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Research ArticleRadiation Safety

Occupational Radiation Exposure of Radiopharmacy, Nuclear Medicine, and Surgical Personnel During Use of [99mTc]Tc-PSMA-I&S for Prostate Cancer Surgery

Else A. Aalbersberg, Desiree Verwoerd, Chelvi Mylvaganan-Young, Hilda A. de Barros, Pim J. van Leeuwen, Mariska Sonneborn-Bols and Maarten L. Donswijk
Journal of Nuclear Medicine Technology December 2021, 49 (4) 334-338; DOI: https://doi.org/10.2967/jnmt.121.262161
Else A. Aalbersberg
1Department of Nuclear Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands;
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Desiree Verwoerd
1Department of Nuclear Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands;
2Radiation Safety Department, Netherlands Cancer Institute, Amsterdam, The Netherlands; and
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Chelvi Mylvaganan-Young
1Department of Nuclear Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands;
2Radiation Safety Department, Netherlands Cancer Institute, Amsterdam, The Netherlands; and
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Hilda A. de Barros
3Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands
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Pim J. van Leeuwen
3Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands
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Mariska Sonneborn-Bols
2Radiation Safety Department, Netherlands Cancer Institute, Amsterdam, The Netherlands; and
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Maarten L. Donswijk
1Department of Nuclear Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands;
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    TABLE 1

    Estimated Variables and Effective Dose for Personnel During Different Steps of [99mTc]Tc-PSMA-I&S RGS Procedure

    LocationProcedureStepPersonnelA (MBq)l (m)ts min/sht (h)d (mm)Γ (μSv m2 MBq−1 h−1)E (μSv)
    RadiopharmacyLabelingAttaching [99mTc] pertechnetateTechnologist RP2,0000.310 s0.003030.0231.50 × 10−3
    LabelingTechnologist RP2,0002.030 min0.5000550.0233.72 × 10−55
    Removal final productTechnologist RP2,0000.310 s0.0030500.0231.03 × 10−50
    Quality controlInstant thin-layer chromatographyTechnologist RP1000.31 min0.017020.0234.28 × 10−3
    High-performance liquid chromatographyTechnologist RP1002.030 min0.500000.0232.88 × 10−1
    Nuclear medicineSyringe preparationCalibration of vialTechnologist NML2,0000.410 s0.0030500.0235.81 × 10−51
    Preparing syringesTechnologist NML2,0000.42 min0.0060100.0231.59 × 10−10
    Patient administrationPatient administrationPhysician NM5500.41 min0.003030.0232.32 × 10−4
    Care after administrationPhysician NM5501.05 min0.083000.0083.65 × 10−1
    ImagingPatient positioningTechnologist NM5500.53 min0.0501700.0081.24 × 10−1
    Patient imagingTechnologist NM5503.030 min0.5001720.0083.39 × 10−4
    Operating roomSurgerySurgeryAnesthesiology technologist5500.5120 min2.0002000.0083.51 × 10°
    Scrub nurse5500.3120 min2.0002000.0089.74 × 10°
    Surgical nurse5502.0120 min2.0002000.0082.19 × 10−1
    Surgeon5502.0120 min2.0002000.0082.19 × 10−1
    • RP = radiopharmacy; NM = nuclear medicine.

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    TABLE 2

    Estimated, Measured, and Mean Effective Dose for Personnel During Different Steps of [99mTc]Tc-PSMA-I&S RGS Procedure

    E (μSv)
    StepPersonnelEstimatedPatient 1Patient 2Patient 3Patient 4Patient 5Mean ± SD
    LabelingTechnologist RP1.50 × 10−3221211.6 ± 0.5
    Quality controlTechnologist RP2.91 × 10−1100000.2 ± 0.4
    Syringe preparationTechnologist NML1.59 × 10−10000010.2 ± 0.4
    Patient administrationPhysician NM3.75 × 10−1111010.8 ± 0.4
    Patient imagingTechnologist NM1.24 × 10−1000000
    SurgeryAnesthesiology technologist3.51 × 100100010.6 ± 0.5
    Scrub nurse9.74 × 100254323.2 ± 1.3
    Surgical nurse2.19 × 10−1000100.2 ± 0.4
    Surgeon2.19 × 10−1111111.0 ± 0.0
    • RP = radiopharmacy; NML = nuclear medicine laboratory; NM = nuclear medicine.

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    TABLE 3

    Measured and Mean Dose Rate of Patient During Different Steps of [99mTc]Tc-PSMA-I&S RGS Procedure

    Dose rate (μSv/h)
    StepDistance (cm)Patient 1Patient 2Patient 3Patient 4Patient 5Mean ± SD
    Administration3032.834.229.930.038.533.1 ± 3.5
    5017.318.816.619.320.518.5 ± 1.6
    1007.67.76.25.67.36.9 ± 0.9
    Imaging303.43.13.23.94.53.6 ± 0.6
    501.82.11.41.52.11.8 ± 0.3
    1001.20.740.410.311.10.74 ± 0.39
    Surgery300.500.580.800.211.40.69 ± 0.43
    500.280.390.300.080.980.56 ± 0.33
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Journal of Nuclear Medicine Technology: 49 (4)
Journal of Nuclear Medicine Technology
Vol. 49, Issue 4
December 1, 2021
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Occupational Radiation Exposure of Radiopharmacy, Nuclear Medicine, and Surgical Personnel During Use of [99mTc]Tc-PSMA-I&S for Prostate Cancer Surgery
Else A. Aalbersberg, Desiree Verwoerd, Chelvi Mylvaganan-Young, Hilda A. de Barros, Pim J. van Leeuwen, Mariska Sonneborn-Bols, Maarten L. Donswijk
Journal of Nuclear Medicine Technology Dec 2021, 49 (4) 334-338; DOI: 10.2967/jnmt.121.262161

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Occupational Radiation Exposure of Radiopharmacy, Nuclear Medicine, and Surgical Personnel During Use of [99mTc]Tc-PSMA-I&S for Prostate Cancer Surgery
Else A. Aalbersberg, Desiree Verwoerd, Chelvi Mylvaganan-Young, Hilda A. de Barros, Pim J. van Leeuwen, Mariska Sonneborn-Bols, Maarten L. Donswijk
Journal of Nuclear Medicine Technology Dec 2021, 49 (4) 334-338; DOI: 10.2967/jnmt.121.262161
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Keywords

  • genitourinary
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  • PSMA-I&S
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  • technetium-99m
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