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Evaluation of an Autonomous Robotic System for Reducing Radiation Risk in a Real-World Cardiac Imaging Laboratory
Johnathan Loh1, Yong Jin Tan1, Kimberly Joseph1
1National Heart Centre Singapore, Singapore, Singapore.
Journal of Medical Systems
|October 10, 2025
Summary
Autonomous robots significantly reduced radiation exposure for radiographers in Myocardial Perfusion Imaging (MPI) clinics. This innovation helps manage occupational radiation risks, aligning with ALARA principles.
Area of Science:
- Medical Imaging
- Radiological Protection
- Robotics in Healthcare
Background:
- Nuclear imaging is vital across medical disciplines.
- Occupational health for radiographers exposed to radiation remains a challenge.
- This study explores autonomous robots to mitigate radiographer radiation risk.
Purpose of the Study:
- To evaluate the effectiveness of autonomous robots in reducing radiographer radiation exposure.
- To provide a proof-of-concept for robot implementation in a Myocardial Perfusion Imaging (MPI) clinic.
- To assess the impact on occupational health and safety for radiographers.
Main Methods:
- An autonomous robot was integrated to deliver radiotracer doses.
- Eight radiographers utilized the robot in daily operations.
- Radiation exposure was measured using Thermoluminescent Dosimeters (TLDs) pre- and post-implementation.
Main Results:
- Mean bi-monthly radiation exposure decreased by approximately 27% post-robot implementation (0.67 mSv to 0.49 mSv).
- Bayesian analysis showed strong evidence (BF10 > 17) supporting the reduction in both skin and whole-body dose.
- The autonomous robot proved effective in reducing radiation exposure for radiographers.
Conclusions:
- Autonomous robots serve as a viable tool for managing radiographer radiation risk in MPI clinics.
- Technological advancements can enhance strategies for occupational radiation safety, adhering to ALARA principles.
- Future research should focus on the scalability and adaptability of these robots in various clinical settings.

