Individual monitoring with BeOSL dosemeters: New dosemeters for extremity and area dosimetry

Simulation of Hp(0,07) beta and photon response of a BeOSL finger ring dosemeter

Simulation of a dosemeter's energy and angular response lowers development cost and time. To support development of a new beta sensitive dosemeter we simulate both the dosemeter and the skin dose in a rod phantom as there are no fluence to dose conversion coefficients in the ICRU Report 47 for electrons. Published spectra for BSS2, N-Series and S-Cs and S-Co were used to define sources, with CAD models used to define the simulation geometry. Simulation tools were validated with experimental beta and photon responses available for the BeOSL photon ring. The developed toolchain was then used to simulate several iterations of a beta sensitive detector element inside a beta ring holder, with the goal to minimise the need for repeated prototype fabrication and characterisation. Simulation results for the final design were compared to measurements on 3D printed prototypes with all radiation qualities, except 90Sr/90Y 0°, falling within measurement uncertainty.

Protected and Unprotected Radiation Exposure to the Eye Lens During Endovascular Procedures in Hybrid Operating Rooms

OBJECTIVE

Radiation cataract has been observed at lower doses than previously thought, therefore the annual limit for equivalent dose to the eye lens has been reduced from 150 to 20 mSv. This study evaluated radiation exposure to the eye lens of operators working in a hybrid operating room before and after implementation of a dose reduction program.

METHODS

From April to October 2019, radiation exposure to the first operator was measured during all consecutive endovascular procedures performed in the hybrid operating room using BeOSL H_p(3) eye lens dosimeters placed both outside and behind the lead glasses (0.75 mm lead equivalent). Measured values were compared with data from a historic control group from the same hospital before implementation of the dose reduction program.

RESULTS

A total of 181 consecutive patients underwent an endovascular procedure in the hybrid operating room. The median unprotected eye lens dose (outside lead glasses) of the main operator was 0.049 mSv for endovascular aortic repair (EVAR) (n = 30), 0.042 mSv for thoracic endovascular aortic repair (TEVAR) (n = 23), 0.175 mSv for complex aortic fenestrated or branched endovascular procedures (F/BEVAR; n = 15), and 0.042 mSv for peripheral interventions (n = 80). Compared with the control period, EVAR had 75% lower, TEVAR 79% lower, and F/BEVAR 55% lower radiation exposure to the unprotected eye lens of the first operator. The lead glasses led to a median reduction in the exposure to the eye lens by a factor of 3.4.

CONCLUSION

The implementation of a dose reduction program led to a relevant reduction in radiation exposure to the head and eye lens of the first operator in endovascular procedures. With optimum radiation protection measures, including a ceiling mounted shield and lead glasses, more than 440 EVARs, 280 TEVARs, or 128 FEVARs could be performed per year before the dose limit for the eye lens of 20 mSv was reached.

Staff dose evaluation by application of radiation protection during endoscopic retrograde cholangiopancreatography (ERCP) procedures performed with a mobile C-arm

BACKGROUND

The radiation dose to staff performing endoscopic retrograde cholangiopancreatography (ERCP) is not negligible.

PURPOSE

To evaluate the shielding effect of a table-suspended lower-body radiation shield for the positions in the room occupied by the operator, assisting nurse, and anesthesiologist, used during ERCP procedures with a mobile C-arm.

MATERIAL AND METHODS

Eye lens dose, whole body dose, and extremity dose were measured with and without a table-suspended lower-body radiation shield in a phantom model and in clinical routine work. The effect of the shield was evaluated for each scenario and compared, and a projection was made for when shielding should be required from a regulatory point of view.

RESULTS

In the phantom measurements, the shield provided significant shielding effects on the body and lower extremities for the operator but no significant shielding of the eye lens. The shielding effect for the assisting nurse was limited to the lower extremity. The clinical measurements yielded the same general result as the phantom measurements, with the major difference that the shield provided no significant reduction in the whole-body dose to the operator.

CONCLUSION

The table-suspended shield has a significant shielding effect for the lower extremities of the operator and assisting nurse. For annual dose-area product values >300,000 cGycm², the protection of the operator should be reinforced with a ceiling-suspended shield to avoid doses to the eye lens and body in excess of regulatory dose restrictions.

Thermally and optically stimulated luminescence properties of BeO dosimeter with double TL peak in the main dosimetric region

Beryllium oxide (BeO), which has a widely known single main TL peak over the main dosimetric region, is an important luminescent material widely used in personal, medical, and environmental dosimetry fields. The thermal and optically stimulated luminescence properties (TL and OSL) of the BeO dosimeter, supplied by a private company in Turkey (BeO_R) that yields a double peak in the main dosimetric region (100-300 °C; heating rate = 2 °C/s) were studied. The corresponding properties were compared to the commercially prevalent Thermalox 995 BeO (BeO_T). Multiple characterization techniques including x-ray diffraction analysis (XRD), energy dispersive x-ray spectroscopy (EDX), scanning electron microscope (SEM) image and electron spin resonance (ESR) were used to detect possible differences in TL and OSL signals. It was hypothesized that the calcination and or sintering process applied during the manufacturing process might lead to a double peak in the main dosimetric region of BeO_R TL signals. Moreover, dosimetric properties of this dosimeter such as reproducibility, dose-response, minimum detectable dose (MDD), thermal quenching, bleaching, and thermal stability in combination with annealing properties were comprehensively investigated. An analysis of the results shows that BeO_R has lower detection limits in TL than BeO_T. In contrast, BeO_T exhibited lower detection limits in the OSL signal than BeO_R. Although both dosimeters have dissimilarities in several aspects, both are appropriate for dosimetric research on health physics applications. Therefore, selecting the appropriate BeO dosimeter could be an important factor to consider when assessing accurate doses in studies. With this outline in mind and by investigating using different characterization methods, the available luminescence knowledge base of BeO dosimeters was expanded.