Hygienic requirements to the design of the positron-emission tomography centers and departments
https://doi.org/10.21514/1998-426X-2019-12-2-25-33
Abstract
The aim of the current study is to provide a critical analysis of the current hygienic requirements to the design of the PET, PET/CT and PET/MRI centers and departments. The study included the evaluation of the Russian legislative documents containing the requirements for the design of the PET centers and departments, engineering, technological, licensing and other documentation of the working PET centers in St-Petersburg. It was determined, that, despite the existence of the actual direct action document (SanPiN2.6.1.3288-15 “Hygienic requirements on the provision of the radiation safety for the preparation and performance of the positron emission tomography”, it is necessary to consider the hygienic requirements from other legislative documents, hence complicating the process of design and project approval. Some of the actual issues related to the design and allocation of these objects have not been considered in detail: requirements for the transfer platforms for the dispatch and reception of the radiopharmaceuticals, management of the activities and allocation of the mobile PET complexes, etc. Considering the planned increase of the number of PET centers in Russia, it is necessary to further increase and optimize the existing legislation.
About the Authors
O. V. Minonenko
North-western State Medical University named after I.I. Mechnikov, Ministry of Healthcare and social development of the Russian Federation; St.-Petersburg University
Russian Federation
Russian Federation
Olga V. Mironenko - Doctor of Medical Sciences, Professor of the Department of public health and medical law of SPU, Dean of the Faculty of Health and Prevention, Head of the Department of Communal Hygiene of NWSMU named after I.I. Mechnicov; St.-Petersburg University (
Piskarevskiy pr., 47, Saint-Petersburg, 195067
T. B. Baltrukova
North-western State Medical University named after I.I. Mechnikov, Ministry of Healthcare and social development of the Russian Federation
Russian Federation
Russian Federation
Tatyana B. Baltrukova - Doctor of Medical Sciences, Professor, Head of the Department of Hygiene of the conditions of education, training, labor and radiation hygiene of NWSMU named after I.I. Mechnicov.
Saint-Petersburg
N. S. Bashketova
Federal Service for Surveillance on Consumer Rights Protection and Human Well-being of Saint-Petersburg
Russian Federation
Russian Federation
Natalya S. Bashketova - chief FSSCRPHW.
Saint-Petersburg
G. A. Gorskiy
Federal Service for Surveillance on Consumer Rights Protection and Human Well-being of Saint-Petersburg
Russian Federation
Russian Federation
Grigory A. Gorskiy - chief of the radiological hygiene department.
Saint-Petersburg
T. V. Kryukova
Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-being, Saint-Petersburg
Russian Federation
Russian Federation
Tatyana V. Kryukova - chief of the organizational and methodical Department
E. A. Fedorova
North-western State Medical University named after I.I. Mechnikov, Ministry of Healthcare and social development of the Russian Federation
Russian Federation
Russian Federation
Ekaterina A. Fedorova - a student of the Faculty of Health and Prevention.
Saint-Petersburg
References
1. Malignant neoplasms in Russia in 2017 (mortality and morbidity). Ed. by A.D. Kaprin, V.V. Starinsky, G.V. Petrova. Moscow, mNiOI after PA. Gerzen - branch of the National Medical Research Radiological Center of the Ministry of Health of the Russia, 2018, pp. 4-8 (In Russian).
2. Chasova I.E., Oshepkova E.V. Experience of the control of the cardiovascular diseases in Russia. Analiticheskiy vestnik = Analytical messenger, 2015, № 44 (597), pp. 4 - 8. (In Russian)
3. Resolution of the Government of the Russian Federation N1640, 26.12.2017 “On the establishment of the governmental programme of the Russian Federation “Development of the healthcare” on 2018-2025”. Available from: base.garant. ru/71848440/ (Accessed: 11.12.2018) (In Russian).
4. Dubinkin D.O. Development of the nuclear medicine in the Russian Federation. Meditsina tselevye proekty = Medicine target pojects, 2013, No. 16, pp. 71-74. (In Russian).
5. Passport of the program of the innovative development and technological modernization of the governmental corporation “Rosatom” up to 2030 (civilan part). Moscow, 2016, 76 p. (In Russian).
6. Romanova S. Nuclear medicine - current state and trends of the development. Remedium, 2013, No. 6, pp. 8-20. (In Russian).
7. Krasikova R.N. Synthesis of the biologically active substances marked with short-lived radioactive isotopes - diagnostic agents for the positron-emission tomography (PET). Available from: http://www1.lti-gti.ru/seminar/Seminar8/8.pdf (Accessed: 21.11.18). (In Russian).
8. National guidebook on the nuclear medicine. Ed. by Ju.B. Limshmanov, V.I. Chernov. In two vol., Tomsk, STT, 2010, Vol. 1, 290 p. (In Russian).
9. Zimmermann R. Nuclear Medicine: Radioactivity for Diagnosis and Therapy = La Medecinenucleaire. La radioactivity au service du diagnostic et de la thyrapie. Lez-Yulis: EDP Sciences, 2007, 173 p.
10. Galldiks N., Langen K.J., Pope W.B. From the clinician's point of view - what is the status quo of positron emission tomography in patients with brain tumors. Neuro Oncol., 2015, vol. 17, no. 11, pp. 1434 - 1444.
11. Dubinkin D.O. On the harmonization of the requirements of the radiation safety for the development of the nuclear medicine in Russia / International scientific-practical conference “Actual issues of the radiation hygiene”, 2014. Available from: http://www.fcpr.ru/netcat_files/userfiles/NIIRG_021014/Doklad-FTsPR_Dubinkin.pdf (Accessed: 21.11.18) (In Russian).
12. Kumar A., Kireev V.S. Review of the russian market of the nuclear medicine. Fundamentalnye issledovaniya = Fundamental research, 2018, No. 2, pp.134-138. Available from: http://www.fundamental-research.ru/ru/article/view?id=42088 (Accessed: 18.11.2018). (In Russian).
13. Golikova T. A. Development of the nuclear medicine in the Russian Federation - report of the minister of healthcare and social development, 2010. Available from: https://bio.spbu.ru/news/pdf/Yadernaya_Meditcina_29042010.pdf (Accessed: 21.11.18) (In Russian).
14. Kostilev V.A., Rizhikova O.A., Sergienko V.B. Status and perspectives of the development of the PET in Russia. Meditsinskaya fizika = Medical physics, 2015, Vol. 2, pp. 5-16. (In Russian).
15. Chipiga L.A., Zvonova I.A., Ryzhkova D.V., Menkov M.A., Dolgushin M.B. 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).
16. Martin C.J., Effective dose: how should it be applied to medical exposures? Brit. J Radiol., 2007, Vol. 80, pp. 639-647.
17. Iball G.R., Bebbington N.A., Burniston M. (et al.). A national survey of computed tomography doses in hybrid PET-CT and SPECT-CT examinations in the UK. Nucl. Med. Commun., 2017, Vol. 38, pp. 459-470.
18. Willowson K.P., Bailey E.A., Bailey D.L. A retrospective evaluation of addition dose associated with low dose FDG protocols in whole-body PET/CT. Austral. Phys. Eng. Sci., 2012, Vol. 35, №1, pp. 49-53.
19. Radiation Protection 180 pt. 2. Diagnostic Reference Levels in Thirty-six European Countries. European Commission, 2014, 73 p.
20. Avramova-Cholakova S., Ivanova S., Petrova E., Garcheva M., Vassileva J. Patient Doses from PET-CT Procedures. Radiat. Protect. Dosim., 2015, Vol. 165, №1-4, pp. 430-433.
21. Etard C., Celier D., Roch P, Aubert B. National survey of patient doses from whole-body FDG PET-CT examinations in France in 2011. Radiat. Protect. Dosim., 2012, Vol. 152, № 4, pp. 334-338.
22. International Commission on Radiological Protection. Radiation Dose to Patients from Radiopharmaceuticals: A Compendium of Current Information Related to Frequently Used Substances. ICRP Publication 128. Ann. ICRP 44(2S), 2015.
23. Chipiga L.A. Optimization of the radiation safety of the patients in PET diagnostics: abstract of a PhD thesis. St-Petersburg, 2018, 24 p. (In Russian).
24. Kodina G.E., Krasikova R.N. Methods of the production of the radiopharmaceuticals and radionuclide generators for the nuclear medicine. Moscow, 2014, 282 p. (In Russian).
25. Positron emission tomography: guidelines for the physicians. Ed. by A.M. Granov and L.A. Tutin, St-Petersburg, 2008, 368 p. (In Russian).
Review
For citations:
Minonenko O.V., Baltrukova T.B., Bashketova N.S., Gorskiy G.A., Kryukova T.V., Fedorova E.A. Hygienic requirements to the design of the positron-emission tomography centers and departments. Radiatsionnaya Gygiena = Radiation Hygiene. 2019;12(2):25-33. (In Russ.) https://doi.org/10.21514/1998-426X-2019-12-2-25-33
Views:
1154
Email this article 