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      Prevención de la exposición ocupacional a la radiación del personal de enfermería de Medicina Nuclear Translated title: Prevention of occupational radiation exposure of Nuclear Medicine personnel

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          Occupational radiation exposure assessment during the management of [ 68 Ga]Ga-DOTA-TOC

          Background Since it was first approved in Europe in 2016, the gallium-68 (68Ga) radiopharmaceutical [68Ga]Ga-DOTA-TOC has been widely used for imaging of somatostatin receptor (SSTR) positive tumours using positron emission tomography–computed tomography (PET/CT). Significant patient benefits have been reported, so its use is rapidly increasing. However, few studies have been published regarding occupational doses to nuclear medicine personnel handling this radiopharmaceutical, despite its manual usage at low distances from the skin and the beta-emission decay scheme, which may result in an increased absorbed dose to their hands. In this context, this study aims to analyse the occupational exposure during the administration of [68Ga]Ga-DOTA-TOC for PET/CT imaging. For this purpose, extremity, eye lens and whole-body dosimetry in terms of Hp(0.07), Hp(3) and Hp(10), respectively, was conducted on six workers with both thermoluminescent dosimeters, and personal electronic dosimeters. Results The non-dominant hand is more exposed to radiation than the dominant hand, with the thumb and the index fingertip being the most exposed sites on this hand. Qualitative analysis showed that when no shielding is used during injection, doses increase significantly more in the dominant than in the non-dominant hand, so the use of shielding is strongly recommended. While wrist dosimeters may significantly underestimate doses to the hands, placing a ring dosimeter at the base of the ring or middle finger of the non-dominant hand may give a valuable estimation of maximum doses to the hands if at least a correction factor of 5 is applied. Personal equivalent doses for the eyes did not result in measurable values (i.e., above the lowest detection limit) for almost all workers. The extrapolated annual dose estimations showed that there is compliance with the annual dose limits during management of [68Ga]Ga-DOTA-TOC for diagnostics with PET in the hospital included in this study. Conclusions Imaging with [68Ga]Ga-DOTA-TOC is a safe process for the workers performing the administration of the radiopharmaceutical, including intravenous injection to the patient and the pre- and post-activity control, as it is highly unlikely that annual dose limits will be exceeded if good working practices and shielding are used. Supplementary Information The online version contains supplementary material available at 10.1186/s40658-022-00505-8.
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            Author and article information

            Journal
            aprl
            Archivos de Prevención de Riesgos Laborales
            Arch Prev Riesgos Labor
            Societat Catalana de Salut Laboral y Asociación de Medicina del Trabajo de la Comunidad Valenciana (Barcelona, Barcelona, Spain )
            1578-2549
            September 2023
            : 26
            : 3
            : 229-233
            Affiliations
            [1] Vigo orgnameInstituto de Investigación Sanitaria Galicia Sur España
            Article
            S1578-25492023000300008 S1578-2549(23)02600300008
            10.12961/aprl.2022.26.03.08
            c4f4597c-b02c-4fb4-8ff9-0ae7fad1ba69

            This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

            History
            : 02 May 2023
            : 02 May 2023
            Page count
            Figures: 0, Tables: 0, Equations: 0, References: 1, Pages: 5
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