Analysis of the radiation accidents prevalence in nuclear medicine in the Russian Federation
https://doi.org/10.21514/1998-426X-2024-17-3-93-102
Abstract
Radiation events (accidents) appearance is an integral part of the use of ionizing radiation sources in medicine in general and nuclear medicine in particular. To minimize the negative impact on patients, workers, and public due to such events, it is necessary to have reliable information about real prevalence of the radiation events (accidents). The current work presents the analysis of the radiation accidents with medical ionizing radiation sources registered in the “Data bank of radiation accidents and incidents” of the Rospotrebnadzor Information and Analytical Centre for Radiation Safety and the results of workers questionnaires conducted in 25 nuclear medicine departments (about 30% of all nuclear medicine departments in the Russian Federation). The results of the analysis showed that the most common registered radiation accidents in the “Data bank of radiation accidents and incidents” are identification of passengers with high external dose rate as well as identification of waste contaminated by medical radionuclides. The results of the questionnaire showed that the most common radiation accidents (events) in nuclear medicine are contamination of work clothes or work surfaces with radionuclides, or patient fluids containing radionuclides; conducting examination without proper referral; extravasation of radiopharmaceutical. Existing systems of identification and registration of radiation accidents do not allow to identify radiation events (accidents) specific to nuclear medicine. The further research aimed at developing a classification of radiation events (accidents) in medicine and methods for responding to such events are feasible.
About the Authors
A. V. VodovatovRussian Federation
Aleksandr V. Vodovatov – Candidate of Biological Sciences, Head of Laboratory, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; docent, Saint Petersburg State Pediatric Medical University
Mira Str., 8, Saint Petersburg, 197101
L. A. Chipiga
Russian Federation
Larisa A. Chipiga – Candidate of Engineering Sciences, research fellow, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; research fellow, A.M. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian Federation; docent, Almazov National Medical Research Centre of the Ministry of Health of the Russian Federation
Saint Petersburg
S. A. Ryzhov
Russian Federation
Sergey A. Ryzhov – vice president, Association of Medical Physicists in Russia; research fellow, Research and Practice Center of Diagnostics and Telemedicine Technologies; head of the radiation safety and medical physics department, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation
Moscow
A. V. Petryakova
Russian Federation
Anastasia V. Petryakova – acting junior researcher, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; radiation safety engineer, Saint Petersburg City Hospital No. 40
Saint Petersburg
A. M. Biblin
Russian Federation
Artem M. Biblin – senior research fellow, head of Information-analytical center
Saint Petersburg
G. A. Gorsky
Russian Federation
Grigory A. Gorsky – Candidate of Medical Sciences, Deputy Director of the Innovation work, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; docent, I. Mechnikov North Western State Medical University
Saint Petersburg
N. M. Vishnyakova
Russian Federation
Nadezhda M. Vishnyakova – Doctor of Medical Sciences, Deputy Director
Saint Petersburg
References
1. Martin CJ, Vassileva J, Vano E, Mahesh M, Ebdon-Jackson S, Ng KH et al. Unintended and accidental medical radiation exposures in radiology: guidelines on investigation and prevention. Journal of Radiological Protection. 2017;37(4): 883. DOI: 10.1088/1361-6498/aa881e.
2. Marengo M, Martin CJ, Rubow S, Sera T, Amador Z, Torres L. Radiation Safety and Accidental Radiation Exposures in Nuclear Medicine. Seminars in Nuclear Medicine. 2022;52(2): 94-113. DOI: 10.1053/j.semnuclmed.2021.11.006.
3. Jaschke W, Bartal G, Martin CJ, Vano E. Unintended and Accidental Exposures, Significant Dose Events and Trigger Levels in Interventional Radiology. Cardiovascular and Interventional Radiology. 2020;43: 1114-1121. DOI: 1010.1007/S00270-020-02517-2.
4. IAEA Safety Standards Series. No. GSR Part 3. Radiation Protection and Safety of Radiation Sources. STI/PUB/1578. IAEA: Vienna; 2014. 518 p.
5. Radiation Protection and safety in medical uses of ionizing radiation. Specific safety guide SSG-46. IAEA: Vienna; 2018. 340 p.
6. International Atomic Energy Agency. Quality Assurance for PET and PET/CT Systems. IAEA Human Health Series No. 1. IAEA: Vienna; 2009. 145 p.
7. International Atomic Energy Agency. Quality Assurance for SPECT Systems. IAEA Human Health Series No. 6. IAEA: Vienna; 2009. 249 p.
8. Chipiga LA, Ladanova ER, Vodovatov AV, Zvonova IA, Mosunov AA, Naurzbaeva LT, et al. Trends in the development of nuclear medicine in the Russian Federation for 20152020. Radiatsionnaya Gygiena = Radiation Hygiene. 2022;15(4): 122-133. (In Russian). DOI: 10.21514/1998-426X-2022-15-4-122-133.
9. Chipiga LA, Zvonova IA, Ryzhkova DV, Menkov MA, Dolgushin MB. Levels Of Patients Exposure and a Potential for Optimization of the PET Diagnostics in the Russian Federation. Radiatsionnaya Gygiena = Radiation Hygiene. 2017;10(4):31-43. (In Russian). DOI: 10.21514/1998-426X-2017-10-4-31-43.
10. van der Pol J, Voo S, Bucerius J, Mottaghy FM. Consequences of radiopharmaceutical extravasation and therapeutic interventions: a systematic review. European Journal of Nuclear Medicine and Molecular Imaging. 2017;44(7): 1234-1243. DOI: 10.1007/s00259-017-3675-7.
11. Morgan TL. Extravasation of radiopharmaceuticals: Why report? Frontiers in Nuclear Medicine. 2023;3: 1148177. DOI: 10.3389/fnume.2023.1148177.
12. Osborne D, Kiser JW, Knowland J, Townsend D, Fisher DR. Patient-specific Extravasation Dosimetry Using Uptake Probe Measurements. Health Physics. 2021;120(3): 339343. DOI: 10.1097/HP.0000000000001375.
13. Vodovatov AV, Chipiga LA, Ryzhov SA, Petryakova AV, Biblin AM, Gorsky GA. Radiation accidents in X-ray and radionuclide diagnostics and therapy: comparison of Russian and international approaches to the terminology and classification. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(1): 97-110. (In Russian). DOI: 10.21514/1998-426X-2024-17-1-97-110]
14. Vodovatov AV, Ryzhov SA, Chipiga LA, Biblin AM, Druzhinina PS. Perspective approaches to classification of radiation accidents in radiology on the example of computed tomography. AIP Conference Proceedings. AIP Publishing; 2021. No. 2356(1).
15. ICRP Publication 103. The 2007 Recommendations of the International Commission on Radiological Protection: translation from English / edited by MF Kiselev, NK Shandala. Moscow: «Аlаnа»; 2009. 312 p. (In Russian).
16. Gromov AV, Akhmatdinov RR, Biblin AM, Tutelyan OE. Comparative analysis of information on radiation accidents in the Russian Federation in 2010-2022. Radiatsionnaya Gygiena = Radiation Hygiene. 2023;16(4): 122-133. (In Russian). DOI: 10.21514/1998-426Х-2023-16-4-122-133].
Review
For citations:
Vodovatov A.V., Chipiga L.A., Ryzhov S.A., Petryakova A.V., Biblin A.M., Gorsky G.A., Vishnyakova N.M. Analysis of the radiation accidents prevalence in nuclear medicine in the Russian Federation. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(3):93-102. (In Russ.) https://doi.org/10.21514/1998-426X-2024-17-3-93-102