Safety guidelines for radiolocalised sentinel node resection.
BACKGROUND
Sentinel node radiolocalisation procedures are associated with low levels of radiation exposure. Radioactive material is present in the operating theatre and pathology laboratory. In most hospitals there are no official regulations in place for sentinel node radiation exposure.


OBJECTIVE
To establish guidelines on the safety of sentinel node mapping with emphasis on the management of radioisotopes.


METHODS
The current literature regarding sentinel node procedures and radiation safety was reviewed. EU and US radiation safety regulations were scrutinised.


RESULTS
Personnel involved in sentinel node procedures are exposed to low levels of radiation. These levels are not high enough to require designated radiation workers in the theatre and pathology laboratory. Awareness of radiation safety and certain precautions during the procedure and processing of the specimen can further reduce levels of exposure.


CONCLUSIONS
Although low levels of radiation exposure are associated with sentinel node procedures, awareness of radiation safety and adherence to regulations, along with close interdepartmental co-operation, are recommended for further reduction in radiation exposure and safe application of this technique.
Nugent
N
N
University Department of Surgery, St Vincent's University Hospital, Dublin, Ireland.
Hill
A D
AD
Casey
M
M
Kelly
L
L
Dijkstra
B
B
Collins
C D
CD
McDermott
E W
EW
O'Higgins
N
N
D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D016273:Occupational Exposure; D010337:Pathology Department, Hospital; D011835:Radiation Protection; D019275:Radiopharmaceuticals; D021701:Sentinel Lymph Node Biopsy; D013503:Surgery Department, Hospital; D013668:Technetium Tc 99m Aggregated Albumin
D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin