Extremity and eye lens doses of the staff during interventional radiology procedures: First results

C. Koukorava; E. Carinou; J. Domienik; Jerzy Jankowski; S. Krim; Denisa Nikodemova; L. Struelens; F. Vanhavere

doi:10.1007/978-3-642-03902-7_48

Extremity and eye lens doses of the staff during interventional radiology procedures: First results

C. Koukorava, E. Carinou, J. Domienik, Jerzy Jankowski, S. Krim, Denisa Nikodemova, L. Struelens, F. Vanhavere

Research output › peer-review

Abstract

Interventional radiology procedures have become more complex over the last years and new methods have been implemented in clinical practice. Taking into account the long fluoroscopy times and the large number of images needed for a good clinical outcome, the occupational exposure is an important issue that needs thorough investigation. So far many studies have been performed on this field but there is no systematic data analysis on the exposures of the medical staff. The ORAMED project started in order to fill the above gap and improve the standards of radiation protection. The procedures monitored in the present study are cardiac angiographies (CA) and angioplasties (PTCA), radiofrequency ablations (RFA), pacemaker implantations (PM), angiographies (DSA) and angioplasties (PTA) of the lower limbs (LL), the carotids (C) and the reins (R), embolisations and endoscopic retrograde cholangiopancreatographies (ERCP). All measurements are based on a common protocol so that all data can be compared. The lowest Kerma-Air-Product (KAP) values were observed during PMs and ERCPs and the highest ones during embolisations and renal PTAs. The highest skin doses were measured on the left side of the physician. So far, doses up to 2.08 mSv were recorded on the left finger during CA/PTCA procedures. In the embolisations, the doses to the legs and the eyes were comparatively high as well, especially when protective equipment was not used. Finally for the PMs and ERCPs the doses were generally low due to the absence of image acquisitions.

Original language	English
Title of host publication	World Congress on Medical Physics and Biomedical Engineering
Subtitle of host publication	Radiation Protection and Dosimetry, Biological Effects of Radiation
Place of Publication	Berlin, Germany
Publisher	Springer Verlag
Pages	170-173
Number of pages	4
Volume	3
Edition	3
ISBN (Print)	9783642039010
DOIs	https://doi.org/10.1007/978-3-642-03902-7_48
State	Published - 2009
Event	2009 - World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation - International Union for Physical and Engineering Sciences in Medicine, Munich Duration: 7 Sep 2009 → 12 Sep 2009

Publication series

Name	IFMBE Proceedings
Number	3
Volume	25
ISSN (Print)	1680-0737

Conference

Conference	2009 - World Congress on Medical Physics and Biomedical Engineering
Country/Territory	Germany
City	Munich
Period	2009-09-07 → 2009-09-12

ASJC Scopus subject areas

Bioengineering
Biomedical Engineering

Access to Document

10.1007/978-3-642-03902-7_48License: Unspecified

Cite this

Koukorava, C., Carinou, E., Domienik, J., Jankowski, J., Krim, S., Nikodemova, D., Struelens, L., & Vanhavere, F. (2009). Extremity and eye lens doses of the staff during interventional radiology procedures: First results. In World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation (3 ed., Vol. 3, pp. 170-173). (IFMBE Proceedings; Vol. 25, No. 3). Springer Verlag. https://doi.org/10.1007/978-3-642-03902-7_48

Koukorava, C. ; Carinou, E. ; Domienik, J. et al. / Extremity and eye lens doses of the staff during interventional radiology procedures : First results. World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation. Vol. 3 3. ed. Berlin, Germany : Springer Verlag, 2009. pp. 170-173 (IFMBE Proceedings; 3).

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title = "Extremity and eye lens doses of the staff during interventional radiology procedures: First results",

abstract = "Interventional radiology procedures have become more complex over the last years and new methods have been implemented in clinical practice. Taking into account the long fluoroscopy times and the large number of images needed for a good clinical outcome, the occupational exposure is an important issue that needs thorough investigation. So far many studies have been performed on this field but there is no systematic data analysis on the exposures of the medical staff. The ORAMED project started in order to fill the above gap and improve the standards of radiation protection. The procedures monitored in the present study are cardiac angiographies (CA) and angioplasties (PTCA), radiofrequency ablations (RFA), pacemaker implantations (PM), angiographies (DSA) and angioplasties (PTA) of the lower limbs (LL), the carotids (C) and the reins (R), embolisations and endoscopic retrograde cholangiopancreatographies (ERCP). All measurements are based on a common protocol so that all data can be compared. The lowest Kerma-Air-Product (KAP) values were observed during PMs and ERCPs and the highest ones during embolisations and renal PTAs. The highest skin doses were measured on the left side of the physician. So far, doses up to 2.08 mSv were recorded on the left finger during CA/PTCA procedures. In the embolisations, the doses to the legs and the eyes were comparatively high as well, especially when protective equipment was not used. Finally for the PMs and ERCPs the doses were generally low due to the absence of image acquisitions.",

keywords = "Extremity dosimetry, Eye lens dosimetry, Interventional radiology, Occupational exposure",

author = "C. Koukorava and E. Carinou and J. Domienik and Jerzy Jankowski and S. Krim and Denisa Nikodemova and L. Struelens and F. Vanhavere",

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Koukorava, C, Carinou, E, Domienik, J, Jankowski, J, Krim, S, Nikodemova, D, Struelens, L & Vanhavere, F 2009, Extremity and eye lens doses of the staff during interventional radiology procedures: First results. in World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation. 3 edn, vol. 3, IFMBE Proceedings, no. 3, vol. 25, Springer Verlag, Berlin, Germany, pp. 170-173, 2009 - World Congress on Medical Physics and Biomedical Engineering, Munich, Germany, 2009-09-07. https://doi.org/10.1007/978-3-642-03902-7_48

Extremity and eye lens doses of the staff during interventional radiology procedures: First results. / Koukorava, C.; Carinou, E.; Domienik, J. et al.
World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation. Vol. 3 3. ed. Berlin, Germany: Springer Verlag, 2009. p. 170-173 (IFMBE Proceedings; Vol. 25, No. 3).

Research output › peer-review

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AU - Struelens, L.

AU - Vanhavere, F.

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N2 - Interventional radiology procedures have become more complex over the last years and new methods have been implemented in clinical practice. Taking into account the long fluoroscopy times and the large number of images needed for a good clinical outcome, the occupational exposure is an important issue that needs thorough investigation. So far many studies have been performed on this field but there is no systematic data analysis on the exposures of the medical staff. The ORAMED project started in order to fill the above gap and improve the standards of radiation protection. The procedures monitored in the present study are cardiac angiographies (CA) and angioplasties (PTCA), radiofrequency ablations (RFA), pacemaker implantations (PM), angiographies (DSA) and angioplasties (PTA) of the lower limbs (LL), the carotids (C) and the reins (R), embolisations and endoscopic retrograde cholangiopancreatographies (ERCP). All measurements are based on a common protocol so that all data can be compared. The lowest Kerma-Air-Product (KAP) values were observed during PMs and ERCPs and the highest ones during embolisations and renal PTAs. The highest skin doses were measured on the left side of the physician. So far, doses up to 2.08 mSv were recorded on the left finger during CA/PTCA procedures. In the embolisations, the doses to the legs and the eyes were comparatively high as well, especially when protective equipment was not used. Finally for the PMs and ERCPs the doses were generally low due to the absence of image acquisitions.

AB - Interventional radiology procedures have become more complex over the last years and new methods have been implemented in clinical practice. Taking into account the long fluoroscopy times and the large number of images needed for a good clinical outcome, the occupational exposure is an important issue that needs thorough investigation. So far many studies have been performed on this field but there is no systematic data analysis on the exposures of the medical staff. The ORAMED project started in order to fill the above gap and improve the standards of radiation protection. The procedures monitored in the present study are cardiac angiographies (CA) and angioplasties (PTCA), radiofrequency ablations (RFA), pacemaker implantations (PM), angiographies (DSA) and angioplasties (PTA) of the lower limbs (LL), the carotids (C) and the reins (R), embolisations and endoscopic retrograde cholangiopancreatographies (ERCP). All measurements are based on a common protocol so that all data can be compared. The lowest Kerma-Air-Product (KAP) values were observed during PMs and ERCPs and the highest ones during embolisations and renal PTAs. The highest skin doses were measured on the left side of the physician. So far, doses up to 2.08 mSv were recorded on the left finger during CA/PTCA procedures. In the embolisations, the doses to the legs and the eyes were comparatively high as well, especially when protective equipment was not used. Finally for the PMs and ERCPs the doses were generally low due to the absence of image acquisitions.

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Koukorava C, Carinou E, Domienik J, Jankowski J, Krim S, Nikodemova D et al. Extremity and eye lens doses of the staff during interventional radiology procedures: First results. In World Congress on Medical Physics and Biomedical Engineering: Radiation Protection and Dosimetry, Biological Effects of Radiation. 3 ed. Vol. 3. Berlin, Germany: Springer Verlag. 2009. p. 170-173. (IFMBE Proceedings; 3). doi: 10.1007/978-3-642-03902-7_48