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Öğe In-depth exploration of the radiation exposure to staff performing endoscopic retrograde cholangiopancreatography procedures (ERCP) through RANDO phantom and TLDs(Springer, 2024) Kesmezacar, Fahrettin Fatih; Tunçman, Duygu; Nayci, Ali Emre; Günay, Osman; Yeyin, Nami; Üzüm, Güngör; Demir, Mustafa; Akkuş, Baki; Elshami, Wiam; Almisned, Ghada; Tekin, Hüseyin OzanThis study provides a comprehensive evaluation of the occupational radiation exposure faced by healthcare professionals during Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Utilizing an anthropomorphic RANDO phantom equipped with Thermoluminescent Dosimeters (TLDs), we replicated ERCP scenarios to measure radiation doses received by medical staff. The study meticulously assessed radiation exposure in various corresponding body regions typically occupied by medical staff during ERCP, with a focus on eyes, thyroid, hands, and reproductive corresponding organ regions. The findings revealed significant variations in radiation doses across different body parts, highlighting areas of higher exposure and underscoring the need for improved protective measures and procedural adjustments. The effective radiation doses were calculated using standard protocols, considering the varying levels of protection offered by lead aprons and thyroid shields. The results demonstrate the substantial radiation exposure experienced by healthcare staff, particularly in regions not adequately shielded. This study emphasizes the necessity for enhanced radiation safety protocols in clinical settings, advocating for advanced protective equipment, training in radiation safety, and the exploration of alternative imaging modalities. The findings have crucial implications for both patient and staff safety, ensuring the continued efficacy and safety of ERCP and similar interventional procedures. This research contributes significantly to the field of occupational health and safety in interventional radiology, providing vital data for the development of safer medical practices.Öğe In-depth exploration of the radiation exposure to staff performing endoscopic retrograde cholangiopancreatography procedures (ERCP) through RANDO phantom and TLDs(Springer, 2024) Kesmezacar, Fahrettin Fatih; Tunçman, Duygu; Naycı, Ali Emre; Günay, Osman; Yeyin, Nami; Üzüm, Güngör; Demir, Mustafa; Akkuş, Baki; Elshami, Wiam; Almisned, Ghada; Tekin, Hüseyin OzanThis study provides a comprehensive evaluation of the occupational radiation exposure faced by healthcare professionals during Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Utilizing an anthropomorphic RANDO phantom equipped with Thermoluminescent Dosimeters (TLDs), we replicated ERCP scenarios to measure radiation doses received by medical staff. The study meticulously assessed radiation exposure in various corresponding body regions typically occupied by medical staff during ERCP, with a focus on eyes, thyroid, hands, and reproductive corresponding organ regions. The findings revealed significant variations in radiation doses across different body parts, highlighting areas of higher exposure and underscoring the need for improved protective measures and procedural adjustments. The effective radiation doses were calculated using standard protocols, considering the varying levels of protection offered by lead aprons and thyroid shields. The results demonstrate the substantial radiation exposure experienced by healthcare staff, particularly in regions not adequately shielded. This study emphasizes the necessity for enhanced radiation safety protocols in clinical settings, advocating for advanced protective equipment, training in radiation safety, and the exploration of alternative imaging modalities. The findings have crucial implications for both patient and staff safety, ensuring the continued efficacy and safety of ERCP and similar interventional procedures. This research contributes significantly to the field of occupational health and safety in interventional radiology, providing vital data for the development of safer medical practices. © The Author(s) under exclusive licence to Japan Radiological Society 2024.Öğe Thermal, dosimetric and thermo-mechanical characterization of ABS and PLA polymer materials via plastic injection molding for innovative bolus materials in radiotherapy applications(Pergamon-elsevier science LTD, 2024) Şahin, Tülin; Çavdar Karaçam, Songül; Tunçman, Duygu; Şahin, Şenol; Ergen, Şefika Arzu; Çolpan Öksüz, Didem; ALMisned, Ghada; Tekin, Hüseyin OzanThe impact of radiation on polymer materials, and consequently on their mechanical and physical properties, is a burgeoning field of research. This research assesses the dosimetric, mechanical, and thermal characteristics of Acrylonitrile Butadiene Styrene (ABS) and Polylactic Acid (PLA) materials developed through plastic injection molding as possible alternatives to commercial bolus used in radiotherapy. The materials were thoroughly compared with the commercial bolus material, EXAFLEX, by various tests such as Hounsfield Unit (HU) Analysis, Radiation Transmittance, Thermogravimetric Analysis (TGA), Thermomechanical Analysis (TMA), and Fourier Transform Infrared Spectroscopy (FTIR). The research indicates that ABS and PLA materials have similar radiological qualities to EXAFLEX, showing constant surface and accumulation area doses. Minor differences are seen deeper inside the phantom, indicating a stable tissue equivalency. ABS demonstrated strong resistance to radiation -induced chemical modifications, but PLA exhibited susceptibility to molecular changes. The TMA findings showed that radiation caused a decrease in softening temperatures and an increase in the coefficient of thermal expansion for both ABS and PLA, indicating changes in their thermal stability and mechanical characteristics after irradiation. The study highlights the potential of ABS and PLA materials made through plastic injection molding as efficient and safety substitutes for commercial bolus materials, particularly for large area irradiation. This requires more research into their clinical uses and consequences.