Proposed local diagnostic reference levels in angiography and interventional neuroradiology and a preliminary analysis according to the complexity of the procedures

Physica Medica

Volumn 28, Issue 1, 2012, Pages 61-70

  D'Ercole, Loredana ^a   Thyrion, Federico Zappoli ^a   Bocchiola, Milena ^a   Mantovani, Laura ^a   Klersy, Catherine ^a  

^a FONDAZIONE IRCCS POLICLINICO SAN MATTEO   (Italy)

Author keywords

Cerebral angiography; Cerebral embolisation; Diagnostic reference levels; KAP (kerma area product)

Indexed keywords

ADULT; AGED; ANALYTICAL PARAMETERS; ARTERIOVENOUS MALFORMATION; ARTICLE; ARTIFICIAL EMBOLISM; BRAIN ANGIOGRAPHY; BRAIN ARTERY ANEURYSM; DIAGNOSTIC TEST; DISEASE SEVERITY; DOSIMETRY; FEMALE; FLUOROSCOPY; HUMAN; INTERVENTIONAL NEURORADIOLOGY; INTERVENTIONAL RADIOLOGY; KERMA AREA PRODUCT; MAJOR CLINICAL STUDY; MALE; NEURORADIOLOGY; RADIATION EXPOSURE; REFERENCE VALUE; TIME;

ADULT; AGED; CEREBRAL ANGIOGRAPHY; EMBOLIZATION, THERAPEUTIC; FEMALE; HUMANS; INTRACRANIAL ANEURYSM; MALE; MIDDLE AGED; REFERENCE VALUES; YOUNG ADULT;

EID: 83555160926     PISSN: 11201797     EISSN: 1724191X     Source Type: Journal    
DOI: 10.1016/j.ejmp.2010.10.008     Document Type: Article

References (25)

1. European Union Commission Council Directive 97/43 Euratom on health protection of individuals against the dangers of ionizing radiation in relation to medical exposure, and repealing Directive 84/466 Euratom. Off J Eur Commun 1997, L180:22-27.
2. Wall B.F. Implementation of DRLs in the UK. Radiat Prot Dosimetry 2005, 114:183-187.
3. Gray J.E., Archer B.R., Butler P.F., Hobbs B.B., Mettler F.A., Pizzutiello R.J., et al. Reference values for diagnostic radiology: application and impact. Radiology 2005, 235:354-358.
4. ICRP International Commission on Radiological Protection Diagnostic reference levels in medical imaging: review and additional advice. Ann ICRP 2001, 31:33-52.
5. ICRP 103: the 2007 recommendations of the International Commission on Radiological Protection. Ann ICRP 2007, 37(2-4).
6. Radiation protection in medicine. Ann ICRP 2007, 37:1-63. ICRP Publication 105.
7. Carrol E.M., Brennan P.C. Radiation doses for barium enema and barium meal examinations in Ireland: potential diagnostic reference levels. Br J Radiol 2003, 76:393-397.
8. Martin C.J. A review of factors affecting patient dose for barium enemas and meals. Br J Radiol 2004, 77:864-868.
9. Neofotistou V., Vano E., Padovani R., Kotre J., Dowling A., Toivonen M., et al. Preliminary reference levels in interventional cardiology. Eur Radiol 2003, 13:2259-2263.
10. Balter S., Miller D.L., Vano E., Ortiz Lopez P., Bernardi G., Cotelo E., et al. A pilot study exploring the possibility of establishing guidance levels in X-ray directed interventional procedures. Med Phys 2008, 35:673-680.
11. Padovani R., Vano E., Trianni A., Bokou C., Hosmans H., Bor D., et al. Reference levels at European level for cardiac interventional procedures. Radiat Prot Dosimetry 2008, 129:104-107.
12. Guidance on diagnostic reference levels (DRLs) for medical exposures. European Commission Radiation Protection 109; 2000.
13. Wall B.F., Shrimpton P.C. The historical development of reference doses in diagnostic radiology. Radiat Prot Dosimetry 1998, 80:15-19.
14. Vano E., Jarvinen H., Kosunen R., Bly R., Malone J., Dowling A., et al. Patient dose in interventional radiology: a European survey. Radiat Prot Dosimetry 2008, 129:39-45.
15. Marshall N.W., Chapple C.L., Kotre C.J. Diagnostic reference levels in interventional radiology. Phys Med Biol 2000, 45:3833-3846.
16. Verdun F.R., Aroua A., Trueb R., Vock P., Valley J.F. Diagnostic and interventional radiology: a strategy to introduce reference dose level taking into account the national practice. Radiat Prot Dosimetry 2005, 114:188-191.
17. Aroua A., Rickli H., Stauffer J.C., Schnyder P., Trueb P.R., Valley J.F., et al. How to set up and apply reference levels in fluoroscopy at a national level. Eur Radiol 2007, 17:1621-1633.
18. McParland B.J. A study of patient radiation doses in interventional radiological procedures. Br J Radiol 1998, 71:175-185.
19. Brambilla M., Marano G., Dominietto M., Cotroneo A.R., Carriero A. Dose al paziente e livelli di riferimento in radiologia interventistica. La Radiologia Med 2004, 107:408-418.
20. Bor D., Cekirge S., Turkay T., Turan O., Gülay M., ōnal E., et al. Patient and staff doses in interventional neuroradiology. Radiat Prot Dosimetry 2005, 117:62-68.
21. Vano E., Gonzales L., Fernandez J.M., Guibelalde E. Patient dose values in interventional radiology. Br J Radiol 1995, 68:1215-1220.
22. Papageorgiu E., Tsapaki V., Tsalafoutas A., Maurikou E., Kottou S., Orfanos A., et al. Comparison of patient doses in interventional radiology procedures performed in two large hospitals in Greece. Radiat Prot Dosimetry 2007, 124:97-102.
23. Vano E., Gonzalez L. Approaches to establishing reference levels in interventional radiology. Radiat Prot Dosimetry 2001, 94:109-112.
24. Miller D.L., Balter S., Cole P.E., Lu H.T., Schueler B.A., Giisinger M., et al. Radiation doses in interventional radiology procedures. The RAD-IR Study. Part I: overall measures of dose. J Vasc Interv Radiol 2003, 14:711-728.
25. Miller D.L., Deukwoo K., Bonavia G.H. Reference levels for patient radiation doses in Interventional Radiology: proposed initial values for U.S. practice. Radiology 2009, 253:753-764.