Evaluating Radiation Exposure to Oral Tissues in C-Arm Fluoroscopy A Dose Analysis
DOI:
https://doi.org/10.22399/ijcesen.313Keywords:
C-arm Fluoroscopy, Thermoluminescent Dosimeters, Oral Mucosa, RadiationAbstract
This study investigates the radiation dose to oral mucosal tissues during C-arm fluoroscopy imaging using an Alderson Rando phantom and thermoluminescent dosimeters (TLD-100) for precise measurements. The aim is to assess the potential risks for patients and healthcare personnel exposed to ionising radiation during these procedures.
The Alderson Rando phantom, a human-equivalent model, was utilized to simulate radiation exposure in a controlled environment. TLD-100 dosimeters were strategically positioned in the 6th section of the phantom and exposed to radiation at intervals of 0.5, 1, 2, 4, and 8 minutes. The experiments were carried out at Hisar Hospital Intercontinental and the dosimeter readings were then evaluated at Çekmece Nuclear Research Centre.
The study demonstrated that the mean radiation doses affecting the internal tissue of the oral mucosa were 0.912 mSv (0.5 minutes), 1.604 mSv (1 minute), 2.719 mSv (2 minutes), 6.763 mSv (4 minutes), and 13.811 mSv (8 minutes). The mean radiation doses affecting the lip skin tissue were 1.423 mSv (0.5 minutes), 2.435 mSv (1 minute), 5.2 mSv (2 minutes), 10.195 mSv (4 minutes), and 17.404 mSv (8 minutes). Results indicate a direct relationship between radiation dose and exposure time, with increasing doses observed at longer exposure times.
This research aims to improve patient safety during C-arm scope imaging procedures by determining precise radiation dosage levels for oral mucosal tissues and addressing the lack of published reference values in the literature.
References
Tuncel, E. (2008). Klinik Radyoloji. Nobel & Güneş Tıp Kitabevleri.
Bora, H. (2001). Radyasyon güvenliği. Ankara Üniversitesi Dikimevi Sağlık Hizmetleri Meslek. 2(1), 91-98. https://doi.org/10.1501/ashd_0000000023 DOI: https://doi.org/10.1501/Ashd_0000000023
Şeker, S. S., & Çerezci, O. (1997). Çevremizdeki radyasyon ve korunma yöntemleri (1. bs.). Boğaziçi Üniversitesi Yayınları. İstanbul, Turkey: Boğaziçi Üniversitesi.
Şeker, S., & Çerezci, O. (2000). Radyasyon Kuşatması. Boğaziçi Üniversitesi Yayınevi-matbaası, İstanbul.
Çakmak, S., & Nural, N. (2020). Kemoterapi ve radyoterapi alan hastalarda oral mukozit: bir gözden geçirme. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 13(3), 185-194. DOI: https://doi.org/10.46483/deuhfed.634402
Karataşlı, M., & Tahsin, Ö. Z. E. R. (2018). İş güvenliğinde dozimetreler. İstanbul Aydın Üniversitesi Dergisi, 10(1), 15-31. DOI: https://doi.org/10.17932/IAU.IAUD.m.13091352.2018.1/37.15-31
Akkurt, I., & Boodaghi Malidarre, R. (2021). Gamma photon-neutron attenuation parameters of marble concrete by MCNPX code. Radiation Effects and Defects in Solids, 176(9-10), 906-918. DOI: https://doi.org/10.1080/10420150.2021.1975708
Akkurt, I., & Tekin, H. O. (2020). Radiological parameters for bismuth oxide glasses using phy-X/PSD software. Emerging Materials Research, 9–3, 1020–1027. https://doi.org/10.1680/jemmr.20.00209 DOI: https://doi.org/10.1680/jemmr.20.00209
Boodaghi Malidarre, R., Akkurt, İ., Gunoglu, K., Akyıldırım, H. (2021). Fast Neutrons Shielding Properties for HAP-Fe2O3 Composite Materials. International Journal of Computational and Experimental Science and Engineering, 7(3), 143-145. https://doi.org/10.22399/ijcesen.1012039 DOI: https://doi.org/10.22399/ijcesen.1012039
Celen, Y. Y., Oncul, S., Narin, B., & Gunay, O. (2023). Measuring radon concentration and investigation of it’s effects on lung cancer. Journal of Radiation Research and Applied Sciences, 16(4), 100716. DOI: https://doi.org/10.1016/j.jrras.2023.100716
Günay, O., Gündoğdu, Ö., Demir, M., Abuqbeitah, M., Yaşar, D., Aközcan, S., ... & Yarar, O. (2019). Determination of the radiation dose level in different slice computerized tomography. International Journal of Computational and Experimental Science and Engineering, 5(3), 119-123. DOI: https://doi.org/10.22399/ijcesen.595645
Günay, O., Sarihan, M., Abamor, E., & Yarar, O. (2019). Environmental radiation doses from patients undergoing Tc-99m DMSA cortical renal scintigraphy. International Journal of Computational and Experimental Science and Engineering, 5(2), 86-93 DOI: https://doi.org/10.22399/ijcesen.589267
Günay, O., Özden, S., & Pehlivanoğlu, S. A. (2023). Assessing the Topsoil Contamination of Cesium-137 Environmental Fallout in Konya, Turkey: Spatial Distribution and Analysis. Water, Air, & Soil Pollution, 234(12), 763 DOI: https://doi.org/10.1007/s11270-023-06781-z
Özden, S., Aközcan, S., & Günay, O. (2023). 137Cs in Soils from İstanbul (Turkey) Sampled 35 Years After Chernobyl. Environmental Forensics, 1-7. DOI: https://doi.org/10.1080/15275922.2023.2218299
Sen Baykal, D., Tekin, H., & Çakırlı Mutlu, R. (2021). An investigation on radiation shielding properties of borosilicate glass systems. International Journal of Computational and Experimental Science and Engineering, 7(2), 99–108. https://doi.org/10.22399/ijcesen.960151 DOI: https://doi.org/10.22399/ijcesen.960151
Tekin, H. O., Cavli, B., Altunsoy, E. E., Manici, T., Ozturk, C., & Karakas, H. M. (2018). An investigation on radiation protection and shielding properties of 16 slice computed tomography (CT) facilities. International Journal of Computational and Experimental Science and Engineering, 4–2, 37–40. https://doi.org/10.22399/ijcesen.408231 DOI: https://doi.org/10.22399/ijcesen.408231
Akkurt, İ., Uyanik, N. A., & Günoğlu, K. (2015). Radiation dose estimation: an in vitro measurement for Isparta-Turkey. International journal of computational and experimental science and engineering, 1(1), 1-4. DOI: https://doi.org/10.22399/ijcesen.194376
H. Albidhani, K. Gunoglu, and I. Akkurt, (2019), "Natural radiation measurement in some soil samples from Basra oil field, IRAQ State," International Journal of Computational and Experimental Science and Engineering, vol. 5, no. 1, pp. 48-51, Art no., doi: 10.22399/ijcesen.498695. DOI: https://doi.org/10.22399/ijcesen.498695
O. Günay, (2023), Assessment of natural radioactivity and radiological impacts in several beaches of Kadikoy, Istanbul, Journal of Radioanalytical and Nuclear Chemistry, 1(12) doi: 10.1007/s10967-023-09176-w DOI: https://doi.org/10.1007/s10967-023-09176-w
B. ORUNCAK, (2023) Computation of Neutron Coefficients for B2O3 reinforced Composite," International Journal of Computational and Experimental Science and Engineering, 9(2) 50-53, doi: https://doi.org/10.22399/ijcesen.1290497. DOI: https://doi.org/10.22399/ijcesen.1290497
Özden, S., Pehlivanoğlu, S. A., & Günay, O. (2023). Evaluation of natural radioactivity in soils of Konya (Turkey) and estimation of radiological health hazards. Environmental Monitoring and Assessment, 195(12), 1523. DOI: https://doi.org/10.1007/s10661-023-12162-0
Sengul, A., Ünalan, S., Can, S., Gunay, O., Karaçetin, D., & Sayyed, M. I. (2024). Volumetric rigid MR-CT registration for glioblastoma in radiation oncology: A Novel approach. Journal of Radiation Research and Applied Sciences, 17(1), 100798. doi: https://doi.org/10.1016/j.jrras.2023.100798. DOI: https://doi.org/10.1016/j.jrras.2023.100798
ZARKOOSHİ, A., LATIF, K. H., & Fadhil, H. A. W. I. (2021). Estimating the concentrations of natural isotopes of 238 U and 232Th and radiation dose rates for wasit province-Iraq by gr-460 system. International Journal of Computational and Experimental Science and Engineering, 7(3), 128-132. DOI: https://doi.org/10.22399/ijcesen.891935
Gul, O. V., Buyukcizmeci, N., & Basaran, H. (2023). Dosimetric evaluation of three-phase adaptive radiation therapy in head and neck cancer. Radiation Physics and Chemistry, 202, 110588, Art no., doi: 10.1016/j.radphyschem.2022.110588. DOI: https://doi.org/10.1016/j.radphyschem.2022.110588
Gul, O. V. (2024). Experimental evaluation of out-of-field dose for different high-energy electron beams and applicators used in external beam radiotherapy. Radiation Physics and Chemistry, 215, 111345. doi: https://doi.org/10.1016/j.radphyschem.2023.111345 DOI: https://doi.org/10.1016/j.radphyschem.2023.111345
Cecen, G. S. (2015). Radiation in the Orthopaedic Operating Theatre. ACTA ORTHOPAEDICA et TRAUMATOLOGICA TURCICA. https://doi.org/10.3944/aott.2015.14.0250 DOI: https://doi.org/10.3944/AOTT.2015.14.0250
Günay, O., Gündoğdu, Ö., Demir, M., İper, H. S. T., İhsan, K. U. R. U., Yaşar, D., ... & YARAR, O. (2020). Determination of absorbed radiation dose levels of lenses thyroid and oral mucosa in computed tomography imagining: Phantom Study. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 6(1), 23–27. https://doi.org/10.30934/kusbed.603335 DOI: https://doi.org/10.30934/kusbed.603335
Lee, K., Lee, K. M., Park, M. S., Lee, B., Kwon, D. G., & Chung, C. Y. (2012). Measurements of surgeons' exposure to ionizing radiation dose during intraoperative use of C-arm fluoroscopy. Spine, 37(14), 1240-1244. DOI: https://doi.org/10.1097/BRS.0b013e31824589d5
Radiation Products Design, Inc. https://www.rpdinc.com/
Başaran, H., Gül, O. V., & Gökçen, İ. N. A. N. (2022). Farklı Radyoterapi Teknikleri İle Meme Işınlamalarında Alan Dışı Dozların TLD İle Dozimetrik Olarak İncelenmesi. Akdeniz Tıp Dergisi, 8(3), 270-275. DOI: https://doi.org/10.53394/akd.1059073
Şahmaran, T., & Bayburt, M. (2020). Pozitron Emisyon Tomografi–Bilgisayar Tomografi (PET-BT) uygulamalarında hastanın aldığı radyasyon dozunun belirlenmesi. Kafkas Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 13(1), 58-63.
Günay, O., & Demir, M. (2019). Bilgisayarlı Tomografi Çekimlerinde Hastanın Yakın Çevresinde Radyasyon Dozu Ölçümleri. Süleyman Demirel Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 23(3), 792-796. DOI: https://doi.org/10.19113/sdufenbed.544773
Lee, S. Y., Min, E., Bae, J., Chung, C. Y., Lee, K. M., Kwon, S.-S., … Lee, K. (2013). Types and Arrangement of Thyroid Shields to Reduce Exposure of Surgeons to Ionizing Radiation During Intraoperative Use of C-arm Fluoroscopy. Spine, 38(24), 2108–2112. doi:10.1097/brs.0b013e3182a8270d DOI: https://doi.org/10.1097/BRS.0b013e3182a8270d
Zimmermann, T., & Nagappan, N. (2008). Predicting defects using network analysis on dependency graphs. Proceedings of the 13th International Conference on Software Engineering - ICSE ’08. doi:10.1145/1368088.1368161 DOI: https://doi.org/10.1145/1368088.1368161
Gökharman, D. F., Aydın, S., & Koşar, P. N. (2016). Radyasyon Güvenliğinde Mesleki Olarak Bilmemiz Gerekenler. SDÜ SAĞLIK BİLİMLERİ DERGİSİ, 7(2), 35–35. https://doi.org/10.22312/sdusbed.261237 DOI: https://doi.org/10.22312/sdusbed.261237
Dönmez, S. (2017). Radiation detection and measurement. Nuclear Medicine Seminars, 3(3), 172–177. https://doi.org/10.4274/nts.2017.018 DOI: https://doi.org/10.4274/nts.2017.018
Frane, N., & Bitterman, A. (2020). Radiation safety and protection. StatPearls Publishing.
National Research Council (US) Committee on the Biological Effects of Ionizing Radiation (BEIR V). (1990). Health Effects of Exposure to Low Levels of Ionizing Radiation: Beir V. Washington, DC: National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK218704/ (Original work published 1990). doi:10.17226/1224 DOI: https://doi.org/10.17226/1224
Iyer, R., & Lehnert, B. E. (2000). Effects of Ionizing Radiation in Targeted and Nontargeted Cells. Archives of Biochemistry and Biophysics, 376(1), 14–25. doi:10.1006/abbi.1999.1684 DOI: https://doi.org/10.1006/abbi.1999.1684
Otmani, N. (2007). Oral and maxillofacial side effects of radiation therapy on children. Journal of the Canadian Dental Association, 73(3)
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