Precautions for certain categories of individuals in contact with a patient after radionuclide therapy

Patients undergoing radionuclide therapy with radiopharmaceuticals may become a radiation source of external exposure. Release of the patients requires strict abidance of radiation safety regulations to minimize exposure to individuals in contact with patient, especially children and pregnant women....

Full description

Saved in:
Bibliographic Details
Main Authors: L. A. Chipiga, A. V. Likhacheva, I. A. Zvonova, A. V. Vodovatov, O. Yu. Toskin, A. A. Sapelnikov, K. S. Velichkina, A. S. Terenteva, A. A. Stanzhevsky
Format: Article
Language:English
Published: Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev 2025-04-01
Series:Радиационная гигиена
Subjects:
Online Access:https://www.radhyg.ru/jour/article/view/1110
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849340628774682624
author L. A. Chipiga
A. V. Likhacheva
I. A. Zvonova
A. V. Vodovatov
O. Yu. Toskin
A. A. Sapelnikov
K. S. Velichkina
A. S. Terenteva
A. A. Stanzhevsky
author_facet L. A. Chipiga
A. V. Likhacheva
I. A. Zvonova
A. V. Vodovatov
O. Yu. Toskin
A. A. Sapelnikov
K. S. Velichkina
A. S. Terenteva
A. A. Stanzhevsky
author_sort L. A. Chipiga
collection DOAJ
description Patients undergoing radionuclide therapy with radiopharmaceuticals may become a radiation source of external exposure. Release of the patients requires strict abidance of radiation safety regulations to minimize exposure to individuals in contact with patient, especially children and pregnant women.   The purpose of the current study was to determine precautions for patients after radionuclide therapy to limit the contact time with others and to develop guidelines to reduce doses to individuals in contact with patient.   Two cases were considered for analysis: contact with young children and co-sleeping with partners. Determination of the necessary time limitations was performed using open-assessed publications and Monte Carlo calculations at different distances from the patient. The results showed that radionuclide therapy with 225Ac, 223Ra, 89Sr, and 90Y would not exceed the limit of 0.3 mSv to individuals in contact with patient after radionuclide therapy, even in the case of no precautions. However, for patients with 131I, 177Lu and 153Sm, precautions to limit the time of close contact with children and co-sleeping with partners are required. The suggested precautions ensure the radiation safety of individuals in contact with the patient after radionuclide therapy by limiting the exposure limits and allow patients to maintain social contacts, which is important for their rehabilitation.
format Article
id doaj-art-d8a83efba5dc454f8b6e1525532ef5b0
institution Kabale University
issn 1998-426X
language English
publishDate 2025-04-01
publisher Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev
record_format Article
series Радиационная гигиена
spelling doaj-art-d8a83efba5dc454f8b6e1525532ef5b02025-08-20T03:43:51ZengSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. RamzaevРадиационная гигиена1998-426X2025-04-01181596910.21514/1998-426X-2025-18-1-59-69893Precautions for certain categories of individuals in contact with a patient after radionuclide therapyL. A. Chipiga0A. V. Likhacheva1I. A. Zvonova2A. V. Vodovatov3O. Yu. Toskin4A. A. Sapelnikov5K. S. Velichkina6A. S. Terenteva7A. A. Stanzhevsky8Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; 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 Wellbeing; 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 WellbeingSaint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; Saint Petersburg State Pediatric Medical UniversityEuropean Medical CenterEuropean Medical CenterTechnical Scientific Centre for Safety Assessment of RM PackagesTechnical Scientific Centre for Safety Assessment of RM PackagesA. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian FederationPatients undergoing radionuclide therapy with radiopharmaceuticals may become a radiation source of external exposure. Release of the patients requires strict abidance of radiation safety regulations to minimize exposure to individuals in contact with patient, especially children and pregnant women.   The purpose of the current study was to determine precautions for patients after radionuclide therapy to limit the contact time with others and to develop guidelines to reduce doses to individuals in contact with patient.   Two cases were considered for analysis: contact with young children and co-sleeping with partners. Determination of the necessary time limitations was performed using open-assessed publications and Monte Carlo calculations at different distances from the patient. The results showed that radionuclide therapy with 225Ac, 223Ra, 89Sr, and 90Y would not exceed the limit of 0.3 mSv to individuals in contact with patient after radionuclide therapy, even in the case of no precautions. However, for patients with 131I, 177Lu and 153Sm, precautions to limit the time of close contact with children and co-sleeping with partners are required. The suggested precautions ensure the radiation safety of individuals in contact with the patient after radionuclide therapy by limiting the exposure limits and allow patients to maintain social contacts, which is important for their rehabilitation.https://www.radhyg.ru/jour/article/view/1110nuclear medicineradionuclide therapyradiopharmaceuticalpatient release criteriaradiation safety
spellingShingle L. A. Chipiga
A. V. Likhacheva
I. A. Zvonova
A. V. Vodovatov
O. Yu. Toskin
A. A. Sapelnikov
K. S. Velichkina
A. S. Terenteva
A. A. Stanzhevsky
Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
Радиационная гигиена
nuclear medicine
radionuclide therapy
radiopharmaceutical
patient release criteria
radiation safety
title Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
title_full Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
title_fullStr Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
title_full_unstemmed Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
title_short Precautions for certain categories of individuals in contact with a patient after radionuclide therapy
title_sort precautions for certain categories of individuals in contact with a patient after radionuclide therapy
topic nuclear medicine
radionuclide therapy
radiopharmaceutical
patient release criteria
radiation safety
url https://www.radhyg.ru/jour/article/view/1110
work_keys_str_mv AT lachipiga precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT avlikhacheva precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT iazvonova precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT avvodovatov precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT oyutoskin precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT aasapelnikov precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT ksvelichkina precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT asterenteva precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy
AT aastanzhevsky precautionsforcertaincategoriesofindividualsincontactwithapatientafterradionuclidetherapy