Heydari S, Khosravi H, Neikzad ُ, Tapak L. Study and Evaluation of the Dose Received by the Eyes and Thyroid of the Medical Staff during the ERCP Process using a Fluoroscopy Device. Paramedical Sciences and Military Health 2024; 19 (3) :15-23
URL:
http://jps.ajaums.ac.ir/article-1-441-en.html
1- Department of Medical Physics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Radiology, Faculty of Paramedical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran. , h.khosravi@umsha.ac.ir
3- Department of Medical Physics, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Department of Biostatistics, Faculty of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (85 Views)
Introduction: Fluoroscopy is widely used in endoscopy such as ERCP. Thus, the risk of radiation is one of the most important concerns for the treatment staff to perform this diagnostic procedure. The purpose of this study is to investigate and evaluate the amount of dose received by the eye and thyroid of the treatment staff in the ERCP process using a fluoroscopy device.
Materials and Methods: This cross-sectional study was conducted in Shahid Beheshti Hospital in Hamedan in 1401. TLD (Thermoluminescence dosimetry) was used to measure the dose reached to the eye and thyroid organs. Eye and thyroid dosimetry was measured for each subject with six TLD pieces. These values were compared with the values provided by the International Commission on Radiological Protection.
Results: The average equivalent dose of doctor, nurse and assistant in total is 0.579 ± 0.18, 0.566 ± 0.16 and 0.568 ± 0.14 respectively based on mSv (Pvalue = 0.941) in 24 hours. The average equivalent dose by the thyroid tissue was 0.583 ± 0.19 and it was 0.574 ± 0.14 in the eye based
on mSV (Pvalue=0.491) in 24 hours. The effective dose in thyroid tissue of doctor, nurse and assistant was 9.15 ± 3.07, 8.17 ± 2.93 and 8.25 ± 3.23 mSV per year respectively (P=0.913). The effective eye dose in one year for doctor, nurse and assistant was 2.12 ± 0.67, 2.08 ± 0.51 and 2.07 ± 0.43 mSV, respectively (Pvalue=0.992).
Conclusion: The amount of radiation absorbed by the treatment staff in the thyroid tissue and the eye of the ERCP treatment staff is less than the permissible limit. In this regard, the doctor who performs the procedure has the highest amount of radiation absorption. Therefore, it is necessary to take essential measures to reduce the amount of radiation absorption.
Type of Study:
Research |
Subject:
full articles Received: 2024/06/11 | Accepted: 2024/07/3 | Published: 2024/09/26