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Title: Radiation Doses to Operators in Hepatobiliary Interventional Procedures

Abstract

PurposeThe primary aim of this study is to provide a summary of operators’ radiation doses during hepatobiliary fluoroscopic guided procedures. In addition, patient dose in these procedures was also documented.Materials and MethodsA total of 283 transarterial chemoembolisation (TACE) and 302 biliary procedures, including 52 percutaneous transhepatic cholangiogram (PTC), 36 bilioplasty and 214 biliary catheter changes (BCC) performed over 14 months, were included. Electronic personal dosimeters were used to measure operator radiation doses. Effective dose (E) was calculated using modified Niklason algorithm. Patient dose was measured as dose area product (DAP) and fluoroscopy time (FT).ResultsFor TACE, E for radiologist ranged between 0 and 9.96 µSv, for radiographer 0–0.99 µSv and for nurse 0–4.65 µSv. The patient DAP and FT ranged between 1.5 and 421.9 Gy cm{sup 2} and 1.91–67.25 min. For PTC, E for the radiologist ranged between 0.33 and 55.89 µSv, for radiographer 0–38.61 µSv and for nurse 0–3.18 µSv. Patient DAP and FT ranged between 1.7 and 218.4 Gy cm{sup 2} and 2.07–71.53 min. For bilioplasty, E ranged between 0.09 and 9.24 µSv for radiologist, 0–0.84 µSv for radiographer and 0–1.38 µSv for nurse. The patients’ DAP and FT ranged from 0.7 to 52.54 Gy cm{sup 2} and 1.13–24.47 min. For BCC, E ranged from 0 to 12.78 µSv for radiologist, 0–8.43 µSv for radiographer and 0–4.05 µSvmore » for nurse. Patient DAP and FT ranged between 0.12 and 117.3 Gy cm{sup 2} and 0.57–15.83 min.ConclusionsThis study shows that doses to all operators performing hepatobiliary interventional procedures can be very low.« less

Authors:
; ; ; ; ; ;  [1]
  1. Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IRCCS-ISMETT), Radiology Unit (Italy)
Publication Date:
OSTI Identifier:
22750031
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 41; Journal Issue: 5; Other Information: Copyright (c) 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BCC LATTICES; GY RANGE; PATIENTS; PLATINUM CARBIDES; RADIOLOGICAL PERSONNEL; EFFECTIVE RADIATION DOSES

Citation Formats

Degiorgio, Sarah, Gerasia, Roberta, Liotta, Ferdinanda, Maruzzelli, Luigi, Cortis, Kelvin, Miraglia, Roberto, and Luca, Angelo. Radiation Doses to Operators in Hepatobiliary Interventional Procedures. United States: N. p., 2018. Web. doi:10.1007/S00270-017-1870-3.
Degiorgio, Sarah, Gerasia, Roberta, Liotta, Ferdinanda, Maruzzelli, Luigi, Cortis, Kelvin, Miraglia, Roberto, & Luca, Angelo. Radiation Doses to Operators in Hepatobiliary Interventional Procedures. United States. doi:10.1007/S00270-017-1870-3.
Degiorgio, Sarah, Gerasia, Roberta, Liotta, Ferdinanda, Maruzzelli, Luigi, Cortis, Kelvin, Miraglia, Roberto, and Luca, Angelo. Tue . "Radiation Doses to Operators in Hepatobiliary Interventional Procedures". United States. doi:10.1007/S00270-017-1870-3.
@article{osti_22750031,
title = {Radiation Doses to Operators in Hepatobiliary Interventional Procedures},
author = {Degiorgio, Sarah and Gerasia, Roberta and Liotta, Ferdinanda and Maruzzelli, Luigi and Cortis, Kelvin and Miraglia, Roberto and Luca, Angelo},
abstractNote = {PurposeThe primary aim of this study is to provide a summary of operators’ radiation doses during hepatobiliary fluoroscopic guided procedures. In addition, patient dose in these procedures was also documented.Materials and MethodsA total of 283 transarterial chemoembolisation (TACE) and 302 biliary procedures, including 52 percutaneous transhepatic cholangiogram (PTC), 36 bilioplasty and 214 biliary catheter changes (BCC) performed over 14 months, were included. Electronic personal dosimeters were used to measure operator radiation doses. Effective dose (E) was calculated using modified Niklason algorithm. Patient dose was measured as dose area product (DAP) and fluoroscopy time (FT).ResultsFor TACE, E for radiologist ranged between 0 and 9.96 µSv, for radiographer 0–0.99 µSv and for nurse 0–4.65 µSv. The patient DAP and FT ranged between 1.5 and 421.9 Gy cm{sup 2} and 1.91–67.25 min. For PTC, E for the radiologist ranged between 0.33 and 55.89 µSv, for radiographer 0–38.61 µSv and for nurse 0–3.18 µSv. Patient DAP and FT ranged between 1.7 and 218.4 Gy cm{sup 2} and 2.07–71.53 min. For bilioplasty, E ranged between 0.09 and 9.24 µSv for radiologist, 0–0.84 µSv for radiographer and 0–1.38 µSv for nurse. The patients’ DAP and FT ranged from 0.7 to 52.54 Gy cm{sup 2} and 1.13–24.47 min. For BCC, E ranged from 0 to 12.78 µSv for radiologist, 0–8.43 µSv for radiographer and 0–4.05 µSv for nurse. Patient DAP and FT ranged between 0.12 and 117.3 Gy cm{sup 2} and 0.57–15.83 min.ConclusionsThis study shows that doses to all operators performing hepatobiliary interventional procedures can be very low.},
doi = {10.1007/S00270-017-1870-3},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 5,
volume = 41,
place = {United States},
year = {2018},
month = {5}
}