Interventional radiology (IR) procedures are the key source of radiation exposure for healthcare workers. Personal dosimetry is essential to ensure that dose limits are respected and radiation protection is maintained. This study aimed to estimate the average radiation dose received by the healthcare team during the most common IR procedure at a university hospital in São Paulo, Brasil. Cumulative personal dose equivalent, Hp(10), was measured outside the lead apron using thermoluminescent dosimetry (TL) in 57 percutaneous transhepatic biliary cholangiography procedures, divided into biliary drain insertions and biliary drain replacement. Three interventional radiologists participate in each procedure, with distinct roles and positions around the patient. The effective dose per procedure for the three roles of the interventional radiologists were estimated. For the primary interventional radiologist, the values were (54 ± 2) μSv and (32 ± 1) μSv in primary drain insertion and drain replacement, respectively. Additionally, as patient dose indicator, the kerma-area product medians were estimated as 34.3 Gy cm2 and 13.4 Gy cm2 in primary drain insertions and drain replacements, respectively. Under controlled equipment settings, which simulates clinical procedures with acrylic slabs, TL readings showed strong linear correlations with measurements from an ionization chamber (R2 = 0.979) and with the equipment dose indicator. The expected relationship between patient and staff doses was confirmed, in both clinical procedures and controlled settings. Finally, based on the results, recommendations were made regarding radiation protection at this facility, aiming to reduce both patient and staff exposure during this procedure.
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