Exposure of Surgical Staff to Radiation During Surgical Probe Applications in Breast Cancer

BEKİŞ R., Celik P., Uysal B., KOÇDOR M. A., Sevinc A., Saydam S., ...More

JOURNAL OF BREAST CANCER, vol.12, no.1, pp.25-29, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 1
  • Publication Date: 2009
  • Doi Number: 10.4048/jbc.2009.12.1.27
  • Journal Name: JOURNAL OF BREAST CANCER
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.25-29
  • Keywords: Breast carcinoma, Gamma probe, Radiation exposure, Sentinel lymph node, Tc-99m nanocolloid, SENTINEL, PROTECTION, BIOPSY
  • Dokuz Eylül University Affiliated: Yes

Abstract

Purpose: The aim of study was to determine the level of the radiation exposure of surgical staff during surgical probe applications in breast cancer. Methods: Three operations of a sentinel lymph node biopsy were randomly selected. Spaced circles (50 cm apart) were drawn surrounding the operation bed on the floor. Tc-99m nanocolloid was injected peritumorally, and intradermally into a patient. The radiation dose was measured with a GeigerMueller counter placed according to the drawn circles at distances of 50-200 cm from the side of patient's head and bilateral chest while the patient lay on the operation bed. All of the surgical procedures were recorded with a video camera and were monitored. Results: The whole body dose to the senior surgeon was calculated as 2.00-4.70 mu Sv which means that a senior surgeon can perform 212-500 procedures per year to reach the annual International Commission on Radiological Protection radiation dose limit for a member of the public. Conclusion: We concluded that radiation risk to the surgical staff is low from sentinel node detection with the use of radiocolloids.