The purpose of this study was to evaluate patient and medical staff absorbed doses received from transarterial chemoembolisation of hepatocellular carcinoma, which is the most common primary liver tumour worldwide. The study was performed in three hospitals in Recife, capital of the state of Pernambuco, located in the Brazilian Northeastern region. Two are public hospitals (A and B), and one is private (C). For each procedure, the number of images, irradiation parameters (kV, mA and fluoroscopy time), the air kerma–area product (PKA) and the cumulative air kerma (Ka,r) at the reference point were registered. The maximum skin dose (MSD) of the patient was estimated using radiochromic film. For the medical staff dosimetry, thermoluminescence dosemeters (TLD-100) were attached next to the eyes, close to the thyroid (above the shielding), on the thorax under the apron, on the wrist and on the feet. The effective dose to the staff was estimated using the algorithm of von Boetticher. The results showed that the mean value of the total PKA was 267.49, 403.83 and 479.74 Gy cm2 for Hospitals A, B and C, respectively. With regard to the physicians, the average effective dose per procedure was 17 µSv, and the minimum and maximum values recorded were 1 and 41 µSy, respectively. The results showed that the feet received the highest doses followed by the hands and lens of the eye, since the physicians did not use leaded glasses and the equipment had no lead curtain.
This work investigates the effect of particle size in the thermoluminescence (TL) response of a quartz crystal that was initially crushed and classified into ten size fractions between 38 μm and 5 mm. Aliquots of each size fraction were sensitized with a dose of 25 kGy of γ rays and heat-treatments at 400 °C. TL glow curves of sensitized and non-sensitized samples were recorded as a function of different test-doses of γ rays. For the non-sensitized samples, the TL peak near 325 °C increases with the decrease in particle size. In the case of sensitized samples, a strong TL peak near 300 °C increases with the increase in particle size up to mean grain size equal to 304 μm. Above 304 μm, an abrupt reduction in the TL intensity is noticed for the sensitized peak. These effects are discussed in relation to the specific surface area of quartz particles and the intensity of the electron paramagnetic resonance signal of the E'1 center induced by the sensitization process