Tags

Type your tag names separated by a space and hit enter

Radiation Exposure of Patients and Interventional Radiologists during Prostatic Artery Embolization: A Prospective Single-Operator Study.
J Vasc Interv Radiol 2017; 28(4):517-521JV

Abstract

PURPOSE

To prospectively analyze the radiation exposure of patients and interventional radiologists during prostatic artery embolization (PAE).

MATERIALS AND METHODS

Twenty-five consecutive PAE procedures performed with an Artis zee system in a single center by an interventional radiologist were prospectively monitored. The mean age, weight, and prostate volume of the patients were 65.7 year (range, 43-85 y), 71.4 kg (range, 54-88 kg), and 79 cm3 (range, 36-157 cm3), respectively. In addition to Digital Imaging and Communications in Medicine radiation data, direct measures were also obtained. Radiochromic film was used to evaluate peak skin dose (PSD). The radiologist wore a protective apron and a thyroid collar, and a ceiling-suspended screen and a table curtain were used. To estimate the absorbed doses, nine pairs of dosimeters were attached to the operator's body.

RESULTS

The average fluoroscopy time was 30.9 minutes (range, 15.5-48.3 min). The mean total dose-area product (DAP) was 450.7 Gy·cm2 (range, 248.3-791.73 Gy·cm2) per procedure. Digital subtraction angiography was responsible for 71.5% of the total DAP, followed by fluoroscopy and cone-beam computed tomography. The mean PSD was 2,420.3 mGy (range, 1,390-3,616 mGy). The average effective dose for the interventional radiologist was 17 μSv (range, 4-47 μSv); values for the eyes, hands, and feet were obtained, and were all greater on the left side.

CONCLUSIONS

PAE may lead to high x-ray exposures to patients and interventional radiologists.

Authors+Show Affiliations

AngioRad-Interventional Radiology, Ribeirão Preto, Brazil; Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, Brazil. Electronic address: guga.andrade@gmail.com.Nuclear Energy Department, Universidade Federal de Pernambuco, Ribeirão Preto, Brazil.Nuclear Energy Department, Universidade Federal de Pernambuco, Ribeirão Preto, Brazil.Urology Department, Hospital Getulio Vargas, Recife, Brazil.Urology Department, Hospital Getulio Vargas, Recife, Brazil.Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, Brazil.Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28259503

Citation

Andrade, Gustavo, et al. "Radiation Exposure of Patients and Interventional Radiologists During Prostatic Artery Embolization: a Prospective Single-Operator Study." Journal of Vascular and Interventional Radiology : JVIR, vol. 28, no. 4, 2017, pp. 517-521.
Andrade G, Khoury HJ, Garzón WJ, et al. Radiation Exposure of Patients and Interventional Radiologists during Prostatic Artery Embolization: A Prospective Single-Operator Study. J Vasc Interv Radiol. 2017;28(4):517-521.
Andrade, G., Khoury, H. J., Garzón, W. J., Dubourcq, F., Bredow, M. F., Monsignore, L. M., & Abud, D. G. (2017). Radiation Exposure of Patients and Interventional Radiologists during Prostatic Artery Embolization: A Prospective Single-Operator Study. Journal of Vascular and Interventional Radiology : JVIR, 28(4), pp. 517-521. doi:10.1016/j.jvir.2017.01.005.
Andrade G, et al. Radiation Exposure of Patients and Interventional Radiologists During Prostatic Artery Embolization: a Prospective Single-Operator Study. J Vasc Interv Radiol. 2017;28(4):517-521. PubMed PMID: 28259503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiation Exposure of Patients and Interventional Radiologists during Prostatic Artery Embolization: A Prospective Single-Operator Study. AU - Andrade,Gustavo, AU - Khoury,Helen J, AU - Garzón,William J, AU - Dubourcq,Felipe, AU - Bredow,Michel F, AU - Monsignore,Lucas M, AU - Abud,Daniel G, Y1 - 2017/03/02/ PY - 2016/10/30/received PY - 2017/01/06/revised PY - 2017/01/07/accepted PY - 2017/3/6/pubmed PY - 2017/9/12/medline PY - 2017/3/6/entrez SP - 517 EP - 521 JF - Journal of vascular and interventional radiology : JVIR JO - J Vasc Interv Radiol VL - 28 IS - 4 N2 - PURPOSE: To prospectively analyze the radiation exposure of patients and interventional radiologists during prostatic artery embolization (PAE). MATERIALS AND METHODS: Twenty-five consecutive PAE procedures performed with an Artis zee system in a single center by an interventional radiologist were prospectively monitored. The mean age, weight, and prostate volume of the patients were 65.7 year (range, 43-85 y), 71.4 kg (range, 54-88 kg), and 79 cm3 (range, 36-157 cm3), respectively. In addition to Digital Imaging and Communications in Medicine radiation data, direct measures were also obtained. Radiochromic film was used to evaluate peak skin dose (PSD). The radiologist wore a protective apron and a thyroid collar, and a ceiling-suspended screen and a table curtain were used. To estimate the absorbed doses, nine pairs of dosimeters were attached to the operator's body. RESULTS: The average fluoroscopy time was 30.9 minutes (range, 15.5-48.3 min). The mean total dose-area product (DAP) was 450.7 Gy·cm2 (range, 248.3-791.73 Gy·cm2) per procedure. Digital subtraction angiography was responsible for 71.5% of the total DAP, followed by fluoroscopy and cone-beam computed tomography. The mean PSD was 2,420.3 mGy (range, 1,390-3,616 mGy). The average effective dose for the interventional radiologist was 17 μSv (range, 4-47 μSv); values for the eyes, hands, and feet were obtained, and were all greater on the left side. CONCLUSIONS: PAE may lead to high x-ray exposures to patients and interventional radiologists. SN - 1535-7732 UR - https://www.unboundmedicine.com/medline/citation/28259503/Radiation_Exposure_of_Patients_and_Interventional_Radiologists_during_Prostatic_Artery_Embolization:_A_Prospective_Single_Operator_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-0443(17)30069-6 DB - PRIME DP - Unbound Medicine ER -