Q: Radiation safety of the
accompanying family members or other
hospital workers?
A: (林昆儒醫師)
Generally speaking, the radiation exposure
to the family or other hospital workers is
much less than workers in the nuclear
medicine department (i.e. less than 100
exposures per year.) Accordingly, the
exposure dose should be less than 1mSv per
year, which is negligible.However, as the
case in mobile phones: though there is no
evidence that it is harmful, it is suggested
to keep the talks as short as possible. In
the same way, it is suggested to drink more
water to excrete the radionuclides out of
the body, to avoid contacts with infants for
extended periods of time. These suggestions
are not mandatory, and there is no known
dangers to others if violating these
measures. There was no regulatory
requirements for patients receiving
diagnostic nuclear medicine procedures
thoruought the world, because these patients
pose no danger to others.
As the technology advances, there are now
radiation detection devices at airports,
crematories, and radiation oncology
departments in the hospital, to prevent
terroristic attacks or to detect radioactive
steels. These detectors may give off alarms
if patients just receiving nuclear medicine
procedures walk through it. Telling the
guards that the patient just having nuclear
medicine procedures should clarify the
situation.
Q: The
radiation dose of nuclear medicine
procedures?
A: (林昆儒醫師)
The radiation dose from the PET scan is
about 5-10 mSv. To better localize the
lesions and provide attenuation correction,
CT is utilized, and the total dose from
PET/CT is 23.7~26.4 mSv. The radiation dose
from the CT part is 54~81% of the total
dose. If using low-dose CT protocol, the CT
dose can be as low as less than 5 mSv, and
the total dose will be between 6.35~9.48
mSv.As for other diagnostic nuclear medicine
procedures, the radiation dose is mostly
below 5 mSv. The doses from thallium scan
and gallium scan are higher, 20 mSv and 30
mSv respectively.
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