Instrumental study of radiation doses and working conditions for personnel of X-ray surgical teams

Author:

Kaidanovsky G. N.1,Shleenkova E. N.1,Bazhin S. Yu.1,Ilyin V. A.1,Tarita V. A.2,Firsanov V. B.2

Affiliation:

1. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being

2. Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia

Abstract

The purpose of the study was an experimental assessment of the conditions for the formation and values of equivalent doses of irradiation of the lenses of the eyes, as well as the effective doses of irradiation of personnel in X-ray operating rooms of a cardiological profile. Particular attention to the control of eye lens irradiation is due to the need to harmonize domestic regulatory documents with the new IAEA safety standard GSR Part 3. The study was performed using a complex phantom, including an anthropomorphic phantom of a human head and a water phantom imitating the torso of an X-ray surgical team member. The results of assessments of individual eye lens irradiation doses, obtained both on the basis of integrated measurements by thermoluminescent dosimetry methods, and by calculation based on measurements of the ambient dose equivalent rate at the personnel workplaces, showed that at the maximum operating parameters of the X-ray tube (high voltage and a large number of frames per second), annual doses to the lenses of the eyes, even for assisting personnel, may exceed the new recommended dose limit of 20 mSv. The assessment of the ratio between the doses of irradiation of the whole body (chest), neck and lenses of the eyes showed the possibility of estimating the doses of irradiation of the lenses of the eyes of the assisting personnel of X-ray surgical teams using a thermoluminescent dosimeter placed over a protective apron in the neck area. For the category of personnel under consideration, the priority is to control the irradiation of the lenses of the eyes, and not the whole body.

Publisher

SPRI of Radiation Hygiene Prof. PV Ramzaev

Subject

Radiology, Nuclear Medicine and imaging

Reference14 articles.

1. International Atomic Energy Agency. Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards. GSR Part 3. Vienna: IAEA; 2015. 518 p. (In Russian)

2. Website National Library of Medicine. Available from: https://pubmed.ncbi.nlm.nih.gov/?term=eye+lens+dosimetry&filter=datesearch.y_10 (Accessed:25.05.2023).

3. Vanhavere F, Carinou E, Domienik J, Donadille L, Ginjaume M, Gualdrini G, et al. Measurements of eye lens doses in interventional radiology and cardiology: Final results of the ORAMED project. Radiation Measurements. 2011;46(11): 1243-1247.

4. Guidelines for Radiation Protection and Dosimetry of the Eye Lens. Nederlandse Commissie Voor Stralingsdosimetrie. Report 31 of the Nederlands Commission on Radiation Dosimetry, May 2018.

5. Merrachi NA, Bouchard-Bellavance R, Perreault P, Gilbert P, Soulez G, Bouchard L, et al. Eye Lens Dosimetry in Interventional Radiology: Assessment With Dedicated Hp(3) Dosimeters. Canadian Association of Radiologists journal. 2021;72(2): 317-323. doi: 10.1177/0846537120911755. Epub 2020 Mar 27. PMID: 32216558.

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