This paper presents a design and work optimization procedure to reduce personnel
exposure in PET uptake rooms.
Optimization of Radiation Doses
Received by Personnel in PET
Uptake Rooms
Maria E. Perez, José M. Verde, Carlos Montes, Julio A. Ramos, Sofía García,
and Jorge Hernandez*
Abstract: Reduction of dose to exposed per-
sonnel during positron emission tomography
(PET) installation usually relies on physical
shielding. While the major contribution of
shielding is unquestioned, it is usually the
only method applied. Other methods of reduc-
tion, such as working procedure optimization,
the position of the furniture, and rooms are
usually disregarded in these installations. This
paper presents a design and work optimization
procedure used in a particular institution. The
influence on the dose received by personnel due
to the positioning of injection chairs, injection
room configuration, and working procedures is
studied. Using this optimization strategy, it is
possible to reduce the technician dose due to
patients by a factor of 0.59. Injection room de-
sign is much more important for optimizing
the received dose than is work-flow manage-
ment. The influence of the order of patient en-
trance on received dose was the aspect that
produced the smallest variation in received
doses. It is recommended that the optimization
be carried out for the installation proposed in
the design phase, when no additional cost is
required, because the position of the doors of
the injection rooms depends on the where the
injection chairs are situated. Health Phys. 107
(Supplement 3):S198–S201; 2014
Key words: operational topics; exposure, occu-
pational; occupational safety; positron emission
tomography
INTRODUCTION
Patients undergoing FDG-PET
investigations must be kept in a
quiescent state after the adminis-
tration of the radiopharmaceuti-
cal (Peet et al. 2012). Radiation
due to the proximity of these
patients could suppose an unac-
ceptably high dose not only for
members of the public, but also
for personnel exposed at the instal-
lation. To avoid this, it is widely ac-
cepted that specific preparation
rooms with appropriate shielding
during this uptake phase is required
(Madsen et al. 2006). For a number
of reasons, shielding requirements
for these injection rooms may be
more stringent than those for exam-
ination rooms. Because preparation
rooms are usually much smaller
than exploration rooms, the pa-
tient will tend to be much closer
to the personnel in such a space.
Furthermore, the activity in the pa-
tient’s body is much lower when
the examination is in progress
since the nuclei have undergone a
1-h decay and a substantial frac-
tion of the radionuclei will have
been excreted before the examina-
tion (Jones et al. 1982).
In every practice, professional
exposure can be reduced in two
ways: by using appropriate struc-
tural shielding and by optimizing
working procedures. The former
has been studied extensively (Coker
2003; Cruzate and Discacciatti, 2008),
while the latter is usually consid-
ered in medical, non-surgical im-
age procedures. Adequate analysis
and optimization of these proce-
dures will enable the exposure
of staff to be reduced or at least
maintained at acceptable values
when less conservative shielding
is employed.
This study analyses the contribu-
tion of injected patients waiting
in injection rooms to the dose re-
ceived by personnel in charge of
administering radiopharmaceuti-
cals, and the optimization of the
set-up of injection rooms to reduce
this exposure.
MATERIALS AND
METHODS
This institution has a 4.8‐m-wide
space in which three injection
rooms are to be built. One of them
needs to be wider than the other
two for use with bed-ridden pa-
tients and will be located next to
the patients’ entrance or between
the other two rooms to allow for
the entrance of beds. This larger
room will be 1.64 m wide while
the other two will have a width of
*University Hospital of Salamanca, Medical Phys-
ics Department, Paseo de San Vicente, 58‐182,
Salamanca, Spain.
The authors declare no conflicts of interest.
María Esperanza Pérez Álvarez received her degree in physics from the University of
Salmanca (Spain) in 2010. In 2011, she began her professional career in medical physics
at the University Hospital in Salamanca (Spain). Nowadays she is working at the general
university hospital of Ciudad Real. Her email address is mariasprnz@hotmail.com.
Operational Topic
S198 www.health-physics.com November 2014
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