Patient and personnel exposure during extracorporeal lithotripsy
Extracorporeal shock wave lithotripsy (ESWL) has provided a nonsurgical approach to treatment of renal stones. The Dornier lithotripter uses dual image intensified x-ray systems to center the stone before treatment. Three imaging modes are offered: a fluoroscopic mode and two video spot filming modes. The average entrance exposure to the stone side of the typical patient at our facility is 2.6 X 10(-3) C kg-1 (10 R) (range: 0.5-7.7 X 10(-3) C kg-1 (2-30 R)) which is comparable and often much less than that reported for percutaneous lithotripsy. Recommendations are made for minimizing patient exposure. Scattered radiation levels in the lithotripter room are presented. We have determined that Pb protective apparel is not required during this procedure provided x-ray operation is temporarily halted should personnel be required to lean directly over the tub to attend to the patient. If the walls of the ESWL room are greater than 1.83 m (6 feet) from the tub, shielding in addition to conventional construction is not required.
- Research Organization:
- Baylor College of Medicine, Houston, TX
- OSTI ID:
- 5602865
- Journal Information:
- Health Phys.; (United States), Journal Name: Health Phys.; (United States) Vol. 53:6; ISSN HLTPA
- Country of Publication:
- United States
- Language:
- English
Similar Records
Variables influencing radiation exposure during extracorporeal shock wave lithotripsy. Review of 298 treatments
Extracorporeal shock wave lithotripsy in childhood
Related Subjects
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOMEDICAL RADIOGRAPHY
BODY
DIAGNOSTIC TECHNIQUES
DISEASES
DOSES
ELECTROMAGNETIC RADIATION
FLUOROSCOPY
HAZARDS
HEALTH HAZARDS
INJURIES
IONIZING RADIATIONS
KIDNEYS
MEDICAL PERSONNEL
MEDICINE
NUCLEAR MEDICINE
OCCUPATIONAL EXPOSURE
ORGANS
PATIENTS
PERSONNEL
RADIATION DOSES
RADIATION EFFECTS
RADIATION HAZARDS
RADIATION INJURIES
RADIATIONS
RADIOLOGICAL PERSONNEL
RADIOLOGY
SCATTERING
SHOCK WAVES
ULTRASONOGRAPHY
UROGENITAL SYSTEM DISEASES
X RADIATION