Exposure of surgical staff in surgical probe applications in radioguided parathyroidectomy

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

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, vol.265, no.12, pp.1545-1548, 2008 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 265 Issue: 12
  • Publication Date: 2008
  • Doi Number: 10.1007/s00405-008-0716-7
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1545-1548
  • Keywords: Radioguided parathyroidectomy, Tc-99m MIBI, Gamma probe, Radiation exposure, MINIMALLY INVASIVE PARATHYROIDECTOMY, GAMMA-PROBE, LOCALIZATION, SURGERY, TC-99M-SESTAMIBI, ULTRASOUND, SCAN
  • Dokuz Eylül University Affiliated: Yes


The aim of this study is to calculate the exposure of surgical staff during radioguided parathyroidectomy. Two parathyroidectomy operations on patients with parathyroid adenoma were selected. Fifty-centimeter spaced circles were drawn surrounding the operation bed on the floor of the operation room. During the operation, radiation dose was measured according to the drawn circles at distances of 50-200 cm from the side of patient's head, bilateral neck and abdomen while the patient lied on the operation bed. All the operations were recorded throughout with a video camera. Three physicians watched all records. The time spent at each distance for every staff during the operation was recorded. Whole body dose to senior surgeon was calculated as 8.78-11.00 mu Sv which means that a senior surgeon can perform 91-114 procedures per year to reach the annual International Commission on Radiological Protection (ICRP) radiation dose limit for a member of the public. We concluded that radiation risk to the surgical staff is low from radioguided parathyroidectomy.