Justification of differential approach to management of patient biological waste in nuclear medicine departments
The development of nuclear medicine technologies in the Russian Federation contributes to the implementation of new diagnostic radiopharmaceuticals in practice. Theranostic pairs such as antibodies and peptides labeled diagnostic and therapeutic radionuclides are beginning to be commonly used. The u...
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| Language: | English |
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Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev
2023-01-01
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| Series: | Радиационная гигиена |
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| Online Access: | https://www.radhyg.ru/jour/article/view/909 |
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| author | L. A. Chipiga A. V. Vodovatov A. V. Petryakova I. A. Zvonova A. A. Stanzhevsky D. N. Maistrenko D. A. Vazhenina D. S. Sysoev |
| author_facet | L. A. Chipiga A. V. Vodovatov A. V. Petryakova I. A. Zvonova A. A. Stanzhevsky D. N. Maistrenko D. A. Vazhenina D. S. Sysoev |
| author_sort | L. A. Chipiga |
| collection | DOAJ |
| description | The development of nuclear medicine technologies in the Russian Federation contributes to the implementation of new diagnostic radiopharmaceuticals in practice. Theranostic pairs such as antibodies and peptides labeled diagnostic and therapeutic radionuclides are beginning to be commonly used. The use of radionuclides with a longer half-life in radionuclide diagnostics causes the updating of the approaches to management of liquid waste generated as a result of the patient’s metabolic activity during the time spent in the radionuclide diagnostics department. Management of liquid radioactive waste in radionuclide diagnostic department is regulated by guidelines MU 2.6.1.1892-04. The guidelines are not the regulatory document. These were developed about 20 years ago, and do not considering features of the modern methods in radionuclide diagnostics, promising radionuclides with half-life of several days, and new criteria for classifying as a radionuclide waste in accordance with Resolution of the Government of the Russian Federation No. 1069. The aim of the study was the assessment of the radionuclide activities excreted from patient after radiopharmaceutical injection in radionuclide diagnostics departments in order to define the waste management pathways. In a result, all diagnostic and therapeutic radiopharmaceuticals were divided into the categories: radiopharmaceuticals with ultrashort-lived radionuclides, which can be discharged into the hospital sewerage without any restrictions; radiopharmaceuticals with 131I, which need the special sewerage; the other radiopharmaceuticals, which need to assess the volume of discharged radionuclide activities during the projection of the nuclear medicine department. The method of assessment of the radionuclide activities entering the hospital sewerage is presented. |
| format | Article |
| id | doaj-art-a3f628a041df49feb02830a14c529e83 |
| institution | Kabale University |
| issn | 1998-426X |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev |
| record_format | Article |
| series | Радиационная гигиена |
| spelling | doaj-art-a3f628a041df49feb02830a14c529e832025-08-20T03:43:50ZengSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. RamzaevРадиационная гигиена1998-426X2023-01-01154344410.21514/1998-426X-2022-15-4-34-44768Justification of differential approach to management of patient biological waste in nuclear medicine departmentsL. A. Chipiga0A. V. Vodovatov1A. V. Petryakova2I. A. Zvonova3A. A. Stanzhevsky4D. N. Maistrenko5D. A. Vazhenina6D. S. Sysoev7Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; A. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian Federation; Almazov National Medical Research Centre of the Ministry of Health of the Russian FederationSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; Saint-Petersburg State Pediatric Medical UniversitySaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; The City Hospital No 40 of the Kurortny DistrictSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingA. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian FederationA. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian FederationA. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian FederationA. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian FederationThe development of nuclear medicine technologies in the Russian Federation contributes to the implementation of new diagnostic radiopharmaceuticals in practice. Theranostic pairs such as antibodies and peptides labeled diagnostic and therapeutic radionuclides are beginning to be commonly used. The use of radionuclides with a longer half-life in radionuclide diagnostics causes the updating of the approaches to management of liquid waste generated as a result of the patient’s metabolic activity during the time spent in the radionuclide diagnostics department. Management of liquid radioactive waste in radionuclide diagnostic department is regulated by guidelines MU 2.6.1.1892-04. The guidelines are not the regulatory document. These were developed about 20 years ago, and do not considering features of the modern methods in radionuclide diagnostics, promising radionuclides with half-life of several days, and new criteria for classifying as a radionuclide waste in accordance with Resolution of the Government of the Russian Federation No. 1069. The aim of the study was the assessment of the radionuclide activities excreted from patient after radiopharmaceutical injection in radionuclide diagnostics departments in order to define the waste management pathways. In a result, all diagnostic and therapeutic radiopharmaceuticals were divided into the categories: radiopharmaceuticals with ultrashort-lived radionuclides, which can be discharged into the hospital sewerage without any restrictions; radiopharmaceuticals with 131I, which need the special sewerage; the other radiopharmaceuticals, which need to assess the volume of discharged radionuclide activities during the projection of the nuclear medicine department. The method of assessment of the radionuclide activities entering the hospital sewerage is presented.https://www.radhyg.ru/jour/article/view/909radionuclide diagnosticsradionuclide therapyradiopharmaceuticalliquid radioactive waste |
| spellingShingle | L. A. Chipiga A. V. Vodovatov A. V. Petryakova I. A. Zvonova A. A. Stanzhevsky D. N. Maistrenko D. A. Vazhenina D. S. Sysoev Justification of differential approach to management of patient biological waste in nuclear medicine departments Радиационная гигиена radionuclide diagnostics radionuclide therapy radiopharmaceutical liquid radioactive waste |
| title | Justification of differential approach to management of patient biological waste in nuclear medicine departments |
| title_full | Justification of differential approach to management of patient biological waste in nuclear medicine departments |
| title_fullStr | Justification of differential approach to management of patient biological waste in nuclear medicine departments |
| title_full_unstemmed | Justification of differential approach to management of patient biological waste in nuclear medicine departments |
| title_short | Justification of differential approach to management of patient biological waste in nuclear medicine departments |
| title_sort | justification of differential approach to management of patient biological waste in nuclear medicine departments |
| topic | radionuclide diagnostics radionuclide therapy radiopharmaceutical liquid radioactive waste |
| url | https://www.radhyg.ru/jour/article/view/909 |
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