Background/introduction
Rapidly growing number and difficultness of minimally invasive fluoroscopy-guided procedures over the recent years results in increased radiation exposure for interventional radiologists, medical staff and patients. Estimation of radiation dose to patients and medical staff enables comparison of radiation risk between different procedures. Knowledge of risk and proper management of patient´s and medical staff doses play crucial role in radiation dose reduction for all individuals working in interventional labs.
In this study we aimed to investigate real-time dosimetry doses of interventional radiologist and patient´s radiation...
Description of activity and work performed
We retrospectively analysed data which we have collected prospectively from October 2017 till January 2019 from 484 different interventional radiological procedures (35 aortoiliac interventions, 137 femoropopliteal and below-the knee interventions, 117 arteriovenous fistula (AVF) interventions, 12 biliary interventions, 13 transjugular intrahepatic portosystemic shunts (TIPS), 41 visceral embolisations, 15 uterine fibroid embolisations (UFE), 20 renal artery stentings, 94 carotid artery stentings). All procedures were performed using single plane flat detector angiography system Innova IGS 540 (GE HealthCare, Buc, France) installed with DQC (Dose Quality Control) system...
Conclusion and recommendations
Radiation exposure in interventional radiology procedures should be carefully monitored in medical staff and also in patients because of it s possible harmful effect. Medical personnel working with radiation should be aware of the radiation dose acquired during specific interventional radiology procedures. Knowledge on procedural radiation dose is mandatory for optimalisation of radiation protection during interventional procedures. As we anticipated dose strongly depends on the type of procedure mainly because of procedural time elongation due to procedure complexity and distance between the scatter source and...
Personal/organisational information
A. Klepanec; Trnava/SK - nothing to disclose D. Salat; Trnava/SK - nothing to disclose L. Janosikova; Trnava/SK - nothing to disclose M. Hoferica; Trnava/SK - nothing to disclose J. Harsany; Trnava, SL/SK - nothing to disclose P. Janega; Bratislava/SK - nothing to disclose
References
1. Sailer AM, Paulis L, Vergoossen L. Real-Time Patient and Staff Radiation Dose Monitoring in IR Practise. Cardiovasc Intervent Radiol 2017;40:421–429.
2. European Commission. European Guidance on Estimating Population Doses from Medical X-Ray Pocedures. Radiation Protection N.154. 2008.
3. Meisinger QC, Stahl CM, Andre MP, Kinney TB, Newton IG. Radiation Protection for the Fluoroscopy Operator and Staff. American Journal of Roentgenology 2016 207:4, 745-754.
4. Bartal G., Vano E., Paulo G., Miller DL. Management of Patient and Staff Radiation Dose in Interventional Radiology: Current Concepts....