Safety Concerns for Pregnant Researchers in Radiation Oncology - Radiology

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Linear accelerator


Dear Dr.
Yang,
I am currently working as a research assistant at Cheng Kung University Hospital, where my job involves simulating the survival rates of human cells after exposure to radiation.
On average, I take the cells to the radiation therapy department once a week to be irradiated with doses ranging from 2 to 8 Gy (if there are more cells, I irradiate them 2 to 3 times).
As far as I know, the equipment used for irradiation is a linear accelerator.

Since I am planning to become pregnant, I have been very concerned about this situation, and I am unable to borrow a lead apron.
Although the radiation technologist has asked me to stay in a staff room while the irradiation is taking place, I am unsure if this provides absolute safety.
Is it safe to be there even if I become pregnant? If I do become pregnant in the future, will this work affect the baby?
Additionally, after each irradiation session, I need to immediately enter the radiation room to handle the cells without any protective gear.
Is there a risk of radiation scatter and danger when entering the room right after irradiation? Is it safe to handle the cells without protection? How long does the scatter radiation last?
I am very worried and unable to sleep, but I cannot avoid this work.
I hope you can provide me with answers.
Thank you very much.

Cai Xiaojie, 30~39 year old female. Ask Date: 2013/06/28

Dr. Yang Jinghua reply Radiology


Dear Ms.
Tsai,
Based on your description, if an accelerator is used for irradiation and no special drugs are employed to induce nuclear reactions, radiation is only produced during the exposure.
Please confirm the details of the experiment.
If the aforementioned phenomenon occurs, it is necessary to comply with the regulations set by radiation protection personnel.
Generally, in the operating room, it is required that the detection levels in the area during machine operation must be at background radiation levels.
There is no need to wear lead aprons.
Wishing you a healthy and safe pregnancy.
Sincerely,
Dr.
Yang Ching-Hua
Director, Department of Radiology, Taoyuan

Reply Date: 2013/06/28

More Info


When considering the safety of pregnant researchers working in radiation oncology, it is crucial to understand the nature of radiation exposure and the associated risks. Based on the information provided, it appears that you are involved in a research role that requires you to handle cells subjected to radiation therapy using a linear accelerator. Your concerns about potential radiation exposure during pregnancy are valid and warrant careful consideration.

Firstly, it is important to note that radiation exposure can be categorized into two types: external exposure and internal exposure. External exposure occurs when radiation is emitted from a source outside the body, while internal exposure happens when radioactive materials are ingested or inhaled. In your case, since you are working with cells that are irradiated but not directly exposed to radioactive materials, the primary concern would be external exposure.

Regarding your specific situation, when the linear accelerator is in operation, radiation is produced only during the treatment. Once the machine is turned off, there should be no residual radiation in the treatment room. This means that when you enter the room after treatment, the risk of exposure is significantly reduced, provided that the machine has been properly shut down and the area is monitored according to safety protocols.

However, it is essential to follow safety guidelines strictly. If you are required to enter the treatment room immediately after radiation exposure to handle the cells, it is advisable to minimize your time spent in the room and maintain a safe distance from the radiation source. The concept of "Time, Distance, and Shielding" (TDS) is critical in radiation safety. By limiting the time spent near the radiation source, increasing your distance from it, and utilizing appropriate shielding (such as lead aprons when necessary), you can significantly reduce your exposure risk.

As for your concern about handling the cells without protective gear, it is generally safe to do so if you are following the established safety protocols and if the radiation source is no longer active. However, if you have any doubts or if the protocols are unclear, it is advisable to consult with your radiation safety officer or supervisor to ensure that you are taking all necessary precautions.

Regarding the potential impact on your future pregnancy, research indicates that exposure to radiation during pregnancy can pose risks to the developing fetus, particularly during the first trimester when organ development is occurring. However, the risk is primarily associated with high doses of radiation. The doses you mentioned (2-8 Gy) are typically used in therapeutic contexts and are not applicable to your situation since you are not being irradiated directly. If you maintain a safe distance and follow proper protocols, the risk to your future child should be minimal.

In terms of radiation scatter, it is important to understand that scatter radiation is generally much lower than direct radiation exposure. The amount of scatter radiation decreases rapidly with distance from the source. Therefore, if you are required to enter the room shortly after treatment, ensure that you are aware of the layout and any potential areas where scatter radiation may be more pronounced.

In conclusion, while your concerns are understandable, adhering to safety protocols and guidelines will help mitigate the risks associated with radiation exposure during your work. If you are planning to become pregnant, it may be beneficial to discuss your situation with your supervisor and the radiation safety officer to ensure that appropriate measures are in place to protect both you and your future child. Regular monitoring and communication with your healthcare provider regarding your work environment and any potential risks will also be essential for your peace of mind and health.

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