What Is Worth Knowing in Interventional Practices about Medical Staff Radiation Exposure Monitoring: A Review of Recent Outcomes of EURADOS Working Group 12

Paolo Ferrari*, Mercè Ginjaume, Oliver Hupe, Una O’connor, Filip Vanhavere, Elena Bakhanova, Frank Becker, Lorenzo Campani, Eleftheria Carinou, Isabelle Clairand, Dario Faj, Jan Jansen, Zoran Jovanović, Željka Knežević, Dragana Krstić, Francesca Mariotti, Marta Sans-Merce, Pedro Teles, Milena Živković

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

EURADOS (European Radiation Dosimetry Group) Working Group 12 (WG12) SG1 activities are aimed at occupational radiation protection and individual monitoring in X-ray and nuclear medicine practices. In recent years, many studies have been carried out in these fields, especially for interventional radiology and cardiology workplaces (IC/IR). The complexity of the exposure conditions of the medical staff during interventional practices makes the radiation protection and monitoring of the exposed workers a challenging task. The scope of the present work is to review some of the main results obtained within WG12 activities about scattered field characterization and personal dosimetry that could be very useful in increasing the quality of radiation protection of the personnel, safety, and awareness of radiation risk. Two papers on Monte Carlo modelling of inter-ventional theater and three papers on active personal dosimeters (APDs) for personnel monitoring were considered in the review. More specifically, Monte Carlo simulation was used as the main tool to characterize the levels of exposure of the medical staff, allowing to determine how beam energy and direction can have an impact on the doses received by the operators. Indeed, the simulations provided information about the exposure of the operator’s head, and the study concluded with the determination of an eye-lens protection factor when protection goggles and a ceiling shielding are used. Moreover, the review included the results of studies on active personal dosimeters, their use in IC/IR workplaces, and how they respond to calibration fields, with X-ray standard and pulsed beams. It was shown that APDs are insensitive to backscatter radiation, but some of them could not respond correctly to the very intense pulsed fields (as those next to the patient in interventional practices). The measurements during interventional procedures showed the potential capability of the employment of APDs in hospitals.

Original languageEnglish
Article number53
JournalEnvironments - MDPI
Volume9
Issue number4
DOIs
Publication statusPublished - Apr 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Monte Carlo simulations
  • dosimetry
  • electronic personal dosimeters
  • health physics
  • interventional cardiology
  • interventional radiology
  • medical staff ionizing radiation exposure
  • medical staff radiation dose moni-toring

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