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[Personnel exposure during interventional radiologic procedures].

M A Staniszewska1, J Jankowski

  • 1Zakładu Ochrony Radiologicznej, Instytutu Medycyny Pracy im. prof. dra med. Jerzego Nofera w Łodzi.

Medycyna Pracy
|April 6, 2001
PubMed
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Operating surgeons face significant radiation exposure during interventional radiology procedures. This study measured radiation doses for hands, trunk, and neck, revealing surgeons receive the highest exposure, particularly during cardiological interventions.

Area of Science:

  • Interventional Radiology
  • Medical Physics
  • Occupational Health

Background:

  • Interventional radiology, or intravascular surgery, is a rapidly advancing field.
  • Procedures like vessel dilatation, recanalization, embolization, and angioanastomosis are common.
  • Non-radiologist specialists increasingly perform these procedures, raising concerns about radiation exposure.

Purpose of the Study:

  • To assess radiation exposure risks for operating surgeons during interventional radiology procedures.
  • To evaluate the effectiveness of standard dosimetry in monitoring occupational radiation exposure for surgical teams.
  • To quantify radiation doses to hands, trunk, and neck for surgeons performing specific interventional procedures.

Main Methods:

  • Conducted dosimetric assessments on surgical teams during 42 interventional procedures.

Related Experiment Videos

  • Measured equivalent doses for hands (finger dosimeter), trunk (under lead apron), and neck (above apron).
  • Utilized a Diamentor dosimeter to measure dose product and primary beam surface, correlating with thermoluminescence dosimeter measurements.

    • Main Results:

    • Operating surgeons receive the highest radiation exposure among surgical teams.
    • Cardiological angioplastic procedures resulted in an effective dose of 25 mSv and hand/eye equivalent doses of 438 mSv/265 mSv, respectively.
    • Intravascular/neuroradiological procedures yielded effective doses of 4 mSv and hand/eye equivalent doses of 360 mSv/41 mSv, respectively.

    Conclusions:

    • Standard individual dosimetry may not adequately assess radiation risk for interventionalists.
    • Operating surgeons are at a high risk of radiation exposure, particularly to their hands and eyes.
    • Measured doses, while significant, remained within Poland's annual occupational exposure limits.