Measurement of maximum skin dose in interventional radiology and cardiology and challenges in the set-up of European alert thresholds
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu srovnávací studie, časopisecké články, multicentrická studie
PubMed
25316909
DOI
10.1093/rpd/ncu314
PII: ncu314
Knihovny.cz E-zdroje
- MeSH
- absorpce radiace MeSH
- fyziologie kůže účinky záření MeSH
- intervenční radiografie metody MeSH
- kardiovaskulární chirurgické výkony metody MeSH
- kůže diagnostické zobrazování MeSH
- lidé MeSH
- maximální přípustná koncentrace MeSH
- radiometrie přístrojové vybavení metody MeSH
- rentgenové záření * MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- srovnávací studie MeSH
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.
Belgian Nuclear Research Centre Boeretang 200 Mol BE 2400 Belgium
Centre Hospitalier Universitaire de Liège Avenue de l'Hôpital Liège 4000 Belgium
Greek Atomic Energy Commission PO Box 60092 Ag Paraskevi Athens 15310 Greece
Institute of Nuclear Physics ul Radzikowskiego 152 Kraków PL 31 342 Poland
Istituto Oncologico Veneto Via Gattamelata 64 Padova 35124 Italy
Istituto Superiore di Sanità Viale Regina Elena 299 Rome 00161 Italy
National Radiation Protection Institute Bartoškova 28 Prague 4 140 00 Czech Republic
Nofer Institute of Occupational Medicine 8 Sw Teresy Str Łódź 91 348 Poland
Radiation and Nuclear Safety Authority PO Box 14 Helsinki 00881 Finland
Ruđer Bošković Institute Bijenička c 54 Zagreb 10000 Croatia
Udine University Hospital Ple S Maria della Misericordia 15 Udine 33100 Italy
VINCA Institute of Nuclear Sciences PO Box 522 Belgrade 11001 Serbia
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