Keywords:
Genital / Reproductive system female, Radioprotection / Radiation dose, Catheter arteriography, Percutaneous, MR, Embolisation, Radiation safety, Dosimetry, Dosimetric comparison
Authors:
D. Akinfiev, V. Bychenko, T. Gavrilova, I. Porotikova, L. Adamyan, A. Kozlova; Moscow/RU
DOI:
10.1594/ecr2018/C-3109
Aims and objectives
Uterine artery embolization (UAE) is widely used for symptomatic uterine fibroids treatment [1,2].
Final result of UAE is complete or partial occlusion of uterine arteries.
Anyway there is no single technical protocol for UAE.
Different types of surgical approaches are used: transfemoral unilateral,
transfemoral bilateral,
transradial [3].
Also there is large variety of instruments and embolic materials for UAE.
At last there is no one standard protocol of acquisition and fluoroscopy for UAE.
In many cases this leads to exceeding of radiation dose,
that could be avoidable without loss in technical and clinical outcome [4,5].
The purpose of this study was to reduce radiation dose in UAE.
There were two objectives:
- To compare radiation doses achieved with widely used angiographic acquisition protocol and low-dose protocol.
- To compare clinical efficiency of UAEs performed with different protocols.