Extremity dosimetry for exposed workers in positron emission tomography in Bosnia and Herzegovina.

Occupational exposure in Bosnia and Herzegovina is regulated by the national regulation on radiation protection for occupational and public exposure. All radiation workers are required to be monitored using whole body passive thermoluminescent dosemeters and, in case of non-uniform external exposures, by dosemeters that would indicate dose to the most affected body parts. Exposed workers are almost exclusively employed in the medical field, and some of them work in nuclear medicine departments where they handle unsealed radioactive sources. Introduction of the positron emission tomography-computed tomography (PET-CT) in two largest clinical centers in the country was expected to cause the increase of equivalent doses to hands received by staff handling the positron emitting radionuclides. Hence, routine monitoring of finger doses became a necessity. The purpose of this study was to evaluate the available data on monitoring with ring dosemeters during PET-CT procedure in two hospitals in Bosnia and Herzegovina and compare them with other practices in the nuclear medicine department, as well as with the results of monitoring in other countries. In general, results confirm that effective doses, as well as equivalent doses to hands, are well below annual dose limits. Finger dosemeters have been proven to be an invaluable asset in the incidental situations that sometimes occur in nuclear medicine departments. Different number of patients and differences in injection methodologies are identified as a possible source of differences between doses in two hospitals. Overall, routine evaluation of doses to hands provides a sound basis for possible optimization processes, as well as confirmation of good practices.

ESTIMATION OF AIRBORNE 106RU ACTIVITY CONCENTRATION FROM TOTAL BETA ACTIVITY OF PM10 PARTICLE FRACTIONS.

Airborne radioruthenium, as a result of an accidental release, presents a risk for occupational and public exposure. In fall 2017, a detection of 106Ru was reported by the European atmospheric radioactive contamination monitoring networks. We investigated the daily specific total beta activity of PM10 particle fractions samples. The presented method enables indirect determination of airborne 106Ru activity concentration from total beta activity, in case 106Ru was confirmed as single excess radiological pollutant. This allows for daily measurements and time-resolved 106Ru activity concentration data. We estimated the indicative committed effective dose due to 106Ru inhalation for the Croatian population during the exposure period. Although the estimated dose value of ~169.7 nSv, for ~6-d duration of ruthenium air pollution, was very low, it was ~40 times higher than the value for Hinh from inhalation of other radionuclides (90Sr + 137Cs + 40K + 7Be).

Importance of quality assurance program implementation in conventional diagnostic radiology.

Diagnostic radiology's basic task is to provide high quality diagnostic image information about anatomic detail or ongoing physiological process within patient's body, where such information can not be provided using alternative diagnostic method which excludes the use of ionizing radiation. Ensuring adequate clinical diagnostic information together with the least possible exposure of the patient to radiation (As Low As Reasonably Achievable--ALARA principle) at the lowest costs is quality assurance (QA) program's main goal--optimization of radiological practice. Implementation of QA program does not mean just meeting legal requirements regarding quality control (QC) of X-ray and associated equipment and areas where they are installed but also implies optimum use of equipment, human and material resources inspected trough film rejection analysis and monitoring of patient doses received in particular radiological diagnostic examinations. In Republic of Croatia QA program in diagnostic radiology has not been yet systematically implemented in any medical institution. Except for legally bounded QC of X-ray equipment, other aspects of QA program are not conducted due to many reasons such as lack of educated staff and adequate measuring equipment, absence of obligatory legal acts, poor financial situation in Croatian health care system and many others. Implementation of QA program in diagnostic radiology departments of Croatian medical institutions is an imperative in order to harmonize the good practice with other countries in EU.