Dosimetry assessment for mobile c-arm: use of badge attached to the equipment

Authors

  • Matheus Alvarez
  • Ana Luiza Milani
  • Samara Pavan Souza
  • Felipe Monteiro Rodrigues
  • Allan Felipe Fattori Alves
  • Edson Jatti de Carvalho Junior
  • Diana Rodrigues Pina Faculdade de Medicina de Botucatu https://orcid.org/0000-0003-1967-1990

DOI:

https://doi.org/10.15392/bjrs.v10i2A.1845

Keywords:

mobile C-arm, occupational dose, dosimeter, surgical procedures

Abstract

The use of fluoroscopy equipment in surgical procedures exposes professionals to ionizing radiation. An important safety aspect is the correct use of personal protective equipment and monitoring of dose levels in workers. In Brazil, the Resolution of the Collegiate Board of Directors (RDC) No. 330/2019 demands the use of individual dosimeter for professionals who exceed the public dose limits. However, when personal dosimeters are not available, the International Atomic Energy Agency (IAEA) recommends attaching a dosimeter to the C-Arm, close to the detector, to estimate the dose received by medical personnel. The objective of this research was to evaluate the levels of exposure in professionals during surgical procedures in the operation room. This analysis was performed by placing OSL dosimeters on the C-arm equipment for eleven months and comparing them with the quantitative values extracted from the equipment in the routine. Two mobile fluoroscopies C-Arm equipment were used in this study. A total of 1231 procedures were evaluated, with a mean dose value of 5.8µSv per procedure. Thus, the maximum number of procedures that the same professional can perform was 140 procedures per day for a staff member considering worker dose limits and 7 procedures per day for staff members using the required protective aprons considering the public dose limits. Although the study shows that the dose limits established by regulatory bodies are above the doses recorded in clinical practice, this situation should not promote false safety in the use of ionizing radiation.

Downloads

Download data is not yet available.

References

BUSHBERG, JERROLD T. The essential physics of medical imaging, 3rd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2012.

ANVISA, Agência Nacional de Vigilância Sanitária, Resolução Da Diretoria Colegiada - RDC Nº 330. 2019, Ministério da Saúde. 23p.

(CNEN), Comissão Nacional de Energia Nuclear, Norma CNEN NN 3.01, in Diretrizes Básicas De Proteção Radiológica. 2014.

ICRP - International Commission on Radiological Protection The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP. 37, 2007. 332p.

ABOSALA, A. A Report on Occupational Ionizing Radiation Exposure by an Orthopedic Surgeon in a National Health-care Setting - Clinical Case Perspective. J Orthop Case Rep. 8: p. 81-84, 2018.

MAHAJAN, A., SAMUEL, S., SARAN, A. K., MAHAJAN, M. K., MAM, M. K. Occupational radiation exposure from C arm fluoroscopy during common orthopaedic surgical procedures and its prevention. J Clin Diagn Res. 9: p. Rc01-4, 2015. DOI: https://doi.org/10.7860/JCDR/2015/10520.5672

VAN PAPENDORP, L. W. A., SULEMAN, F. E. The knowledge, awareness and practices of radiation safety amongst orthopaedic surgeons. SA journal of radiology. 24: p. 1806, 2020. DOI: https://doi.org/10.4102/sajr.v24i1.1806

BÁRDYOVÁ, Z., HORVÁTHOVÁ, M., PINČÁKOVÁ, K., BUDOŠOVÁ, D. The importance of public health in radiology and radiation protection. J Public Health Res. 10, 2021. DOI: https://doi.org/10.4081/jphr.2021.2141

IAEA, INTERNATIONAL ATOMIC ENERGY AGENCY. Radiation Protection and Safety in Medical Uses of Ionizing Radiation: Specific Safety Guide. International Atomic Energy Agency, 2018.

IAEA, INTERNATIONAL ATOMIC ENERGY AGENCY. Radiation protection of medical staff in interventional procedures. Vienna, Austria 2021. Available at: <https://www.iaea.org/resources/rpop/health-professionals/interventional-procedures/radiation-protection-of-medical-staff-in-interventional-fluoroscopy>. Last accessed: 20 Jan. 2022.

SUZUKI, A., ITO, M. Characteristics of OSL dosimeters. Japan, 2001. p. 37.

ANVISA, Agência Nacional de Vigilância Sanitária, Instrução Normativa n° 91, de 27 de maio de 2021. Brasília, Brasil: Ministério da Saúde, 2021. 5p.

SIEMENS Comprehensive Support With Teamplay. Siemens Healthcare GmbH, 2019. 6p.

VANHAVERE, F., CARINOU, E., DOMIENIK, J., DONADILLE, L., GINJAUME, M., GUALDRINI, G., KOUKORAVA, C., KRIM, S., NIKODEMOVA, D., RUIZ-LOPEZ, N., SANS-MERCE, M., STRUELENS, L. Measurements of eye lens doses in interventional radiology and cardiology: Final results of the ORAMED project. Radiation Measurements. 46: p. 1243-1247, 2011. DOI: https://doi.org/10.1016/j.radmeas.2011.08.013

SÁNCHEZ, R. M., VANO, E., FERNÁNDEZ, J. M., ROSALES, F., SOTIL, J., CARRERA, F., GARCÍA, M. A., SOLER, M. M., HERNÁNDEZ-ARMAS, J., MARTÍNEZ, L. C., VERDÚ, J. F. Staff Doses in Interventional Radiology: A National Survey. Journal of Vascular and Interventional Radiology. 23: p. 1496-1501, 2012. DOI: https://doi.org/10.1016/j.jvir.2012.05.056

ROMANOVA, K., VASSILEVA, J., ALYAKOV, M. Radiation exposure to the eye lens of orthopaedic surgeons during various orthopaedic procedures. Radiation Protection Dosimetry. 165: p. 310-313, 2015. DOI: https://doi.org/10.1093/rpd/ncv122

CHANG, Y. J., KIM, A. N., OH, I. S., WOO, N. S., KIM, H. K., KIM, J. H. The Radiation Exposure of Radiographer Related to the Location in C-arm Fluoroscopy-guided Pain Interventions. The Korean Journal of Pain. 27: p. 162-167, 2014. DOI: https://doi.org/10.3344/kjp.2014.27.2.162

ALONSO, J. A., SHAW D. L., MAXWELL, P. A., MCGILL G., HART G. C. Scattered radiation during fixation of hip fractures. The Journal of Bone and Joint Surgery. British volume. 83-B: p. 815-818, 2001. DOI: https://doi.org/10.1302/0301-620X.83B6.0830815

CRISTANTE, A. F., BARBIERI, F., SILVA, A. A. R., DELLAMANO, J.C. RADIATION EXPOSURE DURING SPINE SURGERY USING C-ARM FLUOROSCOPY. Acta Ortop Bras. 27, 2019. DOI: https://doi.org/10.1590/1413-785220192701172722

SIDDIQUI, A. A., ANDRAS, L. M., OBANA, K. K., MURGAI, R., ILLINGWORTH, K. D., TOLO, V. T., MARISCAL, M., PONRARTANA, S., SKAGGS, D. L. Using a dedicated spine radiology technologist is associated with reduced fluoroscopy time, radiation dose, and surgical time in pediatric spinal deformity surgery. Spine Deformity. 9: p. 85-89, 2021. DOI: https://doi.org/10.1007/s43390-020-00183-5

CHOU, L. B., LERNER, L. B., HARRIS, A. H. S., BRANDON, A. J., GIROD, S., BUTLER, L. M. Cancer Prevalence among a Cross-sectional Survey of Female Orthopedic, Urology, and Plastic Surgeons in the United States. Women's Health Issues. 25: p. 476-481, 2015. DOI: https://doi.org/10.1016/j.whi.2015.05.005

Downloads

Published

2022-07-21

How to Cite

Alvarez, M. ., Milani, A. L., Pavan Souza, S. ., Monteiro Rodrigues, F. ., Fattori Alves, A. F. ., Jatti de Carvalho Junior, E. ., & Pina, D. R. (2022). Dosimetry assessment for mobile c-arm: use of badge attached to the equipment. Brazilian Journal of Radiation Sciences, 10(2A (Suppl.). https://doi.org/10.15392/bjrs.v10i2A.1845

Most read articles by the same author(s)