title: [Radiation exposure of surgical staff during sentinel node surgery. Is there a risk for the surgeon and his team?].
abstract: OBJECTIVE
  Assess the radiation exposure of surgical staff during sentinel node surgery in gynecology using a radiotracer, the (99m)Tc-microalbumin.
  
  
  METHODS
  A monocentric, prospective study was conducted during 3 months representing 40 sentinel node surgical procedures with different dosimetric measurements. Dosimeters were used to evaluate the whole body and the fingers radiation exposure for all exposed workers (surgeon, nurse and surgical assistant). Another dosimeter was used to estimate the atmospheric radiation level. The activity of (99m)Tc-microalbumin was 50.1±2.4MBq when the surgery was performed the same day and 90.4±3.2MBq when the surgery was performed the day after.
  
  
  RESULTS
  Radioactive doses received during each procedure by the surgeon, surgical assistant and nurse are 5, 3.75 and 0μSv for whole body exposure and 17.5, 15.6 and 16.2μSv for extremities respectively. Atmosphere dosimeter does not detect any radiation over this period. On average, 200 procedures are performed each year in our hospital by 7 surgeons. Surgeon's radiation exposure remains below the threshold of 1mSv annual for whole body and 50mSv annual for fingers set for public by the International Commission on Radiological Protection.
  
  
  CONCLUSIONS
  During sentinel node surgery radiation exposure of surgical staff is weak. Everyone, including the surgeon, receives a dose below the limits of the public radiation exposure. There is no need for special dosimetric monitoring or use radiation protective devices during the sentinel node surgery using (99m)Tc-microalbumin injection.
authors.affiliation: Service de médecine nucléaire, hôpital Bretonneau, CHRU-hôpitaux de Tours, 2, boulevard Tonnelé, 37000 Tours, France. Electronic address: matthieu.bailly@orange.fr.
authors.forename: M
authors.initials: M
authors.lastname: Bailly
authors.affiliation: Service de médecine nucléaire, hôpital Bretonneau, CHRU-hôpitaux de Tours, 2, boulevard Tonnelé, 37000 Tours, France; Service compétent en radioprotection, hôpital Bretonneau, CHRU-hôpitaux de Tours, 2, boulevard Tonnelé, 37000 Tours, France.
authors.forename: A
authors.initials: A
authors.lastname: Zinsius
authors.affiliation: Service compétent en radioprotection, hôpital Bretonneau, CHRU-hôpitaux de Tours, 2, boulevard Tonnelé, 37000 Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Maia
authors.affiliation: Service de médecine nucléaire, hôpital Bretonneau, CHRU-hôpitaux de Tours, 2, boulevard Tonnelé, 37000 Tours, France.
authors.forename: M-J
authors.initials: MJ
authors.lastname: Santiago Ribeiro
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006282:Health Personnel; D006801:Humans; D008198:Lymph Nodes; D016273:Occupational Exposure; D011446:Prospective Studies; D011874:Radiometry; D019275:Radiopharmaceuticals / Q000009:adverse effects*; D012307:Risk Factors; D021701:Sentinel Lymph Node Biopsy / Q000379:methods*; D066231:Surgeons; D013668:Technetium Tc 99m Aggregated Albumin / Q000009:adverse effects*
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin
keywords: Dosimeter; Dosimètre; Ganglion sentinelle; Irradiation du personnel; Nanocoll; Radiation exposure; Radioprotection; Sentinel node
vernacular_title: Évaluation de l'irradiation du personnel de chirurgie gynécologique lors de la recherche du ganglion sentinelle. Y a-t-il un risque pour le chirurgien et son équipe ?