Study of the parameters affecting operator doses in interventional radiology using Monte Carlo simulations

Measurements performed within the ORAMED project helped to evaluate the dose levels to the operators’ hands, wrists, legs and eye lenses, during several types of interventional radiology (IR) and cardiology (IC) procedures, and also to determine the parameters that affect the doses. However, the study of the effect of each parameter separately, was possible only through Monte Carlo (MC) simulations, as in clinical practice many of those parameters change simultaneously. The influence of the protective equipment, the beam projections, the beam quality, the field size and the position of the operator according to the position of access of the catheter was investigated, using anthropomorphic phantoms in setups that represent realistic IR/IC procedures. The proper use of protective shields was found to be the most important way of reducing extremity and eye lens exposure during such examinations. Ceiling suspended shields can reduce the doses to the eye lenses up to 97%, but they can also reduce hand doses about 70% when placed correctly. The highest exposure to the operator is observed for left anterior oblique (LAO) and cranial projections. Additionally, for overcouch irradiations the eyes and the hands are about 6 times more exposed compared to the cases where the tube is below the operating table. For the lateral LAO projection, placing the ceiling suspended shield at the left side of the operator is twice more effective for the protection of the eyes compared to the cases where it is placed above the patient. Finally, beam collimation was found to play an important role in the reduction of the hands and wrists doses, especially when the operator is close to the irradiation field.