Step back from the patient: Reduction of radiation dose to the operator by the systematic use of an automatic power injector for contrast media in an interventional angiography suite

Acta Radiologica

Volumn 53, Issue 3, 2012, Pages 330-334

  Larsen, Anne Sofie F ^a   Østerås, Bjørn Helge ^b,c  

^a Østfold Hospital Trust   (Norway)

^b OSLO UNIVERSITY HOSPITAL   (Norway)

^c UNIVERSITY OF OSLO   (Norway)

Author keywords

Angiography; Angioplasty; Arteries; Occupational environmental hazards; Radiation safety; Vascular

Indexed keywords

ANGIOPLASTY; ARTERIES; CLINICAL SETTINGS; COLLECTIVE DOSE; DIGITAL SUBTRACTION ANGIOGRAPHY; DOSE REDUCTION; IN-PHASE; INTERVENTIONAL; INTERVENTIONAL PROCEDURES; LOWER EXTREMITY; PATIENT DOSE; PHASE 1; RADIATION DOSE REDUCTIONS; RADIATION EXPOSURE; RADIATION SAFETY; RADIATION SOURCE; TOTAL DOSE; VASCULAR;

ANGIOGRAPHY; CONTRAST MEDIA; RADIATION;

JET PUMPS;

CONTRAST MEDIUM;

AGED; ARTICLE; BODY BURDEN; DIGITAL SUBTRACTION ANGIOGRAPHY; FEMALE; HUMAN; INSTRUMENTATION; INTERVENTIONAL RADIOLOGY; INTRAVENOUS DRUG ADMINISTRATION; MALE; METHODOLOGY; OCCUPATIONAL EXPOSURE; RADIATION DOSE; RADIATION PROTECTION; RADIOLOGY DEPARTMENT; STATISTICS; THERMOLUMINESCENCE DOSIMETRY;

AGED; ANGIOGRAPHY, DIGITAL SUBTRACTION; BODY BURDEN; CONTRAST MEDIA; FEMALE; HUMANS; INJECTIONS, INTRAVENOUS; MALE; OCCUPATIONAL EXPOSURE; RADIATION DOSAGE; RADIATION PROTECTION; RADIOGRAPHY, INTERVENTIONAL; RADIOLOGY DEPARTMENT, HOSPITAL; THERMOLUMINESCENT DOSIMETRY;

EID: 84860179569     PISSN: 02841851     EISSN: 16000455     Source Type: Journal    
DOI: 10.1258/ar.2011.110560     Document Type: Article

References (19)

1. Hausler U, Czarwinski R, Brix G. Radiation exposure of medical staff from interventional x-ray procedures: a multicentre study. Eur Radiol 2009;19:2000-8
2. Bozkurt A, Bor D. Simultaneous determination of equivalent dose to organs and tissues of the patient and of the physician in interventional radiology using the Monte Carlo method. Phys Med Biol 2007;52:317-30 (Pubitemid 46646454)
3. Koukorava C, Carinou E, Simantirakis G, et al. Doses to operators during interventional radiology procedures: focus on eye lens and extremity dosimetry. Radiat Prot Dosimetry 2011;144:482-6
4. Klein LW, Miller DL, Balter S, et al. Occupational health hazards in the interventional laboratory: time for a safer environment. J Vasc Interv Radiol 2009;20:S278-S283
5. Vano E, Kleiman NJ, Duran A, et al. Radiation cataract risk in interventional cardiology personnel. Radiat Res 2010;174:490-5
6. Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A 2003;100:13761-6 (Pubitemid 37499140)
7. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP 2007;37:1-332
8. Miller DL, Vano E, Bartal G, et al. Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. Cardiovasc Intervent Radiol 2010;33:230-9
9. Brateman L. Radiation safety considerations for diagnostic radiology personnel. Radiographics 1999;19:1037-55
10. Challa K, Warren SG, Danak S, et al. Redundant protective barriers: minimizing operator occupational risk. J Interv Cardiol 2009;22:299-307
11. Kim KP, Miller DL. Minimising radiation exposure to physicians performing fluoroscopically guided cardiac catheterisation procedures: a review. Radiat Prot Dosimetry 2009;133:227-33
12. Schueler BA, Vrieze TJ, Bjarnason H, et al. An investigation of operator exposure in interventional radiology. Radiographics 2006;26:1533-41
13. Belanger B, Boudry J. Management of pediatric radiation dose using GE fluoroscopic equipment. Pediatr Radiol 2006;36(Suppl. 2):204-11
14. Schueler BA. Operator shielding: how and why. Tech Vasc Interv Radiol 2010;13:167-71
15. Layton KF, Kallmes DF, Cloft HJ, et al. Radiation exposure to the primary operator during endovascular surgical neuroradiology procedures. Am J Neuroradiol 2006;27:742-3 (Pubitemid 44897714)
16. Hayashi N, Sakai T, Kitagawa M, et al. Radiation exposure to interventional radiologists during manual-injection digital subtraction angiography. Cardiovasc Intervent Radiol 1998;21:240-3 (Pubitemid 28257688)
17. Luo LZ, Rotunda JE. Performance of Harshaw TLD-100H two-element Dosemeter. Radiat Prot Dosimetry 2006;120:324-30 (Pubitemid 44560043)
18. Moor DM, Horspool B, Stokes RP. Performance of the Harshaw DXT-RAD (TLD-100) dosemeter. Radiation Measurements 2008;43:533-7
19. Stranden E, Widmark A, Sekse T. Assessing doses to interventional radiologists using a personal dosimeter worn over a protective apron. Acta Radiol 2008;49:415-8 (Pubitemid 351598796)