MEHRAN UNIVERSITY OF NUCLEAR INTITUTE OF ENGINEERING AND MEDDICINE AND ATOMIC TECHNOLOGY JAMSHORO RADIOTHERAPY JAMSHORO TO GET FAMILIAR WITH HOT LAB SUBMITTED BY TAYYABA KEERIO SUBMITTED TO SIR ASRAR DATE : 21/7/2022 1|Page Contents ABSTRACT ...............................................................................................................3 CHAPTER 1 ..............................................................................................................5 1. INTRODUCTION ...............................................................................................5 1. Significance of Radionuclides in Nuclear Imaging .............................................6 2. Equipment Used in Hot Labs...............................................................................8 3. Risks Associated with Hot Labs ..........................................................................8 4. General Rules for Safe Handling of Radioactive Materials in Hot Labs ............9 5. REFERENCES ....................................................................................................9 2|Page ABSTRACT "Hot labs" are created to receive, store, and prepare radioactive materials. Radionuclides such as xenon, iodine, gallium, thallium, and technetium are employed. Nuclear imaging examines the functionality of organs and tissues using a very tiny quantity of radioactivity. In a nuclear scan, radiation emitted by the radionuclide inside the body is measured and catalogued. Different issues, such as cysts, organ enlargement, hematomas, infections, or tumors, can be evaluated and identified by observing the behavior in the body during nuclear imaging. 3|Page ACKNOWLEDGEMENTS First of all I am thankful to Allah, who gave me the strength and ability to complete my report. I would like to express my sincere gratitude towards my supervisor Dr Asrar Ahmed and operators Sir Mehran who guided me throughout the journey of my internship. 4|Page CHAPTER 1 1. INTRODUCTION The areas of nuclear medicine facilities known as "hot labs" have been especially created to receive, store, and prepare radioactive materials needed for radiotherapy and diagnostic imaging. FIGURE 1. NUCLEARMEDICINE HOT LAB Nuclear medicine technologists prepare radionuclides and/or radiopharmaceuticals in hot laboratories. In hot laboratories, the molybdenum-technetium 99Mo/99mTc-generator serves as the main source for producing radionuclides needed for nuclear medicine applications. Nuclear imaging basically examines the functionality of organs and tissues using a very tiny quantity of radioactivity. Depending on the area of the body being studied and the sort of study being conducted, various radionuclides such as xenon, iodine, gallium, thallium, and technetium are employed. For 5|Page example, radioactive substances like Tc-99m oxidronate hydroxydiphosphonate (HDP) and I-131 sodium iodide capsules are made in hot laboratories and utilized in nuclear imaging to measure the thyroid's function and osteogenic activity, respectively. 1. Significance of Radionuclides in Nuclear Imaging A radiation detector, such as a gamma camera, is used to detect the radiation released by the radionuclide after it has been absorbed by the body tissue or organ. When a Figure 2. Bone scan using 740mBq of 99mTc Md gamma camera examination reveals abnormal radiation detector increase starts picking up radiation, a computer will generate and store digital signals. 6|Page Different issues, such as cysts, organ enlargement, hematomas, infections, or tumors, can be evaluated and identified by observing the radionuclide behavior in the body during nuclear imaging. In a nuclear scan, the areas that more heavily absorbed the radionuclide are known as hot spots because they look bright in the picture, whereas the areas that do not absorb radionuclide are known as cold spots because they appear less light. Axial slices of the body portion being imaged are produced by singlephoton emission computerized tomography (SPECT) while the gamma camera revolves around the subject. 7|Page 2. Equipment Used in Hot Labs A nuclear medicine hot lab package typically contains a dose calibrator, 5 microcuries cobalt-57 vial source, and 200 microcuries cesium-137 vial source for dose calibrator quality control (QC), wipe test counter, survey meter with pancake probe, 0.5 microcuries nominal cesium-137 rod source for wipe test counter QC, bar phantom and flood source for gamma camera QC, lead-lined cabinets and bricks, 5 and 3 cubic capacity syringe shields, 10-inch curved forceps, lead-lined sharps shields and containers, waste containers, and syringe carriers. Other major pieces of equipment in a hot lab package include decontamination soaps, sprays, and kit, injection stand/injection chair, step stool, leg rest/knee bolsters, arm support for SPECT cardiac imaging, intravenous therapy stand, and a number of signs cautioning about radiation and the presence of radioactive materials in the lab and prohibiting eating/drinking and entry of pregnant women in the lab. 3. Risks Associated with Hot Labs Leakage of radioactive materials and exposure to radiation are the most common and significant risks associated with hot labs. Specifically, the contamination of radioactive materials in the body through inhalation, absorption, and ingestion can lead to acute health complications. Apart from these risks, smoke and fire, physical damages to the structure that is housing the lab, and 8|Page natural disasters such as earthquakes also represent other risks to hot labs. 4. General Rules for Safe Handling of Radioactive Materials in Hot Labs Only sealed radioactive materials should be taken out of a hot lab to prevent transmission of radioactivity outside of it. The laboratory work area must be surveyed to check the contamination levels either at the end of the day or after each procedure. The area should be decontaminated if the radioactive contamination is very high. Additionally, radioactive waste should be disposed of in properly shielded receptacles such as sharps containers. Radioactive materials must be stored in clearly labeled containers where the labels indicate the name of the radionuclide. Moreover, radioactive materials must be stored in locked cabinets. 5. REFERENCES Dam, S. (2022, April 26). What are Hot Labs? AZoM.Com. https://www.azom.com/article.aspx?ArticleID=21622#:%7E:text=Hot%20labs%20are%20the%20roo ms,labs%20by%20nuclear%20medicine%20technologists. Malik, A., Setiawan, A., Suhandi, A., Permanasari, A., Samsudin, A., Dirgantara, Y., Suhendi, H. Y., Sari, I. M., & Hermita, N. (2019). The development of higher order thinking laboratory (hotlab) model related to heat transfer topic. Journal of Physics: Conference Series, 1204, 012060. https://doi.org/10.1088/1742-6596/1204/1/012060 9|Page 10 | P a g e