Autonomous UV-C Robotic Disinfection for CT Suites: Efficacy, Safety, and Protocol Development
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This study developed and evaluated an autonomous UV-C robotic disinfection system for computed tomography (CT) examination rooms, assessing microbial inactivation efficacy and operational safety using bacterial and viral surrogates. Staphylococcus aureus ATCC 25923 and bacteriophage were used as surrogates. The UV-C robot, equipped with eight low-pressure mercury lamps (36 W, 254 nm), was tested in two phases: localized irradiation at exposure times of 2-8 minutes and whole-room disinfection across five critical surfaces during a 21-minute operational cycle. Residual ozone concentrations were continuously monitored throughout all trials. The UV-C robot achieved complete inactivation of bacteriophages within 4 minutes and a greater than 99.99% reduction (>4 log) in Staphylococcus aureus colony counts at the same exposure time. Ozone concentrations remained consistently below occupational exposure limits (maximum 0.0043 ppm vs. OSHA limit of 0.1 ppm) throughout all trials. This study provides the first comprehensive evaluation of autonomous UV-C robotic disinfection specifically designed for CT suite geometries, integrating both efficacy testing and real-time safety monitoring. The findings establish evidence-based protocols for implementing UV-C robotic disinfection in diagnostic imaging departments and support the clinical feasibility of such systems as adjuncts to standard infection control practices.
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[1] Mohapatra, R. K., Kandi, V., Gaidhane, A. M., Zahiruddin, Q. S., Rustagi, S., Satapathy, P., Mishra, S., & Tuglo, L. S. (2024). Global domination of the recently VoI-classified 'JN.1’ outcompeting other variants - Comparing the vaccines efficacy. Clinical Infection in Practice, 22, 100358. doi:10.1016/j.clinpr.2024.100358.
[2] Hu, B., Guo, H., Zhou, P., & Shi, Z. L. (2021). Characteristics of SARS-CoV-2 and COVID-19. Nature Reviews Microbiology, 19(3), 141–154. doi:10.1038/s41579-020-00459-7.
[3] Peng, M. (2020). Outbreak of COVID-19: An emerging global pandemic threat. Biomedicine and Pharmacotherapy, 129, 110499. doi:10.1016/j.biopha.2020.110499.
[4] Walker, C. M., & Ko, G. (2007). Effect of ultraviolet germicidal irradiation on viral aerosols. Environmental Science and Technology, 41(15), 5460–5465. doi:10.1021/es070056u.
[5] Qureshi, N. S., Villatoro, A. J., Tran, N. D. T., Herrera, S. J., Judge, S. P., Fang, L., Henderson, S. O., & Stanley, K. A. (2024). Hepatitis A Exposure Response and Outbreak Prevention in a Large Urban Jail — Los Angeles County, California, May–July 2023. MMWR. Morbidity and Mortality Weekly Report, 73(6), 131–134. doi:10.15585/mmwr.mm7306a3.
[6] Shen, Y., Liu, Y., Krafft, T., & Wang, Q. (2025). Progress and challenges in infectious disease surveillance and early warning. Medicine Plus, 2(1), 100071. doi:10.1016/j.medp.2025.100071.
[7] Scobie, H. M., Edelstein, M., Nicol, E., Morice, A., Rahimi, N., MacDonald, N. E., Carolina Danovaro-Holliday, M., & Jawad, J. (2020). Improving the quality and use of immunization and surveillance data: Summary report of the Working Group of the Strategic Advisory Group of Experts on Immunization. Vaccine, 38(46), 7183–7197. doi:10.1016/j.vaccine.2020.09.017.
[8] Thongmuang, P., & Suwannahong, K. (2015). Health Behaviours of Undergraduate Students in Suan Sunandha Rajabhat University. Procedia - Social and Behavioral Sciences, 197, 973–976. doi:10.1016/j.sbspro.2015.07.285.
[9] Seeram, E. (2010). Computed tomography: Physical principles and recent technical advances. Journal of Medical Imaging and Radiation Sciences, 41(2), 87–109. doi:10.1016/j.jmir.2010.04.001.
[10] Khalifa, M., & Albadawy, M. (2024). AI in diagnostic imaging: Revolutionising accuracy and efficiency. Computer Methods and Programs in Biomedicine Update, 5, 100146. doi:10.1016/j.cmpbup.2024.100146.
[11] Mossa-Basha, M., Meltzer, C. C., Kim, D. C., Tuite, M. J., Kolli, K. P., & Tan, B. S. (2020). Radiology Department Preparedness for COVID-19: Radiology Scientific Expert Review Panel. Radiology, 296(2), E106–E112. doi:10.1148/radiol.2020200988.
[12] Elias, L. A. A., Nobukuni, M. C., Carvalho, H. E. F. de, Carneiro, L. M., Batista, O. M. A., Sousa, A. F. L. de, Ferreira, A. M., Angeloni, N. L. N., Furlan, M. C. R., Jorgeto, M. F. C., & Junior, A. G. dos S. (2026). Germicidal Ultraviolet C (UV-C) Light for Surface Disinfection in Hospitals: Mapping the Evidence on Devices, Parameters, Effectiveness, and Implementation. Hygiene, 6(1), 14. doi:10.3390/hygiene6010014.
[13] Casini, B., Tuvo, B., Scarpaci, M., Totaro, M., Badalucco, F., Briani, S., Luchini, G., Costa, A. L., & Baggiani, A. (2023). Implementation of an Environmental Cleaning Protocol in Hospital Critical Areas Using a UV-C Disinfection Robot. International Journal of Environmental Research and Public Health, 20(5), 4284. doi:10.3390/ijerph20054284.
[14] van Doremalen, N., Bushmaker, T., Morris, D. H., Holbrook, M. G., Gamble, A., Williamson, B. N., Tamin, A., Harcourt, J. L., Thornburg, N. J., Gerber, S. I., Lloyd-Smith, J. O., de Wit, E., & Munster, V. J. (2020). Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine, 382(16), 1564–1567. doi:10.1056/nejmc2004973.
[15] Mojarad, N., Khalili, Z., & Aalaei, S. (2017). A comparison of the efficacy of mechanical, chemical, and microwave radiation methods in disinfecting complete dentures. Dental Research Journal, 14(2), 131–136. doi:10.4103/1735-3327.205793.
[16] Intensifying vaccine production. (2020). Bulletin of the World Health Organization, 98(5), 302–303. doi:10.2471/BLT.20.020520.
[17] Tessema, B., Gonfa, G., & Hailegiorgis, S. M. (2024). Synthesis of modified silica gel supported silver nanoparticles for the application of drinking water disinfection: A review. Results in Engineering, 22, 102261. doi:10.1016/j.rineng.2024.102261.
[18] Mehta, I., Hsueh, H. Y., Taghipour, S., Li, W., & Saeedi, S. (2023). UV Disinfection Robots: A Review. Robotics and Autonomous Systems, 161, 104332. doi:10.1016/j.robot.2022.104332.
[19] Casini, B., Tuvo, B., Cristina, M. L., Spagnolo, A. M., Totaro, M., Baggiani, A., & Privitera, G. P. (2019). Evaluation of an ultraviolet C (UVC) light-emitting device for disinfection of high touch surfaces in hospital critical areas. International Journal of Environmental Research and Public Health, 16(19), 3572. doi:10.3390/ijerph16193572.
[20] Chotigawin, R., Kandasamy, B., Asa, P., Semangoen, T., Ajawatanawong, P., Phibanchon, S., Pahasup-anan, T., Wongcharee, S., & Suwannahong, K. (2025). Next-Generation Eco-Friendly Hybrid Air Purifier: Ag/TiO2/PLA Biofilm for Enhanced Bioaerosols Removal. International Journal of Molecular Sciences, 26(10), 4584. doi:10.3390/ijms26104584.
[21] Rutala, W. A., & Weber, D. J. (2019). Best practices for disinfection of noncritical environmental surfaces and equipment in health care facilities: A bundle approach. American Journal of Infection Control, 47, A96–A105. doi:10.1016/j.ajic.2019.01.014.
[22] Kowalski, W. J., Bahnfleth, W. P., & Hernandez, M. T. (2009). A Genomic Model for Predicting the Ultraviolet Susceptibility of Viruses. IUVA News, 11(2), 15–28.
[23] Boyce, J. M. (2016). Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals. Antimicrobial Resistance and Infection Control, 5(1), 10. doi:10.1186/s13756-016-0111-x.
[24] Boyce, J. M., & Donskey, C. J. (2019). Understanding ultraviolet light surface decontamination in hospital rooms: A primer. Infection Control and Hospital Epidemiology, 40(9), 1030–1035. doi:10.1017/ice.2019.161.
[25] Mankar, V., Dhengre, A., Agashe, N., Rodge, H., & Chandi, D. H. (2022). Ultraviolet irradiation doses for coronavirus inactivation -review and analysis of coronavirus photo inactivation studies. International Journal of Health Sciences, 466–472. doi:10.53730/ijhs.v6ns2.5038.
[26] Reed, N. G. (2010). The history of ultraviolet germicidal irradiation for air disinfection. Public Health Reports, 125(1), 15–27. doi:10.1177/003335491012500105.
[27] Różańska, A., Pioskowik, A., Herrles, L., Datta, T., Krzyściak, P., Jachowicz-Matczak, E., Siewierski, T., Walkowicz, M., & Chmielarczyk, A. (2025). Evaluation of the Efficacy of UV-C Radiation in Eliminating Clostridioides difficile from Touch Surfaces Under Laboratory Conditions. Microorganisms, 13(5), 986. doi:10.3390/microorganisms13050986.
[28] Resendiz, M., Blanchard, D., & West, G. F. (2023). A systematic review of the germicidal effectiveness of ultraviolet disinfection across high-touch surfaces in the immediate patient environment. Journal of Infection Prevention, 24(4), 166–177. doi:10.1177/17571774231159388.
[29] Anderson, D. J., Chen, L. F., Weber, D. J., Moehring, R. W., Lewis, S. S., Triplett, P. F., Blocker, M., Becherer, P., Schwab, J. C., Knelson, L. P., Lokhnygina, Y., Rutala, W. A., Kanamori, H., Gergen, M. F., & Sexton, D. J. (2017). Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study. The Lancet, 389(10071), 805–814. doi:10.1016/S0140-6736(16)31588-4.
[30] Lindblad, M., Tano, E., Lindahl, C., & Huss, F. (2020). Ultraviolet-C decontamination of a hospital room: Amount of UV light needed. Burns, 46(4), 842–849. doi:10.1016/j.burns.2019.10.004.
[31] Cadnum, J. L., Li, D. F., Jones, L. D., Redmond, S. N., Pearlmutter, B., Wilson, B. I. M., & Donskey, C. J. (2020). Evaluation of ultraviolet-c light for rapid decontamination of airport security bins in the era of SARS-COV-2. Pathogens and Immunity, 5(1), 133–142. doi:10.20411/pai.v5i1.373.
[32] Memarzadeh, F., Olmsted, R. N., & Bartley, J. M. (2010). Applications of ultraviolet germicidal irradiation disinfection in health care facilities: Effective adjunct, but not stand-alone technology. American Journal of Infection Control, 38(5 SUPPL.), 13– 24. doi:10.1016/j.ajic.2010.04.208.
[33] Tseng, C. C., & Li, C. S. (2007). Inactivation of viruses on surfaces by ultraviolet germicidal irradiation. Journal of Occupational and Environmental Hygiene, 4(6), 400–405. doi:10.1080/15459620701329012.
[34] Weber, D. J., Rutala, W. A., Anderson, D. J., Chen, L. F., Sickbert-Bennett, E. E., & Boyce, J. M. (2016). Effectiveness of ultraviolet devices and hydrogen peroxide systems for terminal room decontamination: Focus on clinical trials. American Journal of Infection Control, 44(5), e77–e84. doi:10.1016/j.ajic.2015.11.015.
[35] Singh, B. P., Kumar, A., Singh, D., Punia, M., Kumar, K., & Jain, V. K. (2014). An assessment of ozone levels, UV radiation and their occupational health hazard estimation during photocopying operation. Journal of Hazardous Materials, 275, 55–62. doi:10.1016/j.jhazmat.2014.04.049.
[36] Astrid, F., Beata, Z., Van den Nest Miriam, Julia, E., Elisabeth, P., & Magda, D. E. (2021). The use of a UV-C disinfection robot in the routine cleaning process: a field study in an Academic hospital. Antimicrobial Resistance and Infection Control, 10(1), 84. doi:10.1186/s13756-021-00945-4.
[37] Madronich, S., Wagner, M., & Groth, P. (2011). Influence of tropospheric ozone control on exposure to ultraviolet radiation at the surface. Environmental Science and Technology, 45(16), 6919–6923. doi:10.1021/es200701q.
[38] Claus, H. (2021). Ozone Generation by Ultraviolet Lamps†. Photochemistry and Photobiology, 97(3), 471–476. doi:10.1111/php.13391.
[39] Różańska, A., Walkowicz, M., Bulanda, M., Kasperski, T., Synowiec, E., Osuch, P., & Chmielarczyk, A. (2023). Evaluation of the Efficacy of UV-C Radiation in Eliminating Microorganisms of Special Epidemiological Importance from Touch Surfaces under Laboratory Conditions and in the Hospital Environment. Healthcare (Switzerland), 11(23), 3096. doi:10.3390/healthcare11233096.
[40] Palmqvist, C., Samuelsson, A., Fröding, I., & Giske, C. G. (2019). Surface Contamination of CT and MRI Equipment—A Potential Source for Transmission of Hospital-Acquired Infections. Journal of Radiology Nursing, 38(4), 254–260. doi:10.1016/j.jradnu.2019.09.002.
[41] Huslage, K., Rutala, W. A., Sickbert-Bennett, E., & Weber, D. J. (2010). A Quantitative Approach to Defining “High-Touch” Surfaces in Hospitals. Infection Control & Hospital Epidemiology, 31(8), 850–853. doi:10.1086/655016.
[42] Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., Guan, L., Wei, Y., Li, H., Wu, X., Xu, J., Tu, S., Zhang, Y., Chen, H., & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, 395(10229), 1054–1062. doi:10.1016/S0140-6736(20)30566-3.
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