Assessment of patient and occupational exposure and radiation risk from cath-lab procedure

Abdelmoneim Sulieman; Omer Mahgoub; H Salah; Nissren Tamam; Afaf Taha; Sali Dawood; D A Bradley

doi:10.1016/j.apradiso.2023.111071

Assessment of patient and occupational exposure and radiation risk from cath-lab procedure

Appl Radiat Isot. 2023 Dec:202:111071. doi: 10.1016/j.apradiso.2023.111071. Epub 2023 Oct 18.

Authors

Abdelmoneim Sulieman¹, Omer Mahgoub², H Salah³, Nissren Tamam⁴, Afaf Taha⁵, Sali Dawood⁵, D A Bradley⁶

Affiliations

¹ Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, Alkharj, Saudi Arabia. Electronic address: abdelmoneim_a@yahoo.com.
² College of Medical Radiologic Science, Sudan University of Science and Technology, Khartoum, Sudan.
³ College of Medical Radiologic Science, Sudan University of Science and Technology, Khartoum, Sudan; INAYA Medical Collage, Nuclear Medicine Department, Riyadh, Saudi Arabia.
⁴ Department of Physics, College of Science, Princess Nourah bint Abdulrahman University, P.O. Box 84428 Riyadh 1167, Saudi Arabia.
⁵ Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, Alkharj, Saudi Arabia.
⁶ Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Selangor, Malaysia; Centre for Nuclear and Radiation Physics, University of Surrey, Guildford, GU2 7XH, UK.

PMID: 37871398
DOI: 10.1016/j.apradiso.2023.111071

Abstract

Due to the extended localized fluoroscopy, many radiographic exposures, and multiple procedures that might result in tissue reaction, patients and personnel received a significant radiation dose during interventional cardiology (IR) procedures. This study aims to calculate the radiation risk and assess patient and staff effective doses during IC procedures. Thirty-two patients underwent a Cath lab treatment in total. Ten Cath lab personnel, including six nurses, two cardiologists, and two X-ray technologists. Optical stimulating-luminescent dosimeters (OSL) (Al2O3:C) calibrated for this purpose were used to monitor both occupational and ambient doses. Using an automated OSL reader, these badges were scanned. The Air Kerma (mGy) and Kerma Area Products (KAP, mGy.cm²) have a mean and standard deviation (SD) of 371 ± 132 and 26052, respectively. The average personal dose equivalent (mSv) and its range for cardiologists, nurses and X ray technologists were 1.11 ± 0.21 (0.96-1.26), 0.84 ± 0.11 (0.68-1.16), and 0.68 ± 0.014 (0.12-0.13), respectively. The current study findings showed that the annual effective dose for cardiologists, nurses, and X-ray technologists was lesser than the yearly occupational dose limit of 20 mSv recommended by national and international guidelines. The patients' doses are comparable with some previously published studies and below the tissue reaction limits.

MeSH terms

Fluoroscopy / adverse effects
Fluoroscopy / methods
Humans
Occupational Exposure* / analysis
Radiation Dosage
Radiation Exposure* / adverse effects
Radiography
Risk Assessment