Abstract: To evaluate the radiation dose to personnel locations during simulated head and limb scans with a novel equine standing CT (sCT) system. Methods: Measurements were made with the use of a helical fan beam sCT system (Equina; Asto CT Inc). Scatter radiation was measured in different positions in the sCT room to mimic the location of the control operator, horse handler, and lead rope handler during simulated equine head and limb imaging. Operator/handler dose was quantified at each location using entrance air kerma measured with a spherical ionization chamber and electrometer. Results: Radiation dose to the control operator, horse handler, and lead rope handler locations wearing a lead apron during simulated head imaging was 13.3, 3.5, and 6.8 µGy, respectively. Radiation dose to the control operator location wearing a lead apron was 1.3 µGy, and dose to the lead rope handler location wearing a lead apron was 0.2 and 5.4 µGy during simulated pelvic limb and thoracic limb imaging, respectively. Conclusions: With the more widespread clinical use of equine sCT units in clinical practice, there is concern for increased risk of radiation exposure to personnel who stay in the sCT room during scanning. The control operator location had the highest dose during simulated head imaging, and the lead rope handler location in thoracic limb sCT had the highest dose during simulated limb imaging. Limiting the number of personnel in the sCT room, rotating personnel between handler positions, increasing operator distance from the scanner, and using lead shields and eyeglasses are recommended. Conclusions: Our findings suggest that scanning large numbers of horses per year with the Asto CT Equina would not lead to occupational radiation exposure above the recommended safe threshold for handlers using lead shields and eyeglasses.
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Overview
This study measured radiation exposure to veterinary personnel during simulated equine head and limb scans using a novel standing computed tomography (CT) system designed for horses.
The research aimed to determine whether radiation doses remained safe for operators and handlers when using lead shielding.
Introduction and Purpose
The use of standing CT (sCT) for equine imaging is increasing in clinical practice due to its diagnostic benefits.
However, radiation exposure to personnel who remain in the CT room during scanning is a safety concern.
This study sought to quantify radiation doses at typical personnel positions during simulated equine head and limb sCT scans to evaluate potential occupational risks.
Positions mimicked in the study included the control operator, horse handler, and lead rope handler.
Methodology
Radiation measurements were taken using an Equina helical fan beam sCT system (Asto CT Inc), specifically designed for standing horses.
Scatter radiation was measured at various locations corresponding to where personnel would stand during imaging of the equine head and limbs.
Entrance air kerma (a measure of radiation energy delivered per unit mass of air) was used to quantify dose using a spherical ionization chamber and electrometer.
Personnel were assumed to be wearing protective lead aprons and lead eyeglasses during measurements to simulate actual safety protocols.
Results
For simulated head scans with lead aprons:
Control operator location received 13.3 µGy (microroentgen equivalent doses)
Horse handler location received 3.5 µGy
Lead rope handler location received 6.8 µGy
For simulated limb scans with lead aprons:
Control operator received 1.3 µGy during both pelvic and thoracic limb imaging
Lead rope handler received 0.2 µGy during pelvic limb imaging and 5.4 µGy during thoracic limb imaging
The highest radiation doses were noted at the control operator position during head scans and at the lead rope handler position during thoracic limb scans.
Interpretations and Recommendations
The measured radiation doses to personnel were low and below recommended occupational exposure limits when using lead shielding and eyeglasses.
To further reduce exposure, the study recommends:
Limiting the number of personnel inside the sCT room during scans.
Rotating personnel between handler positions to distribute dose evenly.
Increasing the distance of operators from the scanner where possible.
Consistent use of lead shields and leaded eyeglasses for all personnel in the room.
Conclusion
This study supports that the novel Equina standing CT system delivers radiation doses to personnel within safe occupational exposure limits when appropriate protective measures are taken.
Thus, scanning a large number of horses annually using this system is unlikely to result in harmful radiation doses to veterinary staff.
These findings are important for ensuring safety protocols in equine veterinary practices using this technology.
Cite This Article
APA
Veitch KE, Szczykutowicz TP, Brounts SH, Ergun DL, Muir P, Loeber SJ.
(2024).
Radiation exposure during simulated equine head and limb fan beam standing computed tomography appears safe for personnel using lead shielding.
J Am Vet Med Assoc, 263(1), 63-70.
https://doi.org/10.2460/javma.24.06.0424