Guidelines for Patient Radiation Dose Management

Stecker, Michael S.; Balter, Stephen; Towbin, Richard B.; Miller, Donald L.; Vañó, Eliseo; Bartal, Gabriel; Angle, John F.; Chao, Christine P.; Cohen, Alan M.; Dixon, Robert G.; Gross, Kathleen A.; Hartnell, George G.; Schueler, Beth A.; Statler, John D.; Baère, Thierry De; Cardella, John F.

doi:10.1016/j.jvir.2009.04.037

Cited by 386 publications

(280 citation statements)

References 33 publications

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“…This difference may not have been as pronounced if GA had been used in both groups. Radiation doses for both procedures were well within safe ranges (\3% of accepted Dose Area Product threshold of 500 Gy cm 2 ) [25]. The site of disc prolapse was similarly distributed in both treatment arms.…”

Section: Discussionmentioning

confidence: 68%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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Purpose Transforaminal endoscopic discectomy (TED) minimises paraspinal muscle damage. The aim of this trial was to compare clinical outcomes of TED to Microdiscectomy (Micro). Methods 143 patients, age 25-70 years and \115 kg, with single level lumbar prolapse and radiculopathy, were recruited and randomised. 70 received TED under conscious sedation and 70 Micro under general anaesthesia. Oswestry Disability Index (ODI), visual analogue scores (VAS) of back and leg pain, and Short Form Health Survey indices (SF-36) were measured preoperatively and at 3, 12 and 24 months. Results All outcome measures improved significantly in both groups (p \ 0.001). Affected side leg pain was lower in the TED group at 2 years (1.9 ± 2.6 vs 3.5 ± 3.1, p = 0.002). Hospital stay was shorter following TED (0.7 ± 0.7 vs 1.4 ± 1.3 days, p \ 0.001). Two Micro patients and five TED patients required revision giving a relative risk of revision for TED of 2.62 (95% CI 0.49-14.0). Conclusions Functional improvements were maintained at 2 years in both groups with less ongoing sciatica after TED. A greater revision rate after TED was offset by a more rapid recovery.

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Section: Discussionmentioning

confidence: 68%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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“…The number of procedures performed annually throughout the world has increased over the past 20 years [1]. The benefits of interventional radiology to patients are both extensive and beyond dispute, but many of these procedures also have the potential to produce patient radiation doses high enough to cause radiation effects and occupational doses to interventional radiologists high enough to cause concern [1][2][3][4]. A joint SIR-CIRSE guideline on patient radiation management has addressed patient issues [3].…”

Section: Introductionmentioning

confidence: 99%

Occupational Radiation Protection in Interventional Radiology: A Joint Guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology

Miller

Vañó

Bartal

et al. 2010

Journal of Vascular and Interventional Radiology

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157

112

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“…If meaningful changes appear, proper medical treatment should be provided and DAP dose area product, CAG coronary angiography, PCI percutaneous transluminal coronary intervention continuous trace investigation with hospital consultation is needed. If a patient who has exceeded action levels receives additional radiation exposure within 60 days, the total dose of all exposures should be evaluated [18]. Particular caution is needed in coronary angiography when additional exams to check prognosis are performed because of the additional exposure of the same area.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the US FDA requires that all angiographic equipment that has been sold in the USA after June 2006 must measure, indicate and record reference doses including air kerma rate and cumulative air kerma [10]. The cumulative dose is an especially useful index for evaluating risk of deterministic radiation effect in patients [11]. The cumulative data represent the total entrance dose from the angiography equipment to patients.…”

Section: Radiation Dose Monitoringmentioning

confidence: 99%

Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

Kim

Seo²,

Choi³

et al. 2015

J Digit Imaging

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Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product J Digit Imaging (2015) 28:684-694 DOI 10.1007 (DAP) DRL for coronary angiography of 75.6 Gy cm 2 and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm 2 , and the DRL for fluoroscopic time was 1207.5 s.

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Guidelines for Patient Radiation Dose Management

Cited by 386 publications

References 33 publications

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

Occupational Radiation Protection in Interventional Radiology: A Joint Guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology

Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

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