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Pregled bibliografske jedinice broj: 920503

Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures


(Radna grupa: EURADOS WG12 Dosimetry in medical imaging) Järvinen, Hannu; Farad, Jad; Siiskonen, Teemu; Ciraj-Bjelac, Olivera; Dabin, Jeremie; Carinou, Eleftheria; Domienik, Joanna; Kluszczynski, Dariusz; Knežević, Željka; Kopec, Renata et al.
Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures // Physica medica, 46 (2018), 67-74 doi:10.1016/j.ejmp.2018.01.010 (međunarodna recenzija, članak, znanstveni)


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Naslov
Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures

Autori
Järvinen, Hannu ; Farad, Jad ; Siiskonen, Teemu ; Ciraj-Bjelac, Olivera ; Dabin, Jeremie ; Carinou, Eleftheria ; Domienik, Joanna ; Kluszczynski, Dariusz ; Knežević, Željka ; Kopec, Renata ; Majer, Marija ; Malchair, Francoise ; Negri, Anna ; Pankowski, Piotr ; Sarmento, Sandra ; Trianni, Annalisa

Kolaboracija
Radna grupa: EURADOS WG12 Dosimetry in medical imaging

Izvornik
Physica medica (1120-1797) 46 (2018); 67-74

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
interventional radiology ; maximum skin dose ; online dose indicator ; skin dose alert

Sažetak
Purpose The feasibility of setting-up generic, hospital-independent dose alert levels to initiate vigilance on possible skin injuries in interventional procedures was studied for three high-dose procedures (chemoembolization (TACE) of the liver, neuro-embolization (NE) and percutaneous coronary intervention (PCI)) in 9 European countries. Methods Gafchromic® films and thermoluminescent dosimeters (TLD) were used to determine the Maximum Skin Dose (MSD). Correlation of the online dose indicators (fluoroscopy time, kerma- or dose-area product (KAP or DAP) and cumulative air kerma at interventional reference point (Ka, r)) with MSD was evaluated and used to establish the alert levels corresponding to a MSD of 2 Gy and 5 Gy. The uncertainties of alert levels in terms of DAP and K a, r, and uncertainty of MSD were calculated. Results About 20-30 % of all MSD values exceeded 2 Gy while only 2-6 % exceeded 5 Gy. The correlations suggest that both DAP and Ka, r can be used as a dose indicator for alert levels (Pearson correlation coefficient p mostly > 0.8), while fluoroscopy time is not suitable (p mostly <0.6). Generic alert levels based on DAP (Gy cm2) were suggested for MSD of both 2 Gy and 5 Gy (for 5 Gy: TACE 750, PCI 250 and NE 400). The suggested levels are close to the lowest values published in several other studies. The uncertainty of the MSD was estimated to be around 10 -15 % and of hospital-specific skin dose alert levels about 20-30 % (with coverage factor k=1). Conclusions The generic alert levels are feasible for some cases but should be used with caution, only as the first approximation, while hospital-specific alert levels are preferred as the final approach.

Izvorni jezik
Engleski

Znanstvena područja
Interdisciplinarne prirodne znanosti, Temeljne medicinske znanosti



POVEZANOST RADA


Ustanove
Institut "Ruđer Bošković", Zagreb

Profili:

Avatar Url Marija Majer (autor)

Avatar Url Željka Knežević Medija (autor)

Citiraj ovu publikaciju

(Radna grupa: EURADOS WG12 Dosimetry in medical imaging) Järvinen, Hannu; Farad, Jad; Siiskonen, Teemu; Ciraj-Bjelac, Olivera; Dabin, Jeremie; Carinou, Eleftheria; Domienik, Joanna; Kluszczynski, Dariusz; Knežević, Željka; Kopec, Renata et al.
Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures // Physica medica, 46 (2018), 67-74 doi:10.1016/j.ejmp.2018.01.010 (međunarodna recenzija, članak, znanstveni)
(Radna grupa: EURADOS WG12 Dosimetry in medical imaging) (Radna grupa: EURADOS WG12 Dosimetry in medical imaging) Järvinen, H., Farad, J., Siiskonen, T., Ciraj-Bjelac, O., Dabin, J., Carinou, E., Domienik, J., Kluszczynski, D., Knežević, Ž. & Kopec, R. (2018) Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures. Physica medica, 46, 67-74 doi:10.1016/j.ejmp.2018.01.010.
@article{article, year = {2018}, pages = {67-74}, DOI = {10.1016/j.ejmp.2018.01.010}, keywords = {interventional radiology, maximum skin dose, online dose indicator, skin dose alert}, journal = {Physica medica}, doi = {10.1016/j.ejmp.2018.01.010}, volume = {46}, issn = {1120-1797}, title = {Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures}, keyword = {interventional radiology, maximum skin dose, online dose indicator, skin dose alert} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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