Patient radiation dose audits for fluoroscopically guided interventional procedures

Medical Physics

Volumn 38, Issue 3, 2011, Pages 1611-1618

  Balter, Stephen ^a   Rosenstein, Marvin ^b   Miller, Donald L ^c   Schueler, Beth ^d   Spelic, David ^e  

^a Columbia University ^*  (United States)

^b Uniformed Services University ^*

^c Uniformed Services University of the Health Sciences   (United States)

^d MAYO CLINIC   (United States)

^e CENTER FOR DRUG EVALUATION AND RESEARCH   (United States)

Author keywords

diagnostic reference levels; dose audit; interventional procedure; quality improvement; skin injury

Indexed keywords

DIAGNOSIS; MEDICAL IMAGING; QUALITY MANAGEMENT; RADIATION; RISK ASSESSMENT; STOCHASTIC SYSTEMS;

DIAGNOSTIC REFERENCE LEVELS; DOSE AUDIT; INTERVENTIONAL PROCEDURES; QUALITY IMPROVEMENT; SKIN INJURIES;

DECELERATION;

EID: 79952123302     PISSN: 00942405     EISSN: None     Source Type: Journal    
DOI: 10.1118/1.3557868     Document Type: Article

References (40)

1. D. C. Spelic, R. V. Kaczmarek, and O. H. Suleiman, " Nationwide evaluation of x-ray trends survey of abdomen and lumbosacral spine radiography.," Radiology 0033-8419 232, 115-125 (2004). 10.1148/radiol.2321020397 (Pubitemid 38787826)
2. ICRP, " Report 103: The 2007 recommendations of the International Commission on Radiological Protection.," Ann. ICRP 0146-6453 37 (2-4), (2007).
3. ICRP, " Report 105: Radiation protection in medicine.," Ann. ICRP 0146-6453 37 (6), 1-63 (2007).
4. D. Hart, M. C. Hillier, and B. F. Wall, " National reference doses for common radiographic, fluoroscopic and dental x-ray examinations in the UK.," Br. J. Radiol. 0007-1285 82, 1-12 (2009). 10.1259/bjr/12568539
5. ICRP, " Diagnostic reference levels in medical imaging: Review and additional advice.," Ann. ICRP 0146-6453 31 (4), 33-52 (2001).
6. B. F. Wall and P. C. Shrimpton, " The historical development of reference doses in diagnostic radiology.," Radiat. Prot. Dosim. 0144-8420 80, 15-19 (1998).
7. IAEA, " International basic safety standards for protection against ionizing radiation and for the safety of radiation sources.," International Atomic Energy Agency, Vienna, Safety Report Series No. 115, 1996.
8. E. Vano and L. Gonzalez, " Approaches to establishing reference levels in interventional radiology.," Radiat. Prot. Dosim. 0144-8420 94, 109-112 (2001). (Pubitemid 32433143)
9. G. Bernardi, R. Padovani, G. Morocutti, E. Vano, M. R. Malisan, M. Rinuncini, L. Spedicato, and P. M. Fioretti, " Clinical and technical determinants of the complexity of percutaneous transluminal coronary angioplasty procedures: Analysis in relation to radiation exposure parameters.," Catheter. Cardiovasc. Interv. 1522-1946 51, 1-9 (2000). 10.1002/1522- 726X(200009)51:1<1::AID-CCD13.0.CO;2-K
10. IAEA, " Establishing guidance levels in x ray guided medical interventional procedures: A pilot study.," International Atomic Energy Agency, Vienna, Safety Report Series No. 59, 2009.
11. A. Peterzol, E. Quai, R. Padovani, G. Bernardi, C. J. Kotre, and A. Dowling, " Reference levels in PTCA as a function of procedure complexity.," Radiat. Prot. Dosim. 0144-8420 117, 54-58 (2005). 10.1093/rpd/nci719
12. T. Vehmas, " Radiation exposure during standard and complex interventional procedures.," Br. J. Radiol. 0007-1285 70, 296-298 (1997). (Pubitemid 27129879)
13. N. W. Marshall, C. L. Chapple, and C. J. Kotre, " Diagnostic reference levels in interventional radiology.," Phys. Med. Biol. 0031-9155 45, 3833-3846 (2000). 10.1088/0031-9155/45/12/323 (Pubitemid 32005293)
14. A. I. Stratis, P. L. Anthopoulos, I. P. Gavaliatsis, G. P. Ifantis, A. I. Salahas, I. P. Antonellis, A. G. Tavernarakis, and M. I. Molfetas, " Patient dose in cardiac radiology.," Hellenic J. Cardiol. 1109-9666 50, 17-25 (2009).
15. E. M. Paisley, J. P. Eatough, P. J. Mountford, G. Frain, and J. Pickerill, " Patient radiation doses during invasive cardiac procedures categorised by clinical code.," Br. J. Radiol. 0007-1285 77, 1022-1026 (2004). 10.1259/bjr/91457357 (Pubitemid 40057799)
16. S. Balter, D. L. Miller, E. Vano, P. Ortiz Lopez, G. Bernardi, E. Cotelo, K. Faulkner, R. Nowotny, R. Padovani, and A. Ramirez, " A pilot study exploring the possibility of establishing guidance levels in x-ray directed interventional procedures.," Med. Phys. 0094-2405 35, 673-680 (2008). 10.1118/1.2829868 (Pubitemid 351190887)
17. I. A. Tsalafoutas, H. Goni, P. N. Maniatis, P. Pappas, N. Bouzas, and G. Tzortzis, " Patient doses from noncardiac diagnostic and therapeutic interventional procedures.," J. Vasc. Interv. Radiol. 1051-0443 17, 1489-1498 (2006). 10.1097/01.RVI.0000233526.17393.E4 (Pubitemid 44413001)
18. European Commission, " RP-109: Guidance on diagnostic reference levels (DRLs) for medical exposures.," Radiation Protection (1999) (http://ec.europa.eu/energy/nuclear/radiation-protection/doc/publication/109-en. pdf).
19. ACR, " ACR practice guideline for diagnostic reference levels in medical x-ray imaging.," American College of Radiology, Reston (2008) (http://www.acr.org/SecondaryMainMenuCategories/quality-safety/guidelines/ med-phys/reference-levels.aspx).
20. M. Rosenstein, " Diagnostic reference levels for medical exposure of patients: ICRP guidance and related ICRU quantities.," Health Phys. 0017-9078 95, 528-534 (2008). 10.1097/01.HP.0000326331.35187.63
21. CRCPD, " Nationwide evaluation of x-ray trends (NEXT): Tabulation and graphical summary of 2001 survey of adult chest radiography.," Conference of Radiation Control Program Directors, 2005 (unpublished), Publication No. E-05-2.
22. CRCPD, " Nationwide evaluation of x-ray trends (NEXT): Tabulation and graphical summary of 2002 abdomen/lumbosacral spine survey.," Conference of Radiation Control Program Directors, 2006 (unpublished), Publication No. E-06-2b.
23. CRCPD, " Nationwide evaluation of x-ray trends (NEXT): Protocol for 2008-2009 survey of cardiac catheterization.," Conference of Radiation Control Program Directors, 2009 (unpublished), Publication No. E-09-2.
24. IEC, " Medical electrical equipment-Part 2-43: Particular requirements for the safety of x-ray equipment for interventional procedures.," IEC 60601-2-43 (2000) (http://webstore.iec.ch/).
25. IEC, " Medical electrical equipment-Part 2-43, 2nd edition: Particular requirements for the safety of x-ray equipment for interventional procedures.," IEC 60601 (2010) (http://webstore.iec.ch/).
26. S. Balter, B. A. Schueler, D. L. Miller, P. E. Cole, H. T. Lu, A. Berenstein, R. Albert, J. D. Georgia, P. T. Noonan, E. J. Russell, T. W. Malisch, R. L. Vogelzang, M. Geisinger, J. F. Cardella, J. St George, G. L. Miller III, and J. Anderson, " Radiation doses in interventional radiology procedures: The RAD-IR study. Part III: Dosimetric performance of the interventional fluoroscopy units.," J. Vasc. Interv. Radiol. 1051-0443 15, 919-926 (2004). (Pubitemid 39249846)
27. D. L. Miller, S. Balter, P. E. Cole, H. T. Lu, B. A. Schueler, M. Geisinger, A. Berenstein, R. Albert, J. D. Georgia, P. T. Noonan, J. F. Cardella, J. St George, E. J. Russell, T. W. Malisch, R. L. Vogelzang, G. L. Miller III, and J. Anderson, " Radiation doses in interventional radiology procedures: The RAD-IR study: Part I: Overall measures of dose.," J. Vasc. Interv. Radiol. 1051-0443 14, 711-727 (2003). 10.1016/S1051-0443(07)60120-1 (Pubitemid 36292541)
28. D. L. Miller, S. Balter, L. K. Wagner, J. Cardella, T. W. Clark, C. D. Neithamer, Jr., M. S. Schwartzberg, T. L. Swan, R. B. Towbin, K. S. Rholl, and D. Sacks, " Quality improvement guidelines for recording patient radiation dose in the medical record.," J. Vasc. Interv. Radiol. 1051-0443 15, 423-429 (2004). (Pubitemid 38590865)
29. D. L. Miller, S. Balter, P. E. Cole, H. T. Lu, A. Berenstein, R. Albert, B. A. Schueler, J. D. Georgia, P. T. Noonan, E. J. Russell, T. W. Malisch, R. L. Vogelzang, M. Geisinger, J. F. Cardella, J. S. George, G. L. Miller III, and J. Anderson, " Radiation doses in interventional radiology procedures: The RAD-IR study: Part II: Skin dose.," J. Vasc. Interv. Radiol. 1051-0443 14, 977-990 (2003). 10.1016/S1051-0443(07)60120-1 (Pubitemid 36292541)
30. S. Balter, N. A. Detorie, and M. Mahesh, " Federal regulations (effective June 2006) require dose monitors on all new fluoroscopes: How will this help clinicians keep track of patient dose?," J. Am. Coll. Radiol. 1546-1440 4, 130-132 (2007). 10.1016/j.jacr.2006.10.014 (Pubitemid 46177785)
31. IEC, " PAS 61910-1: Radiation dose documentation. Part 1: Equipment for radiography and radioscopy. " (2007) (http://webstore.iec.ch/).
32. NCRP, " Report 168: Radiation dose management for fluoroscopically-guided interventional procedures.," NCRP Report No. 168, 2010.
33. IAEA, " Patient dose optimization in fluoroscopically guided interventional procedures.," International Atomic Energy Agency, Vienna, Technical Document Series No. 1641, 2010.
34. S. Balter, J. W. Hopewell, D. L. Miller, L. K. Wagner, and M. J. Zelefsky, " Fluoroscopically guided interventional procedures: A review of radiation effects on patients' skin and hair.," Radiology 0033-8419 254, 326-341 (2010). 10.1148/radiol.2542082312
35. M. S. Stecker, S. Balter, R. B. Towbin, D. L. Miller, E. Vano, G. Bartal, J. F. Angle, C. P. Chao, A. M. Cohen, R. G. Dixon, K. Gross, G. G. Hartnell, B. Schueler, J. D. Statler, T. de Baere, and J. F. Cardella, " Guidelines for patient radiation dose management.," J. Vasc. Interv. Radiol. 1051-0443 20, S263-273 (2009). 10.1016/j.jvir.2009.04.037
36. ACR, " Technical standard for management of the use of radiation in fluoroscopic procedures. " (2008) (http://www.acr.org/ SecondaryMainMenuCategories/quality-safety/RadSafety/RadiationS afety/standard-manage-radiation.aspx).
37. D. L. Miller, S. Balter, B. A. Schueler, L. K. Wagner, K. J. Strauss, and E. Vano, " Clinical radiation management for fluoroscopically guided interventional procedures.," Radiology 0033-8419 257, 321-332 (2010). 10.1148/radiol.10091269
38. D. L. Miller, D. Kwon, and G. H. Bonavia, " Reference levels for patient radiation doses in interventional radiology: Proposed initial values for U.S. practice.," Radiology 0033-8419 253, 753-764 (2009). 10.1148/radiol.2533090354
39. FDA, " Initiative to reduce unnecessary radiation exposure from medical imaging. " (2010) (http://www.fda.gov/Radiation-EmittingProducts/ RadiationSafety/RadiationDoseReduction/ucm199994.htm).
40. D. Hart, M. C. Hillier, and B. F. Wall, " Doses to patients from medical x-ray examinations in the UK-2000 review.," NRPB-W14 (2000) (http://www.hpa.org.uk/web/HPAwebFile/HPAweb-C/1194947421571).