Occupational radiation exposure during endoscopic retrograde cholangiopancreatography and usefulness of radiation protective curtains

Abstract

Objective. To evaluate the effectiveness of radiation protective curtains in reducing the occupational radiation exposure of medical personnel. Methods. We studied medical staff members who had assisted in 80 consecutive therapeutic endoscopic retrograde cholangiopancreatography (ERCP) procedures. Use of radiation protective curtains mounted to the X-ray tube was determined randomly for each procedure, and radiation doses were measured with electronic pocket dosimeters placed outside the protective apron. Results. When protective curtains were not used, the mean radiation doses to endoscopists, first assistants, second assistants, and nurses were 340.9, 27.5, 45.3, and 33.1 μSv, respectively; doses decreased to 42.6, 4.2, 13.1, and 10.6 μSv, respectively, when protective curtains were used (P<0.01). When the patient had to be restrained during ERCP (n=8), the radiation dose to second assistants without protective curtains increased by a factor of 9.95 (P<0.01) relative to cases in which restraint was not required. Conclusions. During ERCP, not only endoscopists, but also assistants and nurses were exposed to high doses of radiation. Radiation exposure to staff members during ERCP was reduced with the use of protective curtains.