Current Radiopharmaceuticals

Author(s): Mpumelelo Nyathi*

DOI: 10.2174/1874471015666220425121713

Assessment of Knowledge and Level of Radiation Safety Awareness among Radiographers Working in Nuclear Medicine

Page: [327 - 331] Pages: 5

  • * (Excluding Mailing and Handling)

Abstract

Background: Radiopharmaceuticals are used for the diagnosis, treatment, staging, and follow- up of various diseases. However, there is concern that the ionizing radiation (gamma rays, α and ß particles) may result in the exposure of radiographers with limited knowledge of the principles of radiation protection and safety, raising the risk of cancer induction.

Objective: The aim of the study is to investigate the knowledge and level of radiation safety awareness among radiographers at a tertiary hospital.

Methods: It is an analytical cross-sectional study. A validated two-part questionnaire was administered to consenting radiographers at a Nuclear Medicine Department. Part 1 gathered demographic information (age, gender, work experience, attendance to/or passing ionizing radiation protection courses), and part 2 covered questions related to knowledge and level of awareness of radiation protection principles.

Results: Five radiographers voluntary participated (2/5 males and 3/5 females). Three age groups were distinguishable, 21-30, 41-50 and 51-60 years. In the age group of 21-30 years, there was one male with just over 4 years of experience while in the age group 41-50, there were three females with less than three years of experience, and in the age group 51-60, there was one male radiographer with over 20 years of experience. All the radiographers showed a high level of awareness and knowledge of radiation safety principles.

Conclusion: Education coupled with training in radiation protection is an essential tool for instilling radiation awareness among the radiographers. However, education alone is not enough; further skills in the preparation and administration of radiopharmaceuticals will reduce the exposure.

Keywords: nuclear medicine, ionizing radiation, radiation protection, radiopharmaceuticals, gamma emitters, radiographers

[1]
Bernier, M.O.; Journy, N.; Villoing, D.; Doody, M.M.; Alexander, B.H.; Linet, M.S.; Kitahara, C.M.; Kitahara, C.M. Cataract risk in a cohort of U.S. radiologic technologists performing nuclear medicine procedures. Radiology, 2018, 286(2), 592-601.
[http://dx.doi.org/10.1148/radiol.2017170683] [PMID: 29019450]
[2]
Paulo, G.; Bartal, G.; Vano, E. Radiation risks to radiographers. What we know. Endovascular., 2016, 15(8), 77-79.
[3]
Ribeiro, A.; Husson, O.; Drey, N.; Murray, I.; May, K.; Thurston, J.; Oyen, W. Ionising radiation exposure from medical imaging - A review of patient’s (un) awareness. Radiography, 2020, 26(2), e25-e30.
[http://dx.doi.org/10.1016/j.radi.2019.10.002] [PMID: 32052780]
[4]
Bennet, B.G.; Kaul, A. Sources, exposures and Biological effects of Ionizing Radiation. Low Doses of Ionizing Radiation: Biological effects and Regulatory Control Proceedings of a conference., Seville, Spain17-21 November, 1997.
[5]
Costa, P.F.; Santos, A.; Testanera, G. EANM Benchmark Document on Nuclear Medicine Technologists’ Competencies; EANM Technologist Committee, 2017, p. 2.
[6]
Stringer, R.E. Radiochemical Methods/Pharmaceutical Applications. Encyclopedia of Analytical Science, 2nd ed; Elsevier Ltd, 2005, pp. 86-93.
[7]
Howell, R.W. Patient exposures and consequent risks from nuclear medicine procedures. Health Phys., 2011, 100(3), 313-317.
[http://dx.doi.org/10.1097/HP.0b013e31820ef10a] [PMID: 21532917]
[8]
Bushberg, J.T.; Seibert, J.A.; Leiholdt, E.M.; Boone, J.M. The Essentials of Medical Physics Imaging, 3rd ed; Lippincott Williams & Williams: Philadelphia, 2012.
[9]
Mettler, F.A.; Guiberteau, M.J. Essentials of Nuclear Medicine and Molecular Imaging, 7th ed; , 2018.
[10]
Mondal, S. Pharmaceutical iorganic chemistry; Radiopharmaceuticals, 2017.
[http://dx.doi.org/10.13140/RG.2.2.14369.30569]
[11]
Klassen, C.D.; Watkins, J.B. III Essentials of Toxicology, 2nd ed; McGraw –Hill Companies: China, 2010.
[12]
Knoll, G.F. Radiation detection and Measurement, 4th ed; John Wilesy and sons, Incl: New York, 2010.
[13]
Jeggo, P.A.; Löbrich, M. DNA double-strand breaks: their cellular and clinical impact? Oncogene, 2007, 26(56), 7717-7719.
[http://dx.doi.org/10.1038/sj.onc.1210868] [PMID: 18066083]
[14]
Nyathi, M. Quantitative evaluation of parotid and submandibular glands function post radiation therapy of head and neck tumours., PhD thesis.
[15]
Sefako Makgatho Health Sciences University. 2015.
[16]
Dosimetry and Biological Effects of Ionizing Radiation In:. Handbook of Nuclear Chemistry; , 2003, pp. 1647-1684.
[http://dx.doi.org/10.1007/0-387-30682-X_39]
[17]
ICRP. Publication 103. The 2007 Recommendations of the International Commission on Radiological Protection.
[18]
Nyathi, M; Moeng, TM Maboe, DPA Extremity exposure with 99mTc labeled radiopharmaeuticals in diagnostic nuclear medicine. 2021, 14(1), 57-63.
[19]
Kitahara, C.M.; Linet, M.S.; Drozdovitch, V.; Alexander, B.H.; Preston, D.L.; Simon, S.L.; Freedman, D.M.; Brill, A.B.; Miller, J.S.; Little, M.P.; Rajaraman, P.; Doody, M.M. Cancer and circulatory disease risks in US radiologic technologists associated with performing procedures involving radionuclides. Occup. Environ. Med., 2015, 72(11), 770-776.
[http://dx.doi.org/10.1136/oemed-2015-102834] [PMID: 26220810]
[20]
Rep, S. Chapter 9: Occupational radiation protection. Radiation Protection and: Dose Optimization: A Technologist’s Guide., Geneva, Switzerland August 26-30, 2002.
[21]
Nielsen, C.J. Radiation Safety Certification: A Review. J. Nucl. Med. Technol., 2018, 46(4), 321-325.
[http://dx.doi.org/10.2967/jnmt.118.209528] [PMID: 30413600]
[22]
Alavi, S.S.; Dabbagh, S.T.; Abbasi, M.; Mehdad, R. Medical radiation workers’s knowledge, attitude, and practice to protect themselves againt radiation in Tehran Province, Iran. Iran J. Educ. Health Promt, 2017, 6, 58.
[PMID: 28616425]
[23]
Alhasan, M.K. Radiobiology knowledge level among radiologists. Electronic J. Biolgy., 2016, 12(3), 258-261.
[24]
Elamin, A.M. Radiation safety awareness and practice in Sudanese medical facilities: A descriptive. Int. J. Sci. Res., 2015, 4(5), 2190-2195.
[25]
The 2007 recommendations of the international commission on radiological protection. ICRP publication 103. Ann. ICRP, 2007, 37(2-4), 1-332.
[PMID: 18082557]
[26]
Rostamzadeh, A.; Farzizadeh, M.; Fatehi, D. Evaluation of the level of protection in radiology departments of kermanshah, Iran. Iranian J. Med. Phy., 2015, 12(3), 200-208.
[27]
Alhasan, M.; Abdelrahman, M.; Alewaidat, H.; Khader, Y. Radiation dose awareness of radiologic technologists in major Jordanian hospitals. Int. J. Rad. Res., 2016, 14(2), 133.
[http://dx.doi.org/10.18869/acadpub.ijrr.14.2.133]
[28]
Briggs-Kamara, M.A.; Okoye, P.C.; Omubo-Pepple, V.B. Radiation safety awareness among patients and radiographers in three hospitals in Port Harcourt. Am. J. Sci. Industrial Res., 2013, 4(1), 83.
[http://dx.doi.org/10.5251/ajsir.2013.4.1.83.88]
[29]
Karami, V.; Tahmasebi, M.; Fatahi, A.J. The protection knowledge and performance of radiographers in some hospitals of Ahvaz county. Jentashapir J. Health Res., 2013, 4(5), 405-412.