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Measurement of maximum skin dose in interventional radiology and cardiology and challenges in the set-up of European alert thresholds

J. Farah, A. Trianni, E. Carinou, O. Ciraj-Bjelac, I. Clairand, J. Dabin, C. De Angelis, J. Domienik, H. Jarvinen, R. Kopec, M. Majer, F. Malchair, A. Negri, L. Novák, T. Siiskonen, F. Vanhavere, Ž. Knežević,

. 2015 ; 164 (1-2) : 138-42. [pub] 20141014

Language English Country England, Great Britain

Document type Comparative Study, Journal Article, Multicenter Study

Persistent link   https://www.medvik.cz/link/bmc16000582

To help operators acknowledge patient dose during interventional procedures, EURADOS WG-12 focused on measuring patient skin dose using XR-RV3 gafchromic films, thermoluminescent detector (TLD) pellets or 2D TL foils and on investigating possible correlation to the on-line dose indicators such as fluoroscopy time, Kerma-area product (KAP) and cumulative air Kerma at reference point (CK). The study aims at defining non-centre-specific European alert thresholds for skin dose in three interventional procedures: chemoembolization of the liver (CE), neuroembolization (NE) and percutaneous coronary interventions (PCI). Skin dose values of >3 Gy (ICRP threshold for skin injuries) were indeed measured in these procedures confirming the need for dose indicators that correlate with maximum skin dose (MSD). However, although MSD showed fairly good correlation with KAP and CK, several limitations were identified challenging the set-up of non-centre-specific European alert thresholds. This paper presents preliminary results of this wide European measurement campaign and focuses on the main challenges in the definition of European alert thresholds.

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$a To help operators acknowledge patient dose during interventional procedures, EURADOS WG-12 focused on measuring patient skin dose using XR-RV3 gafchromic films, thermoluminescent detector (TLD) pellets or 2D TL foils and on investigating possible correlation to the on-line dose indicators such as fluoroscopy time, Kerma-area product (KAP) and cumulative air Kerma at reference point (CK). The study aims at defining non-centre-specific European alert thresholds for skin dose in three interventional procedures: chemoembolization of the liver (CE), neuroembolization (NE) and percutaneous coronary interventions (PCI). Skin dose values of >3 Gy (ICRP threshold for skin injuries) were indeed measured in these procedures confirming the need for dose indicators that correlate with maximum skin dose (MSD). However, although MSD showed fairly good correlation with KAP and CK, several limitations were identified challenging the set-up of non-centre-specific European alert thresholds. This paper presents preliminary results of this wide European measurement campaign and focuses on the main challenges in the definition of European alert thresholds.
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$a Malchair, F $u Centre Hospitalier Universitaire de Liège (CHUL), Avenue de l'Hôpital, Liège 4000, Belgium.
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$a Negri, A $u Istituto Oncologico Veneto (IOV), Via Gattamelata 64, Padova 35124, Italy.
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$a Novák, L $u National Radiation Protection Institute (NRPI), Bartoškova 28, Prague 4 140 00, Czech Republic.
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$a Vanhavere, F $u Belgian Nuclear Research Centre (SCK-CEN), Boeretang 200, Mol BE-2400, Belgium.
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