Interventional Radiology in Côte d’Ivoire: Analysis and Assessment of the Radiological Risk of the Surgical Team

Abstract

Ionizing radiation is widely used in medical practice for both diagnostic and therapeutic purposes. However, they are not devoid of adverse health effects on exposed operators. Therefore, we propose to assess the radiological risk of the interventional radiology team of the International Polyclinic of Indénié of Abidjan during the procedures of Embolization of uterine fibromyomas. The effective and equivalent doses to the extremities and crystals were estimated by TLD dosimeters positioned at different body areas selected on the basis of a radiological analysis of the exposure of personnel during five procedures. The analysis of fluoroscopic and record times showed variability in or an average fluoroscopy time of 32.37 min with extremes of 25.14 to 56.32 min; average record time of 0.52 min with extremes of 0.12 min to 1 min. The annual effective doses were respectively, 4.04 mSv, 3.42 mSv, 2.84 mSv; 2.28 mSv, in the Radiologist (R), Operator Assistant (O2); Anesthesiologist (A2), Manipulator (M2). The annual equivalent doses to the radiologist's predominant extremities and lenses were left index and left lens with values of 37.07 mSv and 9.46 mSv. The estimated doses in our study are reassuring from a regulatory point of view of dose limits. The results of our work have shown no significant short-term danger to the health of personnel.

The Role of Interventional Radiology in Splenic Trauma

“…Furthermore, it could be argued that another disadvantage of SAE is the exposure to ionising radiation, particularly to the operators. However, to counter this, a recent study by Omer et al showed no significant short-term danger to the health of personnel by placing TLD dosimeters at different body areas [22].…”

“…Unstable patients generally undergo laparotomy and splenectomy due to the emergent nature of the injury and the increased risk of mortality [20]. Stable patients with lower grade injuries are treated more conservatively with non-operative management (NOM), with or without SAE added as an adjunct to increase the success rate of NOM [20] [21] [22]. SAE can be categorised into two main types -proximal and distal.…”

Conformity Assessment of Lead Aprons Used in Conventional Radiology: A Multi-Centre Survey in Togo

“…Ionizing radiation is widely used in medical practice for both diagnostic and therapeutic perposes. However, they are not devoid of adverse health effects on exposed operators [1]. Thas's why lead aprons are used to protect against scattered radiation from the patient during interventional procedures and certain special conventional radiological examinations.…”