Evaluation and optimization of occupational eye lens dosimetry during positron emission tomography (PET) procedures

J Radiol Prot. 2016 Jun;36(2):299-308. doi: 10.1088/0952-4746/36/2/299. Epub 2016 May 16.

Abstract

The last recommendations of the International Commission on Radiological Protection for eye lens dose suggest an important reduction on the radiation limits associated with early and late tissue reactions. The aim of this work is to quantify and optimize the eye lens dose associated to nurse staff during positron emission tomography (PET) procedures. PET is one of the most important diagnostic methods of oncological and neurological cancer disease involving an important number of workers exposed to the high energy isotope F-18. We characterize the relevant stages as preparation and administration of monodose syringes in terms of occupational dose. A direct reading silicon dosimeter was used to measure the lens dose to staff. The highest dose of radiation was observed during preparation of the fluorodesoxyglucose (FDG) syringes. By optimizing a suitable vials' distribution of FDG we find an important reduction in occupational doses. Extrapolation of our data to other clinical scenarios indicates that, depending on the work load and/or syringes activity, safety limits of the dose might be exceeded.

MeSH terms

  • Fluorodeoxyglucose F18 / adverse effects
  • Humans
  • Lens, Crystalline / radiation effects*
  • Nursing Staff, Hospital*
  • Occupational Diseases / etiology*
  • Occupational Diseases / prevention & control*
  • Occupational Exposure / adverse effects*
  • Occupational Exposure / prevention & control*
  • Positron-Emission Tomography*
  • Radiation Dosage
  • Radiation Protection / standards*
  • Radiometry
  • Radiopharmaceuticals / adverse effects

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18