Metaxa Cancer Hospital of Piraeus, 51 Mpotasi, Piraeus 185 37, Greece.
J Radiol Prot. 2024 Jun 10;44(2). doi: 10.1088/1361-6498/ad460c.
The role ofF-fluoro-deoxy-glucose in positron emission tomography (PET) imaging is well established in diagnosis and management of cancer patients. Installations of on-site self-shielded mini cyclotrons are increasing. The Dose on Demand Biomarker Generator BG-75 was installed at Metaxa Cancer Hospital, Greece, in May 2021 and is the first hospital-based PET radiopharmaceutical cyclotron in the country. Personnel expected external exposure was established during commissioning; internal exposure is not expected. Personnel dose was estimated with two methods: survey meter measurements in various locations combined with the time spent in each location, and direct measurement using electronic personal dosemeters. Gamma and neutron radiation readings outside the cyclotron vault were at background levels. Inside the cyclotron vault, the highest recorded radiation readings by the target were 18Sv hfor both gammas and neutrons with cyclotron in operational mode; at one meter, the values were 5Sv hand 4Sv h, respectively. The annual expected whole body dose per cyclotron operator is 0.6 mSv, and the respective extremity dose 16 mSv. The annual expected whole body and extremity dose for the radiochemist is 0.3 mSv and 25 mSv, respectively. The respective annual dose estimates for the medical physicists are < 1 mSv. The expected personnel doses are well below the regulatory limits and local as low as reasonably achievable (ALARA) levels. With experience and a robust ALARA program, personnel exposure could be further reduced.
氟代脱氧葡萄糖在正电子发射断层扫描(PET)成像中的作用在癌症患者的诊断和治疗中得到了充分的证实。现场自屏蔽微型回旋加速器的安装数量正在增加。2021 年 5 月,希腊 Metaxa 癌症医院安装了按需剂量生物标志物发生器 BG-75,这是该国第一台基于医院的正电子放射性药物回旋加速器。在调试期间确定了预期的工作人员外照射;预计不存在内照射。通过两种方法估算人员剂量:在各个位置使用测量仪进行测量,并结合在每个位置花费的时间,以及使用电子个人剂量计进行直接测量。回旋加速器机房外的伽马和中子辐射读数处于本底水平。在回旋加速器机房内,当回旋加速器处于运行模式时,记录到的最高辐射读数来自靶的伽马和中子分别为 18Sv h;在 1 米处,读数分别为 5Sv h和 4Sv h。每位回旋加速器操作人员的年预期全身剂量为 0.6mSv,相应的四肢剂量为 16mSv。放射化学家的年预期全身和四肢剂量分别为 0.3mSv 和 25mSv。医学物理学家的相应年度剂量估计值<1mSv。预期的人员剂量远低于监管限制和当地尽可能低的可合理达到的水平(ALARA)。随着经验的积累和强有力的 ALARA 计划,人员照射量可以进一步降低。