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In-depth exploration of the radiation exposure to staff performing endoscopic retrograde cholangiopancreatography procedures (ERCP) through RANDO phantom and TLDs

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Abstract

This study provides a comprehensive evaluation of the occupational radiation exposure faced by healthcare professionals during Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Utilizing an anthropomorphic RANDO phantom equipped with Thermoluminescent Dosimeters (TLDs), we replicated ERCP scenarios to measure radiation doses received by medical staff. The study meticulously assessed radiation exposure in various corresponding body regions typically occupied by medical staff during ERCP, with a focus on eyes, thyroid, hands, and reproductive corresponding organ regions. The findings revealed significant variations in radiation doses across different body parts, highlighting areas of higher exposure and underscoring the need for improved protective measures and procedural adjustments. The effective radiation doses were calculated using standard protocols, considering the varying levels of protection offered by lead aprons and thyroid shields. The results demonstrate the substantial radiation exposure experienced by healthcare staff, particularly in regions not adequately shielded. This study emphasizes the necessity for enhanced radiation safety protocols in clinical settings, advocating for advanced protective equipment, training in radiation safety, and the exploration of alternative imaging modalities. The findings have crucial implications for both patient and staff safety, ensuring the continued efficacy and safety of ERCP and similar interventional procedures. This research contributes significantly to the field of occupational health and safety in interventional radiology, providing vital data for the development of safer medical practices.

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Acknowledgements

The authors would like to express their deepest gratitude to Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R149), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Funding

Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R149), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

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Authors and Affiliations

  1. Vocational School of Health Services, Medical Imaging Techniques Program, Istanbul University – Cerrahpaşa, Istanbul, Turkey

    Fahrettin Fatih Kesmezacar

  2. Science Faculty, Physics Department, Istanbul University, Istanbul, Turkey

    Duygu Tunçman & Baki Akkuş

  3. Vocational School of Health Services, Radiotherapy Program, Istanbul University – Cerrahpaşa, Istanbul, Turkey

    Duygu Tunçman

  4. General Surgery Department, Istanbul Training and Research Hospital, Istanbul, Turkey

    Ali Emre Nayci & Güngör Üzüm

  5. Electrical and Electronics Faculty, Biomedical Engineering, Yıldız Technical University, Istanbul, Turkey

    Osman Günay

  6. Medical Faculty, Nuclear Medicine Department, Istanbul University – Cerrahpaşa, Istanbul, Turkey

    Nami Yeyin & Mustafa Demir

  7. Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, 27272, Sharjah, United Arab Emirates

    Wiam Elshami & H. O. Tekin

  8. Department of Physics, College of Science, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, 11671, Riyadh, Saudi Arabia

    Ghada Almisned

  9. Faculty of Engineering and Natural Sciences, Computer Engineering Department, Istinye University, Istanbul, 34396, Turkey

    H. O. Tekin

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  1. Fahrettin Fatih Kesmezacar
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  2. Duygu Tunçman
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  3. Ali Emre Nayci
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  6. Güngör Üzüm
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  7. Mustafa Demir
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  9. Wiam Elshami
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  10. Ghada Almisned
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  11. H. O. Tekin
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Correspondence to H. O. Tekin.

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Kesmezacar, F.F., Tunçman, D., Nayci, A.E. et al. In-depth exploration of the radiation exposure to staff performing endoscopic retrograde cholangiopancreatography procedures (ERCP) through RANDO phantom and TLDs. Jpn J Radiol (2024). https://doi.org/10.1007/s11604-024-01586-4

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  • DOI: https://doi.org/10.1007/s11604-024-01586-4

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