Comparison of Patient Skin Dose Evaluated Using Radiochromic Film and Dose Calculation Software

Magnier, F; Poulin, Maxime; Ty, Claire Van Ngoc; Osmond, Estelle; Bonniaud, G.; Coulot, J.; Pereira, Bruno; Boyer, L.; Guersen, J.; Cassagnes, L.

doi:10.1007/s00270-018-1888-1

Cited by 22 publications

(20 citation statements)

References 28 publications

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“…The latter highlight that both are predicators of radiodermatitis, but Dosemap is the more acute of them. Nevertheless, the strong correlation between gafchromic films and calculated PSD had already been shown, for example by Magnier et al, but with a different software (Em.dose©) in a population with lower BMI (32 ± 4.7 kg/m 2 in our study versus 25.1 ± 3.8 kg/m 2 in Magnier's study).…”

Section: Discussionsupporting

confidence: 83%

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Didier

Bourhis

Oueslati

et al. 2019

Cathet Cardio Intervent

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Objectives The aim of this study was to determine the accuracy of DoseMap™ software as compared to gafchromic film in real clinical practices. Background The radiation exposure from cardiovascular procedures could expose patients to potential risk of cancer and/or skin injury. New tools like Dosemap software were developed to estimate the patient skin dose in the cardiac catheterization laboratory. However, little data are available to validate this estimation of patient radiation skin dose. Methods This is a prospective cross‐sectional study comparing the peak skin dose (PSD) measured by gafchromic film used as reference with an estimated PSD given by Dosemap software, in patients with BMI > 30 kg/m2 undergoing elective diagnostic and/or therapeutic interventional cardiology procedures, from April 2016 to December 2016, at the Brest University Hospital Centre, France. Results After four exclusions of patients for poor quality of gafchromic films, 90 patients were included, with 58 angiography (67.4%), 14 percutaneous interventions (16.3%), and 14 both (16.3%). The median PSDDosemap and PSDFilm were similar with 157 mGy [IQR: 99; 273] versus 158 mGy [IQR: 101; 295] (P = 0.65), respectively, with an excellent correlation (r = 0.95). The comparison between cumulative air kerma and PSDFilm was different 366 mGy [IQR: 246; 575] versus 158 mGy [IQR: 101; 295] (P < 0.01) with moderate correlation (r = 0.79). No correlation was found between the dose area product and PSDFilm (r = 0.51). Conclusion DoseMap is an effective and valid method as compared to gafchromic films to estimate PSDs during interventional cardiologic procedures.

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Section: Discussionsupporting

confidence: 83%

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Didier

Bourhis

Oueslati

et al. 2019

Cathet Cardio Intervent

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“…Moreover, Magnier et al 21 also tested em.dose software in adult anthropomorphic phantom and 59 thoracic or abdominopelvic endovascular interventions on patients. The maximum difference between the PSD calculated with the software and the PSD measured with the film was 24.6% with a mean difference of 4.7% on the anthropomorphic phantom.…”

Section: Discussion and Study Limitationsmentioning

confidence: 99%

Benchmarking the DACS‐integrated Radiation Dose Monitor® skin dose mapping software using XR‐RV3 Gafchromic® films

et al. 2018

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“…Currently, it is still not routinely reported on angiographic equipment. Some vendors provide skin dose maps or provide software which calculates maximum skin dose to the back of the patient [36,37]. In the future, PSD will probably be part of the RDSR.…”

Section: Peak Skin Dosementioning

confidence: 99%

Unintended and Accidental Exposures, Significant Dose Events and Trigger Levels in Interventional Radiology

Jaschke

Bartal²,

Martin

et al. 2020

Cardiovasc Intervent Radiol

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Over recent years, an increasing number of fluoroscopically guided interventions (FGIs) have been performed by radiologists and non-radiologists. Also, the number of complex interventional procedures has increased. In the late nineties, first reports of skin injuries appeared in the literature. The medical community responded through increased awareness for radiation protection and public authorities by recommendations and legislation, for example, the European Basic Safety Standards (EU-BSS) which were published in 2014, or the international Basic Safety Standards (BSS). Implementation of the EU-BSS requires concerted action from interventionalists, radiographers, medical physics experts and competent national authorities. Interventionalists should play an important role in this project since implementation of the EU-BSS will affect their daily practice. This paper discusses some important issues of the EU-BSS such as unintended and accidental radiation exposures of patients, the meaning of significant dose events and how to deal with patients who were exposed to a substantial radiation dose with the risk of tissue injuries. In addition, this paper provides practical advice on how to implement alert and trigger levels in daily practice of FGIs in order to increase patient safety.

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Comparison of Patient Skin Dose Evaluated Using Radiochromic Film and Dose Calculation Software

Abstract: Comparison between radiochromic films and the software tool showed that the software is a suitable tool for a simple and reliable estimation of PSD. The software seems to be a good alternative to films, whose use remains complex.

Cited by 22 publications

References 28 publications

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Benchmarking the DACS‐integrated Radiation Dose Monitor® skin dose mapping software using XR‐RV3 Gafchromic® films

Unintended and Accidental Exposures, Significant Dose Events and Trigger Levels in Interventional Radiology

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