Radiation exposure to the personnel in the operating room and in the pathology due to SLN detection with Tc-99m-nanocolloid in breast cancer patients

Aim of this study was to assess the radiation exposure for the personnel in the operating room and in the pathology laboratories caused by radioguided SLN localization in breast cancer. Methods: In 15 patients dose rates were measured at various distances from the breast and tumor specimens during o peration and pathological work-up at 3-5 h after peritumoral injection of 3 0 MBq Tc-99m-nonocolloid. Results: The dose rates were 84.1 +/- 46.4 mu Gy/ h at 2.5 cm, 3.57 +/- 2.14 mu GY/h at 30 cm, 0.87 +/- 0.51 mu Gy/h at 100 c m, and 0.40 +/- 0.20 mu Gy/h at 150 cm in the operating room and 44.4 +/- 2 7.8 mu Gy/h at 2.5 cm, and 1.66 +/- 1.34 mu Gy/h at 30 cm in the pathology laboratories. From these data the radiation exposure was calculated for 250 operations per year assuming a mean exposure time of 30 min for the surgic al team members and of 10 min for the pathology staff. Under these conditio ns the finger dose is 10.5 mGy for the surgeon, and 5.55 mGy for the pathol ogist. The whole-body doses are 0.45 mSv, 0.11 mSv, 0.05 mSv, and 0.21 mSv for the surgeon, the operating room nurse, the anesthetist, and the patholo gist, respectively. Conclusion: Since the radiation risk to staff members i s low, a classification of the personnel in the operating room and in the p athology laboratories as occupational radiation exposed workers is not nece ssary.