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Title: Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring

Abstract

PurposeRadiation safety and protection are a key component of fluoroscopy-guided interventions. We hypothesize that providing weekly personal dose feedback will increase radiation awareness and ultimately will lead to optimized behavior. Therefore, we designed and implemented a personalized feedback of procedure and personal doses for medical staff involved in fluoroscopy-guided interventions.Materials and MethodsMedical staff (physicians and technicians, n = 27) involved in fluoroscopy-guided interventions were equipped with electronic personal dose meters (PDMs). Procedure dose data including the dose area product and effective doses from PDMs were prospectively monitored for each consecutive procedure over an 8-month period (n = 1082). A personalized feedback form was designed displaying for each staff individually the personal dose per procedure, as well as relative and cumulative doses. This study consisted of two phases: (1) 1–5th months: Staff did not receive feedback (n = 701) and (2) 6–8th months: Staff received weekly individual dose feedback (n = 381). An anonymous evaluation was performed on the feedback and occupational dose.ResultsPersonalized feedback was scored valuable by 76% of the staff and increased radiation dose awareness for 71%. 57 and 52% reported an increased feeling of occupational safety and changing their behavior because of personalized feedback, respectively. For technicians, the normalized dose was significantly lower in the feedback phase comparedmore » to the prefeedback phase: [median (IQR) normalized dose (phase 1) 0.12 (0.04–0.50) µSv/Gy cm{sup 2} versus (phase 2) 0.08 (0.02–0.24) µSv/Gy cm{sup 2}, p = 0.002].ConclusionPersonalized dose feedback increases radiation awareness and safety and can be provided to staff involved in fluoroscopy-guided interventions.« less

Authors:
; ; ; ; ; ;  [1]
  1. Maastricht University Medical Centre, Department of Radiology (Netherlands)
Publication Date:
OSTI Identifier:
22756337
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 40; Journal Issue: 11; Other Information: Copyright (c) 2017 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2017 The Author(s); 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:
61 RADIATION PROTECTION AND DOSIMETRY; 62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; DOSIMETRY; FEEDBACK; FLUORINE COMPOUNDS; GY RANGE; OCCUPATIONAL SAFETY; RADIATION MONITORING; RADIATION MONITORS; RADIATION PROTECTION; EFFECTIVE RADIATION DOSES

Citation Formats

Sailer, Anna M., E-mail: anni.sailer@mumc.nl, E-mail: karmanna@stanford.edu, Vergoossen, Laura, Paulis, Leonie, Zwam, Willem H. van,, Das, Marco, Wildberger, Joachim E., E-mail: j.wildberger@mumc.nl, and Jeukens, Cécile R. L. P. N., E-mail: cecile.jeukens@mumc.nl. Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring. United States: N. p., 2017. Web. doi:10.1007/S00270-017-1690-5.
Sailer, Anna M., E-mail: anni.sailer@mumc.nl, E-mail: karmanna@stanford.edu, Vergoossen, Laura, Paulis, Leonie, Zwam, Willem H. van,, Das, Marco, Wildberger, Joachim E., E-mail: j.wildberger@mumc.nl, & Jeukens, Cécile R. L. P. N., E-mail: cecile.jeukens@mumc.nl. Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring. United States. doi:10.1007/S00270-017-1690-5.
Sailer, Anna M., E-mail: anni.sailer@mumc.nl, E-mail: karmanna@stanford.edu, Vergoossen, Laura, Paulis, Leonie, Zwam, Willem H. van,, Das, Marco, Wildberger, Joachim E., E-mail: j.wildberger@mumc.nl, and Jeukens, Cécile R. L. P. N., E-mail: cecile.jeukens@mumc.nl. Wed . "Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring". United States. doi:10.1007/S00270-017-1690-5.
@article{osti_22756337,
title = {Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring},
author = {Sailer, Anna M., E-mail: anni.sailer@mumc.nl, E-mail: karmanna@stanford.edu and Vergoossen, Laura and Paulis, Leonie and Zwam, Willem H. van, and Das, Marco and Wildberger, Joachim E., E-mail: j.wildberger@mumc.nl and Jeukens, Cécile R. L. P. N., E-mail: cecile.jeukens@mumc.nl},
abstractNote = {PurposeRadiation safety and protection are a key component of fluoroscopy-guided interventions. We hypothesize that providing weekly personal dose feedback will increase radiation awareness and ultimately will lead to optimized behavior. Therefore, we designed and implemented a personalized feedback of procedure and personal doses for medical staff involved in fluoroscopy-guided interventions.Materials and MethodsMedical staff (physicians and technicians, n = 27) involved in fluoroscopy-guided interventions were equipped with electronic personal dose meters (PDMs). Procedure dose data including the dose area product and effective doses from PDMs were prospectively monitored for each consecutive procedure over an 8-month period (n = 1082). A personalized feedback form was designed displaying for each staff individually the personal dose per procedure, as well as relative and cumulative doses. This study consisted of two phases: (1) 1–5th months: Staff did not receive feedback (n = 701) and (2) 6–8th months: Staff received weekly individual dose feedback (n = 381). An anonymous evaluation was performed on the feedback and occupational dose.ResultsPersonalized feedback was scored valuable by 76% of the staff and increased radiation dose awareness for 71%. 57 and 52% reported an increased feeling of occupational safety and changing their behavior because of personalized feedback, respectively. For technicians, the normalized dose was significantly lower in the feedback phase compared to the prefeedback phase: [median (IQR) normalized dose (phase 1) 0.12 (0.04–0.50) µSv/Gy cm{sup 2} versus (phase 2) 0.08 (0.02–0.24) µSv/Gy cm{sup 2}, p = 0.002].ConclusionPersonalized dose feedback increases radiation awareness and safety and can be provided to staff involved in fluoroscopy-guided interventions.},
doi = {10.1007/S00270-017-1690-5},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 11,
volume = 40,
place = {United States},
year = {2017},
month = {11}
}