Radiation Protection of Workers and Population in the Treatment with Radiopharmaceuticals
Labeled with the Unsealed Emitter Yttrium-90
Hušák V.1,2, Ptáček J.2, Mysliveček M.1
Klinika nukleární medicíny LF UP a Fakultní nemocnice, Olomouc1 přednosta doc. MUDr. M. Mysliveček, PhDOddělení lékařské fyziky a radiační ochrany Fakultní nemocnice, Olomouc2 vedoucí RNDr. I. Přidal, CSc |
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Summary:
The authors deal with the dose measurement at the skin of workers Hp(0.07) and the
dose Hp(10) at work with solutions of 90Y of high activity and deal with suitable protective
measures based on the data from literature and regulations valid in the Czech
Republic. An effective shield of the vials and injection syringes from beta radiation is
secured by shield covers from polymethylmethacrylate (PMMA) of the minimal thickness
of 6 mm, or by a layer combined from PMMA and lead. The data of common commercial
thermoluminiscent (TL) finger dosimeter, carried routinely at the lower phalanx
of the finger in direction from the source significantly understimates the dose on
the hand skin as compared with the data of thin TL dosimeter located at the finger tip.
The dose on the skin caused by contamination with the solution of 90Y may be significant
– considering the same planar activity being higher than in the 89Sr and 32P radionuclides.
The dose rate of bremsstrahlung released from the patient’s body, who was
administered 90Y is very low, but the patient dismissed from the hospital must – in view
of the elimination of a certain part of the applied irradiation into urine – be given written
instructions about his/her behavior at home, especially from the standpoint of personal
hygiene. This measure is aimed at a maximum decrease in internal contamination
of relatives and other persons, who the patient may encounter.
Key words:
yttrium-90 – therapy – nuclear medicine – dose of beta irradiation –
bremsstrahlung – radiation workers – radiation protection – surface contamination
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