padovani, R., Schueler, B., Cardella, J. F., Baère; T.D., "Occupational radiation protection in interventional radiology: A Joint Guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology", Cardiovascular Interventional Radiology 33 (2010) :230- 239. DOI 10.1007/s00270-009-9756-7.

9. [9] Badawy M. K., Deb P., Chan R., Farouque O.; "A review of radiation protection solutions for the staff in the cardiac catheterisation laboratory". Heart, Lung and Circulation 25 (2016) : 961-967.
10. [10] International Atomic Energy Agency; Calibration of radiation protection monitoring instruments IAEA, Safety Reports Series No. 16 (2000).
11. [11] The International Commission on Radiological Protection(ICRP); Occupational radiological protection in interventional procedures. ICRP Publication 139. Annals ICRP 47(2) (2018)., ICRP.
12. [12] International Organization for Standardization. X and gamma reference radiation for calibrating dosemeters and doserate meters and for determining their response as a function of photon energy-Part 3: Calibration of area and personal dosemeters and the measurement of their response as a function of energy and angle of incidence. ISO 4037-3. ISO (1999).
13. [13] International Atomic Energy Agency, IAEA-TECDOC-1641; Patient dose optimization in fluoroscopically guided ınterventional procedures, Final report of a coordinated research Project (2010).
14. [14] Tsapaki, V., Kottou, S., Patsilinakos, S., Voudris, V., Cokkinos, D.V.; "Radiation döşe measurements to the interventional cardiologist using an electronic personal dosemeter". Radiation Protection Dosimetry 112(2) (2004) : 245-249. doi:10.1093/rpd/nch394
15. [15] Dalah E. Z., Mahdi O., Elshami W., et al.; "Occupational doses to cardiologists performing fluoroscopically-guided procedures". Radiation Physics and Chemistry 153 (2019) : 21-26.
16. [16] Herona J. L., Padovani R., Smith I., Czarwinski R.; "Radiation protection of medical staff". European Journal of Radiology 76 (2010) : 20-23.
17. [17] Mohapatra, A., Greenberg, R.K., Mastracci, T.M., Eagleton, M.J., Thornsberry; B., "Radiation exposure to operating room personal and patients during endovascular procedures". J. Vasc Surg. 58(3) (2013) : 702-9. doi:10.1016/j.jvs.2013.02.032
18. [18] Fardid R., Toossi M. T. B., et al.; "Evaluation of occupational radiation exposure of cardiologists in interventional radiography in Mashhad CATHLABs". Int. J. Low Radiation 9(2) (2013) : 160-168.
19. [19] Ingwersen, M., Drabik, A., Kulka, U., Oestreicher, U., Fricke, S., Krankenberg, H., Schwencke, C., Mathey; D., "Physicians' radiation exposure in the catheterization lab: does the type of procedure matter?". JACC Cardiovasc Interv. 6(10) (2013) : 1095-102. doi: 10.1016/j.jcin.2013.05.012
20. [20] International Commission on Radiation Protection,ICRP. 1990, Recommendations of the ICRP Publication 60, Annals of the ICRP. Pergamon Press, Oxford, (1991).
21. [21] Papadakis, A. E., Damilakis; J., "Organ doses and normalized organ doses for various age groups in ultralow dose pediatric C-arm cone-beam CT". European Radiology 32 (2022) : 5790-5798.
22. [22] Coşkun, A. N., Demir, M,, Çetin, F., "Koroner anjiyografi uygulamalarında operatörün göz lensinin maruz kaldığı radyasyon dozunun belirlenmesi." Aydın Journal of Health 6(3) (2020) : 284- 297.
23. [23] Asgar, A., Mirmohammadi, S.J., Mehrparvar, A.H., Nekoofar, Z., Daneshian, E., Parach, A.A., "Evaluation of the protective effect of lead glasses on occupational eye dose in interventional cardiologic procedures; does it benefit the same for all groups of radiation workers?" International Conference on Radiation Safety: Improving Radiation Protection in Practice. Extended Abstracts (2021).