Beta-Ortsdosimetrie der Fingerkuppen bei der Radiosynoviorthese

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • K. Liepe - , TUD Dresden University of Technology (Author)
  • M. Andreeff - , TUD Dresden University of Technology (Author)
  • J. Mielcarek - (Author)
  • I. Barth - (Author)
  • G. Wunderlich - , TUD Dresden University of Technology (Author)
  • J. Kropp - , TUD Dresden University of Technology (Author)
  • J. Kotzerke - , Department of Nuclear Medicine (Author)

Abstract

Aim: The radiation synovectomy is a widespread therapeutic option in rheumatoid arthritis. However, data for the β-radiation exposure are rare. The aim of this study was to determine the personal dose equivalent Hp(0.07) of the skin of the hands. Methods: Thermoluminescence detectors (TLDs) were attached at all fingertips of the therapist, the radiochemist and the nurse. In summary, the measurement of β-exposure occurred in 155 joints at 6 days with different radionuclides (169Er, 186Re, 90Y). Results: The greatest beta exposure were show at the forefinger (L-Ff) and thumb (L-Th) of the left hand, with which the therapist (right hander) fixed the injection needle. In 52 treated finger-joints (1204 MBq 169Er), 29 treated large joints (2405 MBq 186Re) and 15 treated knees (3100 MBq 90Y) we found a cumulative beta exposure over all radionuclides of 190 mSv at L-Ff and 48 mSv at L-Th. The specific beta exposure for the individual radionuclides showed beta exposures of 0,56 μSv/MBq for 169Er and 1,52 μSv/MBq for 186Re-186 at the L-Ff. With using a manipulator the μ-exposure (90Y) could reduced from 22,09 to 0,42 μSv/MBq at the L-Ff. The greatest beta exposures for the radiochemist was 119 mSv at the L-Ff far all radionuclides. Conclusion: In usual techniques of radiation synovectomy the 90Y produced the greatest part of radiation exposure. Especially at the L-Ff it might exceed the German limit for the official dosimetry service at the skin (§55 Strl-SchV). Using a holding forceps we can keep the legal rules and can reduce considerably the beta exposure.

Translated title of the contribution
Beta-radiation exposure at the finger tips during the radionuclide synovectomy

Details

Original languageGerman
Pages (from-to)104-108
Number of pages5
JournalNuklearmedizin
Volume42
Issue number3
Publication statusPublished - Jun 2003
Peer-reviewedYes

External IDs

PubMed 12802473

Keywords

Keywords

  • Radiation protection, Radiation synovectomy, β-particle dosimetry

Library keywords