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Nuclear medicine staff exposure to ionising radiation in 18F-FDG PET/CT practice: a preliminary retrospective study Cover

Nuclear medicine staff exposure to ionising radiation in 18F-FDG PET/CT practice: a preliminary retrospective study

Open Access
|Sep 2021

Figures & Tables

Figure 1

Correct placement for the whole-body and a ring dosimeter
Correct placement for the whole-body and a ring dosimeter

Figure 2

PET/CT facility floor plan design. 1– waiting room 1: 2 – patient prep room; 3 – 18F-FDG injection room; 4 – patient bathroom; 5 – patient uptake rooms; 6 – waiting room 2; 7 – PET/CT scanning room; 8 – PET/CT control room; 9 – hot laboratory
PET/CT facility floor plan design. 1– waiting room 1: 2 – patient prep room; 3 – 18F-FDG injection room; 4 – patient bathroom; 5 – patient uptake rooms; 6 – waiting room 2; 7 – PET/CT scanning room; 8 – PET/CT control room; 9 – hot laboratory

Figure 3

Normalised whole-body exposure dose per GBq of injected 18F-FDG activity per month for technologists
Normalised whole-body exposure dose per GBq of injected 18F-FDG activity per month for technologists

Figure 4

Normalised dominant-hand exposure dose per GBq of injected 18F-FDG activity per month for technologists
Normalised dominant-hand exposure dose per GBq of injected 18F-FDG activity per month for technologists

Figure 5

Normalised whole-body exposure dose per GBq of injected 18F-FDG activity per month for nurses
Normalised whole-body exposure dose per GBq of injected 18F-FDG activity per month for nurses

Figure 6

Normalised dominant-hand exposure dose per GBq of injected 18F-FDG activity per month for nurses
Normalised dominant-hand exposure dose per GBq of injected 18F-FDG activity per month for nurses

Figure 7

Normalised cumulative a) whole-body and b) dominant-hand dose over the seven months of the study for technologists
Normalised cumulative a) whole-body and b) dominant-hand dose over the seven months of the study for technologists

Figure 8

Normalised cumulative a) whole-body and b) dominant-hand dose over the seven months of the study for nurses
Normalised cumulative a) whole-body and b) dominant-hand dose over the seven months of the study for nurses

Comparison between ours and other studies available in the literature (maximum values shown in parentheses)

StudyStaff by professionHp(10)/ procedure (μSv)Hp(10)/A (μSv/GBq)Hp(0.07)/ procedure (μSv)Hp(0.07)/A (μSv/GBq)Automatic injector & dispenser
Our studyTechnologist4.78 (15.64)18.554.37 (15.38)16.99Yes
Nurse4.02 (8.83)15.616.55 (28.17)25.44
Study 1 (ref. 5)Technologist4.2–7.017–19--Yes
Study 2 (ref. 6)Technologist2.5±2.1---Yes
Study 3 (ref. 7)Technologist1.72±0.33 / 1.16±0.11---Yes
Study 4 (ref. 8)Technologist4.17---Yes
Study 5 (ref. 15)Physicians2.16.8--No
Technologist0.61.9
Study 6 (ref. 17)Technologist4.77±0.5210.3±1.1--No
Nurse5.79±0.5912.5±1.2--
Med. physicist5.07±0.5110.9±1.1--
Study 7 (Ref. 18)Technologist--38.77±7.33-No
Nurse--59.6±6.33-
Med. physicist--203.5±17.74-

Staff cumulative doses and total administered activities for the seven-month period

StaffHp(10) (mSv)Hp(0.07) (mSv)Injected 18F-FDG activity (GBq)
Technologist 10.76±0.210.50±0.1431±3
Technologist 20.08±0.020.27±0.0814.2±1.4
Technologist 30.37±0.100.38±0.1125.9±2.6
Technologist 40.81±0.230.70±0.2038±4
Nurse 10.59±0.191.0±0.351±5
Nurse 21.1±0.41.7±0.658±6

Normalised monthly doses per unit of injected activity

Hp(10)/A (μSv/GBq)Hp(0.07)/A (μSv/GBq)
TechnologistsNursesTechnologistsNurses
June9.2±2.718±69±340±14
July42±1323±840±1230±10
August19±69±33.2±1.013±4
September20±618±635.±1031±10
October24±7.120±710±330±10
November5.3±1.69±316±512±4
December19±620±716±536±13

Period under consideration, number of PET/CT workdays, number of PET/CT procedures and total injected activity

Observed period (month) in 2018Number of PET/CT workdaysNumber of PET/CT proceduresTotal injected 18F-FDG activity (GBq)
June64411.7
July75314.2
August86215.7
September74712.3
October107619.5
November118521.3
December85614.3
Total:57423109.0
DOI: https://doi.org/10.2478/aiht-2021-72-3517 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 216 - 224
Submitted on: Dec 1, 2020
Accepted on: Sep 1, 2021
Published on: Sep 28, 2021
Published by: Institute for Medical Research and Occupational Health
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Bojan Pavičar, Jasna Davidović, Biljana Petrović, Goran Vuleta, Saša Trivić, Vlatko Šajinović, Nataša Egeljić-Mihailović, Nataša Todorović, Branko Predojević, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.