Effect of Real-Time Radiation Dose Feedback on Pediatric Interventional Radiology Staff Radiation Exposure

2014 ◽  
Vol 25 (1) ◽  
pp. 119-126 ◽  
Author(s):  
John Racadio ◽  
Rami Nachabe ◽  
Bart Carelsen ◽  
Judy Racadio ◽  
Nicole Hilvert ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Dose ◽  
Radiation Exposure ◽  
Real Time ◽  
Radiology Staff

scholarly journals COMPARISON OF EXPOSURE TO RADIATION DURING PERCUTANEOUS TRANSPEDICULAR PROCEDURES, USING THREE FLUOROSCOPIC TECHNIQUES

2017 ◽  
Vol 16 (2) ◽  
pp. 141-144
Author(s):  
Anderson Nascimento ◽  
Carlos Fernando Pereira da Silva Herrero ◽  
Helton Luiz Aparecido Defino ◽  
Marina Silva Magalhães Viana ◽  
João de Araújo ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Radiation Exposure ◽  
Real Time ◽  
Adult Male ◽  
Percutaneous Access ◽  
Radiation Dose Exposure ◽  
Fluoroscopic Imaging ◽  
Set Up

ABSTRACT Objective: To compare radiation exposure to the surgeon, patient and radiation technician during percutaneous access of the vertebral pedicle, using three different fluoroscopic imaging set up. Methods: Percutaneous access in pedicle T9-L5 of nine adult male cadavers using three different fluoroscopic set ups: standard C-arm, C-arm with L-arm, and the biplanar technique. The radiation dose exposure of the surgeon, radiation technician, and cadaver were measured using dosimeter in each procedure and in real time. Results: The radiation dose absorbed by the surgeon was higher when using the standard C-arm fluoroscopic technique than when using the C-arm with L-arm or the biplanar technique. Conclusions: The use of the C-arm with L-arm, or the biplanar fluoroscopic technique, for percutaneous access to the vertebral pedicle, reduces the radiation exposure of the surgeon compared to the standard C-arm fluoroscopic technique.

DEVELOPMENT OF REAL-TIME RADIATION EXPOSURE DOSIMETRY SYSTEM USING SYNTHETIC RUBY FOR INTERVENTIONAL RADIOLOGY

2017 ◽  
Vol 175 (4) ◽  
pp. 517-522 ◽  
Author(s):  
Yoshiyuki Hosokai ◽  
Kenki Matsumoto ◽  
Masataka Kozakai ◽  
Kaito Takahashi ◽  
Akihito Usui ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Exposure ◽  
Real Time ◽  
Dosimetry System

Fundamental study of a real-time occupational dosimetry system for interventional radiology staff

2014 ◽  
Vol 34 (3) ◽  
pp. N65-N71 ◽  
Author(s):  
Yohei Inaba ◽  
Koichi Chida ◽  
Ryota Kobayashi ◽  
Yuji Kaga ◽  
Masayuki Zuguchi
Keyword(s):  
Interventional Radiology ◽  
Real Time ◽  
Fundamental Study ◽  
Dosimetry System ◽  
Radiology Staff

scholarly journals Impact factors for safety, success, duration and radiation exposure in CT-guided interventions

2019 ◽  
Vol 92 (1099) ◽  
pp. 20180937 ◽  
Author(s):  
Maurice Pradella ◽  
Christoph Trumm ◽  
Bram Stieltjes ◽  
Daniel T Boll ◽  
Christoph J Zech ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Dose ◽  
Success Rate ◽  
Clinical Success ◽  
Full Time ◽  
Ct Guided ◽  
Procedure Duration ◽  
The Impact ◽  
Teaching Setting ◽  
Radiology Staff

Objective: We aim to compare factors influencing safety, success rate and radiation dose of CT-guided biopsies and drainages in a non-teaching setting with experienced operators vs a teaching setting with residents. Methods: A total of 1021 cases were retrospectively analyzed regarding lesion size, distance from skin, procedure duration, radiation dose, complications and clinical success. Procedures were grouped into biopsies of lung, liver, (remaining) abdomen, musculoskeletal system (MSK) and drainages of any region. Procedures in non-teaching setting were performed by experienced operators (full time interventional radiology staff), teaching setting consisted of residents under supervision of interventional radiology staff. Results: Overall clinical success rate was 93.6 % [experienced (exp.) vs teaching setting: 93.5 and 93.6 %, p = 0.97]. Overall complication rate was 7.2% (5.7% minor, 1.6% major; exp. vs teaching: 8.0 and 6.5 %, p = 0.67]. Experienced operators performed chest and liver biopsies faster even though they were facing smaller lesions. Multiple regression analysis revealed that depth from skin significantly increased procedure duration by 36.8 s per cm (p < 0.001) and also radiation dose by 5.4 mGy per cm (p < 0.001) in all interventions. On average, teaching setting increased the duration of an intervention by 209.8 s and total radiation dose by 10.6 mGy (p < 0.001, p < 0.001 respectively). Conclusion: CT guided interventions can be performed safe und successful disregarding anatomical parameters or teaching setting. Depth from skin and teaching setting should be taken into account both from a clinical and a time-conscious point of view since they increase radiation dose and prolong operations. Advances in knowledge: This is the first study with >1000 interventions which shows and quantifies the impact of lesion depth and teaching setting in CT-guided interventions.

scholarly journals Reduction of radiation exposure to operating physician and assistant using a real-time auditory feedback dosimeter during femoral artery puncturing: a study on swine model

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Muhammad Umair Ahmad Khan ◽  
Byung-Ju Yi
Keyword(s):  
Radiation Dose ◽  
Radiation Exposure ◽  
Real Time ◽  
Auditory Feedback ◽  
Swine Model ◽  
Radiation Measurement ◽  
Radiation Dose Rate ◽  
Left Hand ◽  
Body Side ◽  
Reduce Radiation Exposure

Abstract Background Real-time dosimeters may create a relatively safer environment not only for the patient but also for the physician and the assistant as well. We propose the use of a real-time radiation measurement dosimeter having auditory feedback to reduce radiation exposure. Methods Radiation dose rates were measured for 30 fluoroscopy-guided puncturing procedures of femoral arteries in swine. Fifteen puncturing procedures were performed with real-time radiation measurement dosimeter having auditory feedback and other 15 were performed without auditory feedback dosimeter by an interventional cardiologist with 10 years of experience. Results The left body side of the operating physician (38%, p < 0.001) and assistant (25%, p < 0.001) was more exposed as compared to the right body side. Radiation dose rate to the left hand, left arm and left leg were reduced from 0.96 ± 0.10 to 0.79 ± 0.12 mSv/h (17% reduction, p < 0.001), from 0.11 ± 0.02 to 0.07 ± 0.01 mSv/h (36% reduction, p < 0.001) and from 0.22 ± 0.06 to 0.15 ± 0.02 mSv/h (31% reduction, p < 0.001) with the use of auditory feedback dosimeter, respectively. The mean fluoroscopic time was reduced from 4.8 ± 0.43 min to 4.2 ± 0.53 min (p < 0.001). The success rate of performing arterial puncturing was 100%. Conclusions The use of auditory feedback dosimeter resulted in reduction in effective dose. The sound beep alerted the physician from the danger of exposure, and this approach induced awareness and protective mindset to the operating physician and assistant.

Sign in / Sign up

Export Citation Format

Share Document