Radiation exposure of surgical staff during sentinel node surgery. Is there a risk for the surgeon and his team?

Objective. - Assess the radiation exposure of surgical staff during sentinel node surgery in gynecology using a radiotracer, the Tc-99m-microalbumin. Materials and 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 99mTc-microalbumin was 50.1 +/- 2.4 MBq when the surgery was performed the same day and 90.4 +/- 3.2 MBq 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 0 mu Sv for whole body exposure and 17.5, 15.6 and 16.2 mu Sv 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 1 mSv annual for whole body and 50 mSv annual for fingers set for public by the International Commission on Radiological Protection. Discussion and 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 Tc-99m-microalbumin injection. (C) 2014 Elsevier Masson SAS. All rights reserved.