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Real-Time Dosimetry in Endourology: Tracking Staff Radiation Risks

Authors :
Susanne Deininger
Olaf Nairz
Anna Maria Dieplinger
Christian Deininger
Lukas Lusuardi
Christian Ramesmayer
Julia Peters
David Oswald
Maximilian Pallauf
Sophina Bauer
Mathias Christoph Brandt
Peter Törzsök
Source :
Diagnostics, Vol 14, Iss 16, p 1763 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Background: To retrospectively investigate scatter radiation (SCR) exposure among staff in the endourology operating theatre. Methods: During surgeries under fluoroscopic guidance, five professional groups (urological surgeon [US], surgical nurse [SN], assistant surgical nurse [ASN], anaesthetist [A], and anaesthesia care [AC]) wore real-time dosimeters (Philips DoseAware System) on their head and chest over lead aprons between July 2023 and February 2024. The SCR data were analysed and correlated with procedural and patient factors. Results: In total, 249 procedures were performed, including 86 retrograde intrarenal surgeries and 10 percutaneous nephrolithotomies. Median SCR exposure was 38.81, 17.20, 7.71, 11.58, 0.63, 0.23, 0.12, and 0.15 Microsievert (µSv) for US chest (USC), US head (USH), SN chest (SNC), SN head (SNH), A chest (AC), AC chest (ACC), ASN chest (ASNC), and ASN head (ASNH), respectively. There was a significant correlation between DAP and SCR doses detected by USC, USH, SNC, SNH, AC, and ACC dosimeters (p < 0.05). The median chest-to-eye conversion factor (CECF) was 2.11 for the US and 0.71 for the SN. Conclusions: This study, using real-time dosimetry, is among the first to assess staff occupational SCR exposure in endourology. It highlights a substantial SCR exposure, indicating an occupational health hazard that warrants further investigation.

Details

Language :
English
ISSN :
20754418
Volume :
14
Issue :
16
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.663c85df9f284e96bb0e891d2541419c
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics14161763