IAEA CN-255 Paper233 PEDIATRIC RADIATION PROTECTION THROUGH 99mTc -DMSA ADMINISTRED ACTIVITY STUDY AT NUCLEAR MEDICINE DEPARTMENT, CONSTANTINE, ALGERIA.

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IAEA CN-255 Paper233 PEDIATRIC RADIATION PROTECTION THROUGH 99mTc -DMSA ADMINISTRED ACTIVITY STUDY AT NUCLEAR MEDICINE DEPARTMENT, CONSTANTINE, ALGERIA. Dr. MANSOURI, Farouk Nuclear Medicine Department, University Hospital Dr Benbadis,Constantine, Algeria. International Conference on Radiation Protection in Medicine: Achieving Change in Practice Vienna ,Austria 11-15 December 2017

Methods The aim of this work is to compare injected and recommended EANM dosimetry and pediatrics committees activities for 99mTc-DMSA renal scintigraphy. A retrospective study, 118 children, explored for renal nuclear medicine procedure using 99mTc-DMSA. Injected DMSA activity was compared to the recommended EANM dosimetry and pediatrics committees activities . The DMSA activities were divided as: -Equal activity : Recommended activity. -Lower activity : Recommended activity (<-0,1mCi). -Higher activity: Recommended activity (>+0,1mCi).

Study population Medical indications Under one year old were 21%. 79 % had less than 7 years Over 10 years 17% (small proportion) Medical indications Consequences of congenital urinary diseases. Ectopic kidney detection. Renal focal abnormalities detection. Acute or chronic pyelonephritis. Nonfunctional kidney confirmation.

Administered activities resolts : Speciality Number percent Pediatric surgeon 86 73 Pediatric physician 20 17 Urologist 4 3 Nephrologist 1 Other Unknown Prescriber’s panel: 94% of prescribers presents a high degree of specialization because they are in close relation with: Patient age : Pediatric specialist and Pediatric surgeon. Disease specialists: Pediatric surgeon, Urologist and nephrologist, Administered activities resolts : Equal activity : 92 patients (78%), Low activity (La) (8): 24 patients (20%), High activity (HA) (9): 2 patients (2%),

Conclusion Local law guide the radiopharmaceutical activities prescriptions helped by the society’s guideline. Required medical indication prescribed by a medical competence able to use it. Dosimetry study did not show dose who can reach the critical thresholds. The implementation of an internal system is necessary and allows to: Harmonize prescriptions. Detect the possible abnormalities. Take decisions (in case) Obtain the total satisfaction of three rules of the radiation protection especially in pediatric population.