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Peer-reviewedCC BY 4.0Frontiers in Public Health

Real-time occupational radiation dosimetry in anesthesiology personnel during fluoroscopy-guided interventions: a single-center descriptive and exploratory study

4 affiliations
  1. 1Radiation Physics Materials Technology and Biomedical Imaging Laboratory (ΑΚΤΥΒΑ), Department of Biomedical Engineering, University of West Attica, Egaleo
  2. 2Medical Physics, General Hospital GHA Korgialeneio Mpenakeio-Hellenic Red Cross
  3. 3Medical Physics Unit, 2nd Department of Radiology, Medical School, National and Kapodistrian University of Athens
  4. 4Αnesthesiologists’ Department, General Hospital GHA Korgialeneio Mpenakeio-Hellenic Red Cross

Abstract

Anesthesia personnel participating in fluoroscopy-guided interventions are routinely exposed to ionizing radiation; however, their occupational radiation burden remains insufficiently characterized. This single-center descriptive and exploratory study investigated occupational ionizing radiation exposure among anesthesiology personnel using real-time personal dosimetry. A total of 134 procedures across multiple interventional specialties were evaluated using the HERADO radiation management platform and ALMAR active personal dosimeters. Mean over-apron personal dose equivalent Hp(10) ranged from 0.010 ± 0.009 mSv to 0.025 ± 0.011 mSv per procedure. Descriptive differences in occupational exposure were observed across procedural categories; however, these differences should not be attributed independently to procedural category because relevant technical, geometric, shielding, and workflow factors were not fully quantified. The findings demonstrate the value of real-time personal dosimetry for procedure-level characterization of occupational exposure and may inform radiation-protection strategies in fluoroscopy-guided clinical practice.

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BibTeX
@article{axakali2026realtime,
  title = {{Real-time occupational radiation dosimetry in anesthesiology personnel during fluoroscopy-guided interventions: a single-center descriptive and exploratory study}},
  author = {T. M. Axakali and M. A. Kouri and P. Georgakis and E. Bournaki and V. Tanou and E. Kounadi and C. Michail and N. Kalyvas and I. Valais and G. Fountos},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1924968},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1924968/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Real-time occupational radiation dosimetry in anesthesiology personnel during fluoroscopy-guided interventions: a single-center descriptive and exploratory study
AU  - T. M. Axakali
AU  - M. A. Kouri
AU  - P. Georgakis
AU  - E. Bournaki
AU  - V. Tanou
AU  - E. Kounadi
AU  - C. Michail
AU  - N. Kalyvas
AU  - I. Valais
AU  - G. Fountos
PY  - 2026
DA  - 2026/10/28
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1924968
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1924968/full
AB  - Anesthesia personnel participating in fluoroscopy-guided interventions are routinely exposed to ionizing radiation; however, their occupational radiation burden remains insufficiently characterized. This single-center descriptive and exploratory study investigated occupational ionizing radiation exposure among anesthesiology personnel using real-time personal dosimetry. A total of 134 procedures across multiple interventional specialties were evaluated using the HERADO radiation management platform and ALMAR active personal dosimeters. Mean over-apron personal dose equivalent Hp(10) ranged from 0.010 ± 0.009 mSv to 0.025 ± 0.011 mSv per procedure. Descriptive differences in occupational exposure were observed across procedural categories; however, these differences should not be attributed independently to procedural category because relevant technical, geometric, shielding, and workflow factors were not fully quantified. The findings demonstrate the value of real-time personal dosimetry for procedure-level characterization of occupational exposure and may inform radiation-protection strategies in fluoroscopy-guided clinical practice.
SN  - 2296-2565
ER  -