TY - JOUR
T1 - What Is Worth Knowing in Interventional Practices about Medical Staff Radiation Exposure Monitoring: A Review of Recent Outcomes of EURADOS Working Group 12
AU - Ferrari, Paolo
AU - Ginjaume, Mercè
AU - Hupe, Oliver
AU - O'Connor, Una
AU - Vanhavere, Filip
AU - Bakhanova, Elena
AU - Becker, Frank
AU - Campani, Lorenzo
AU - Carinou, Eleftheria
AU - Clairand, Isabelle
AU - Faj, Dario
AU - Jansen, Jan T.M.
AU - Jovanović, Zoran
AU - Knezevic, Zeljka
AU - Krstic, Dragana
AU - Mariotti, Francesca
AU - Sans-Mercé, Marta
AU - Teles, Pedro Peixoto
AU - Zivkovic, Milena
N1 - Score=10
PY - 2022/4/18
Y1 - 2022/4/18
N2 - EURADOS (European Radiation Dosimetry Group) Working Group 12 (WG12) SG1 activities are aimed at occupational radiation protection and individual monitoring in X-ray and nuclear medicine practices. In recent years, many studies have been carried out in these fields, especially for interventional radiology and cardiology workplaces (IC/IR). The complexity of the exposure conditions of the medical staff during interventional practices makes the radiation protection andmonitoring of the exposed workers a challenging task. The scope of the present work is to review some of the main results obtained within WG12 activities about scattered field characterization and personal dosimetry that could be very useful in increasing the quality of radiation protection of the personnel, safety, and awareness of radiation risk. Two papers on Monte Carlo modelling of interventional theater and three papers on active personal dosimeters (APDs) for personnel monitoringwere considered in the review. More specifically, Monte Carlo simulation was used as the main tool to characterize the levels of exposure of the medical staff, allowing to determine how beam energy and direction can have an impact on the doses received by the operators. Indeed, the simulations provided information about the exposure of the operator’s head, and the study concluded with the determination of an eye-lens protection factor when protection goggles and a ceiling shielding are used. Moreover, the review included the results of studies on active personal dosimeters, their use in IC/IR workplaces, and how they respond to calibration fields, with X-ray standard and pulsed beams. It was shown that APDs are insensitive to backscatter radiation, but some of them could not respond correctly to the very intense pulsed fields (as those next to the patient in interventional practices). The measurements during interventional procedures showed the potential capability of the employment of APDs in hospitals.
AB - EURADOS (European Radiation Dosimetry Group) Working Group 12 (WG12) SG1 activities are aimed at occupational radiation protection and individual monitoring in X-ray and nuclear medicine practices. In recent years, many studies have been carried out in these fields, especially for interventional radiology and cardiology workplaces (IC/IR). The complexity of the exposure conditions of the medical staff during interventional practices makes the radiation protection andmonitoring of the exposed workers a challenging task. The scope of the present work is to review some of the main results obtained within WG12 activities about scattered field characterization and personal dosimetry that could be very useful in increasing the quality of radiation protection of the personnel, safety, and awareness of radiation risk. Two papers on Monte Carlo modelling of interventional theater and three papers on active personal dosimeters (APDs) for personnel monitoringwere considered in the review. More specifically, Monte Carlo simulation was used as the main tool to characterize the levels of exposure of the medical staff, allowing to determine how beam energy and direction can have an impact on the doses received by the operators. Indeed, the simulations provided information about the exposure of the operator’s head, and the study concluded with the determination of an eye-lens protection factor when protection goggles and a ceiling shielding are used. Moreover, the review included the results of studies on active personal dosimeters, their use in IC/IR workplaces, and how they respond to calibration fields, with X-ray standard and pulsed beams. It was shown that APDs are insensitive to backscatter radiation, but some of them could not respond correctly to the very intense pulsed fields (as those next to the patient in interventional practices). The measurements during interventional procedures showed the potential capability of the employment of APDs in hospitals.
KW - Interventional radiology
KW - Interventional cardiology
KW - Medical staff radiation dose monitoring
KW - Monte Carlo simulations
KW - Dosimetry
KW - Health physics
KW - Electronic personal dosimeters
KW - Medical staff ionizing
KW - Radiation exposure
UR - https://ecm.sckcen.be/OTCS/llisapi.dll/open/53918046
U2 - 10.3390/environments9040053
DO - 10.3390/environments9040053
M3 - Article
SN - 2076-3298
VL - 9
JO - Environments
JF - Environments
IS - 4
M1 - 53
ER -