Radiation induced cataracts is a disease that is common amongst radiation exposed staff.
About 30 percent of retired occupational radiation workers developed eye lens (EL) cataracts.
Epidemiological studies on radiation therapy patients, occupational workers, and atomic bomb
survivors show that 0.5 Gy of acute or fractioned radiation dose to EL causes one or both lens to
cloud. The annual EL dose limit drawn by the International Commission for Radiation Protection
(ICRP) was 150 mSv and was changed in 2012 to 20 mSv averaged over 5 years, with no single
year exceeding 50 mSv. The limited number of researche done in Nuclear Medicine (NM) clinics
with the Hp(3) dosimeters suggest that the annual EL dose from three procedures is measured to
be between 4.5 and 9 mSv (i.e. dispensing, preparing and administering). These procedures are
performed when the radioactive materials are in closed shielded containers or behind a barrier.
Common radioactive material handled by occupational workers in NM clinics are 99mTc and 131I.
They pose less radiation hazard to workers EL in the three procedures when they are behind
shielded containers. Moreover, once the radioactive material is administered into patients, they
become open sources and pose more radiation hazard to workers. The Hp(3) dosimeter is a new
uncommon dosimeter. Many radiation facilities use the Hp(0.07) and Hp(10) dosimeters coupled
with many conditions and conversion factors to find approximate results. Therefore, simulations
are performed to find the EL dose. However, some simulations are performed with little
flexibility in simulation geometry, others utilize low-quality phantoms or present the simulation
results in terms of fluxes or energy ranges. In the present study, the NM worker EL dose is
simulated by utilizing a high-resolution Digital Imagning Communication in Medicine (DICOM)
image in GEANT4 Archeticture for Medical Oriented Simulation (GAMOS). A water cylinder
homogenously filled by radioactive material, representing the administered patient, was created in
the simulation. The worker exposure scenario was simulated by placing the cylinder in three
different directions and five different distances with respect to the DICOM image. The results of
the simulation reveal that the highest occupational EL radiation dose is received from the
anterior-posterior direction, followed by the lateral, and the posterior-anterior directions. The
results of the conservative simulated scenario reveal that the worker EL dose is exposed to three
tenths of the annual dose limit after 110 131I patients, or 300 99mTc patients.