{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T08:23:13Z","timestamp":1764836593683,"version":"3.46.0"},"reference-count":25,"publisher":"IOP Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/publishingsupport.iopscience.iop.org\/iop-standard\/v1"},{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":3,"URL":"https:\/\/iopscience.iop.org\/info\/page\/text-and-data-mining"}],"content-domain":{"domain":["iopscience.iop.org"],"crossmark-restriction":false},"short-container-title":["J. Radiol. Prot."],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Radiation exposure to the fingers of clinicians carrying out radiosynoviorthesis with yttrium citrate (\n                    <jats:sup>90<\/jats:sup>\n                    Y) can be an area of concern if equipment or practice is sub-optimal, with contact dose rates in the mSv\u00b7s\n                    <jats:sup>\u22121<\/jats:sup>\n                    range around the syringe and needle neck. Syringe shields reduce potential exposure around the syringe but offer no protection around the needle neck. There are no commercially available protection products in the United Kingdom to address this deficiency. Clinical safety requires that the clinician is able to feel the position of the needle and limit the amount of needle movement at critical times. Although direct handling of the needle neck presents the easiest solution, radiation protection concerns make this unacceptable, and leave forceps the only established alternative to minimise finger doses. We present a further method to address these issues\u2014a locally designed infection control compliant finger protection ring which has been 3D printed and used at the authors\u2019 hospital. Potential extremity doses have been measured for three methods. 1, direct finger contact with the needle neck, 2, forceps, and 3, use of a 3D printed ring. Finger dose coefficients with the first method (direct contact) have been demonstrated experimentally to be as high as 33\n                    <jats:italic>\u00b5<\/jats:italic>\n                    Sv\u00b7MBq\n                    <jats:sup>\u22121<\/jats:sup>\n                    , with even higher results recorded in clinical practice at 79.5\n                    <jats:italic>\u00b5<\/jats:italic>\n                    Sv\u00b7MBq\n                    <jats:sup>\u22121<\/jats:sup>\n                    . The second method (forceps) reduces the potential skin dose coefficient to less than 1\n                    <jats:italic>\u00b5<\/jats:italic>\n                    Sv\u00b7MBq\n                    <jats:sup>\u22121<\/jats:sup>\n                    . The third method (finger protection ring) achieves a similar dose coefficient to forceps. Forceps are more technically demanding for the clinician. This new finger protection ring ensures that patient safety is maintained, the procedure is technically easier for the clinician, finger doses are as low as Reasonably Practicable, and contamination risk is reduced.\n                  <\/jats:p>","DOI":"10.1088\/1361-6498\/ae20a0","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T22:48:00Z","timestamp":1763506080000},"page":"041521","update-policy":"https:\/\/doi.org\/10.1088\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Extremity radiation dose reduction in radiosynoviorthesis procedures by development of 3D printed finger protection ring"],"prefix":"10.1088","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5497-1919","authenticated-orcid":true,"given":"Matthew","family":"Daniel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-3753","authenticated-orcid":false,"given":"Mark","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"266","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"jrpae20a0bib1","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1007\/BF00173494","type":"journal-article","article-title":"Radiation synovectomy revisited","volume":"20","author":"Deutsch","year":"1993","journal-title":"Eur. J. Nucl. Med."},{"key":"jrpae20a0bib2","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1007\/PL00003490","type":"journal-article","article-title":"Combined arthroscopic and radiation synovectomy in rheumatoid arthritis","volume":"27","author":"Kerschbaumer","year":"1998","journal-title":"Der. Orthop."},{"key":"jrpae20a0bib3","doi-asserted-by":"publisher","first-page":"143","DOI":"10.4103\/ijnm.IJNM_141_19","type":"journal-article","article-title":"Yttrium-90 synovectomy in hemophilic arthropathy: an institutional experience for 15 years","volume":"35","author":"Sunny","year":"2020","journal-title":"Indian J. Nucl. Med."},{"key":"jrpae20a0bib4","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1093\/rheumatology\/kel352","type":"journal-article","article-title":"Therapeutic status of radiosynoviorthesis of the knee with yttrium [90 Y] colloid in rheumatoid arthritis and related indications","volume":"46","author":"Kampen","year":"2006","journal-title":"Rheumatology"},{"key":"jrpae20a0bib5","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1007\/BF00808408","type":"journal-article","article-title":"Beta-particle dosimetry in radiation synovectomy","volume":"22","author":"Johnson","year":"1995","journal-title":"Eur. J. Nucl. Med."},{"key":"jrpae20a0bib6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/HP.0000000000000730","type":"journal-article","article-title":"Dosimetry in radiosynoviorthesis: 90Y VS. 153Sm","volume":"114","author":"Torres Berdeguez","year":"2018","journal-title":"Health Phys."},{"key":"jrpae20a0bib7","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1007\/s00264-001-0309-1","type":"journal-article","article-title":"Long-term results of arthroscopic synovectomy for seropositive rheumatoid arthritis: 6\u201316 year review","volume":"26","author":"Gibbons","year":"2002","journal-title":"Int. Orthop."},{"key":"jrpae20a0bib8","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1136\/ard.59.8.583","type":"journal-article","article-title":"Yttrium radiosynoviorthesis in the treatment of knee arthritis in rheumatoid arthritis: a systematic review","volume":"59","author":"Heuft-Dorenbosch","year":"2000","journal-title":"Ann. Rheumatic Dis."},{"key":"jrpae20a0bib9","doi-asserted-by":"publisher","first-page":"10","DOI":"10.4103\/1450-1147.150509","type":"journal-article","article-title":"Radiosynovectomy in the therapeutic management of arthritis","volume":"14","author":"Knut","year":"2015","journal-title":"World J. Nucl. Med."},{"key":"jrpae20a0bib10","doi-asserted-by":"publisher","first-page":"7475","DOI":"10.3390\/jcm11247475","type":"journal-article","article-title":"Radiosynovectomy for the treatment of chronic hemophilic synovitis: an old technique, but still very effective","volume":"11","author":"Rodriguez-Merchan","year":"2022","journal-title":"J. Clin. Med."},{"key":"jrpae20a0bib11","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1097\/MNM.0000000000000408","type":"journal-article","article-title":"Yttrium-90 radiation synovectomy revisited","volume":"37","author":"Merashli","year":"2016","journal-title":"Nucl. Med. Commun."},{"key":"jrpae20a0bib12","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1097\/MNM.0000000000001780","type":"journal-article","article-title":"Nearly double the patients and dramatic changes over 14 years of UK MRT: internal dosimetry users group survey results from 2007 to 2021","volume":"45","author":"Rojas","year":"2024","journal-title":"Nucl. Med. Commun."},{"key":"jrpae20a0bib13","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1007\/s00259-021-05541-7","type":"journal-article","article-title":"The EANM guideline for radiosynoviorthesis","volume":"49","author":"Kampen","year":"2022","journal-title":"Eur. J. Nucl. Med. Mol. Imaging"},{"article-title":"Work with ionising radiation: ionising radiation regulations 2017 approved code of practice, L121","year":"2017","author":"Health and Safety Executive","key":"jrpae20a0bib14","type":"other"},{"key":"jrpae20a0bib15","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1097\/MNM.0b013e3282f4973a","type":"journal-article","article-title":"Exposure of medical personnel to radiation during radionuclide therapy practices","volume":"29","author":"Lancelot","year":"2008","journal-title":"Nucl. Med. Commun."},{"key":"jrpae20a0bib16","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1111\/iwj.12636","type":"journal-article","article-title":"Persistent cutaneous ulcers after Yttrium\u201090 synovectomy, an unusual complication: two case reports and a review of the literature","volume":"14","author":"Garc\u00eda\u2010Colmenero","year":"2017","journal-title":"Int. Wound J."},{"key":"jrpae20a0bib17","first-page":"15","type":"other","article-title":"Radiation protection aspects of radiation synovectomy procedures","author":"O\u2019Brien","year":"2015"},{"key":"jrpae20a0bib18","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1097\/01.HP.0000160012.85149.cb","type":"journal-article","article-title":"Radiation protection in radiosynovectomy of the knee","volume":"89","author":"Liepe","year":"2005","journal-title":"Health Phys."},{"key":"jrpae20a0bib19","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.3390\/coatings12111621","type":"journal-article","article-title":"Performance evaluation according to polymer encapsulation characteristics of eco-friendly plastic gamma-ray shield","volume":"12","author":"Kim","year":"2022","journal-title":"Coatings"},{"key":"jrpae20a0bib20","doi-asserted-by":"publisher","first-page":"1718","DOI":"10.1016\/j.radcr.2022.02.055","type":"journal-article","article-title":"A case report of radiopharmaceutical needlestick injury with scintigraphic imaging and dose quantification","volume":"17","author":"Elliott","year":"2022","journal-title":"Radiol. Case Rep."},{"key":"jrpae20a0bib21","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1055\/s-0038-1625306","type":"journal-article","article-title":"Beta-radiation exposure at the finger tips during the radionuclide synovectomy","volume":"42","author":"Liepe","year":"2003","journal-title":"Nuklearmedizin"},{"year":"2021","author":"Newbest Testing Service","key":"jrpae20a0bib22","type":"report"},{"article-title":"Autodesk Tinkercad","year":"2024","author":"Backman","key":"jrpae20a0bib23","type":"web-resource"},{"article-title":"Tristel trio50 decontamination wipes","year":"2024","author":"Barrier Healthcare Ltd","key":"jrpae20a0bib24","type":"web-resource"},{"article-title":"ED3 user guide","year":"2018","author":"John Caunt Scientific Ltd","key":"jrpae20a0bib25","type":"other"}],"container-title":["Journal of Radiological Protection"],"original-title":[],"link":[{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0","content-type":"text\/html","content-version":"am","intended-application":"text-mining"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"am","intended-application":"text-mining"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"am","intended-application":"similarity-checking"},{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T08:19:07Z","timestamp":1764836347000},"score":1,"resource":{"primary":{"URL":"https:\/\/iopscience.iop.org\/article\/10.1088\/1361-6498\/ae20a0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":25,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,12,4]]},"published-print":{"date-parts":[[2025,12,1]]}},"URL":"https:\/\/doi.org\/10.1088\/1361-6498\/ae20a0","relation":{},"ISSN":["0952-4746","1361-6498"],"issn-type":[{"type":"print","value":"0952-4746"},{"type":"electronic","value":"1361-6498"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"assertion":[{"value":"Extremity radiation dose reduction in radiosynoviorthesis procedures by development of 3D printed finger protection ring","name":"article_title","label":"Article Title"},{"value":"Journal of Radiological Protection","name":"journal_title","label":"Journal Title"},{"value":"paper","name":"article_type","label":"Article Type"},{"value":"\u00a9 2025 Society for Radiological Protection. Published on behalf of SRP by IOP Publishing Limited. All rights, including for text and data mining, AI training, and similar technologies, are reserved.","name":"copyright_information","label":"Copyright Information"},{"value":"2025-08-22","name":"date_received","label":"Date Received","group":{"name":"publication_dates","label":"Publication dates"}},{"value":"2025-11-18","name":"date_accepted","label":"Date Accepted","group":{"name":"publication_dates","label":"Publication dates"}},{"value":"2025-12-04","name":"date_epub","label":"Online publication date","group":{"name":"publication_dates","label":"Publication dates"}}]}}