What is a modern Interventional Radiologist in Australia and New Zealand?

Clements, Warren; Goh, Gerard S; Lukies, Matthew; Joseph, Tim; Jhamb, Ashu; O’Brien, Andrew; Koukounaras, Jim

doi:10.1111/1754-9485.13014

Cited by 13 publications

(17 citation statements)

References 3 publications

(2 reference statements)

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“…Although equipment reducing operator dose is improving, and there has been widespread adoption of the ALARA principle, 26 interventional radiologists are also spending more of their time performing procedures rather than reporting, particularly in academic teaching hospitals 27 . A factor which can contribute to the dose IRs receive.…”

Section: Discussionmentioning

confidence: 99%

Occupational radiation exposure to the lens of the eye in interventional radiology

et al. 2021

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Introduction Cataract formation is a tissue reaction effected by radiation exposure. The purpose of this study was to evaluate the occupational exposure to the lens of the eye of interventional radiologists (IR's) and interventional radiology staff, with and without lead glasses. Methods Ethical approval was provided by the hospital research and ethics committee. A prospective cohort study was performed over 1 year, doses recorded, lifetime dose (estimated at working 5 days in angiography, for 30 years) was estimated and dose compared to current guidelines. Thermoluminescent dosimeters (TLDs; Landauer, Glenwood, USA) Hp(3) were placed on both the exterior and interior side of the personal lead glasses worn by three interventional radiologists and two radiographers. They were monitored during all procedures performed within 1 year. Lead glasses (AttenuTech® Microlite®, Florida, USA) with specifications were 0.75 mm lead equivalent front shield, and Side shield 0.3 mm Pb equivalent. A control TLD was placed in the storage location of the lead glasses when not in use. Yearly dose was measured and lifetime dose was calculated from the data obtained. Calculation of dose received per day(s) spent performing procedures for both annual and lifetime exposure was performed. In addition a record of occurrence of splashes on glasses was made after each case. Results Eye doses without protection were double the recommended limits for both annual and lifetime dose. For interventional radiologists working between 3 and 4 or more days in the lab per week, annual dose thresholds would be exceeded (20 mSv/year averaged over 5 years, no more than 50 mSv in 1 year). If interventional radiologists worked between 3 and 4 or more days in the lab, lifetime dose thresholds would be exceeded (500 mSv lifetime dose). Lead glasses reduced radiation exposure by an average of 79%. If lead glasses were worn no interventional radiologists would exceed annual or lifetime dose thresholds to the eyes even if working 5 days per week as the primary operator. Radiographers would not exceed annual or lifetime dose thresholds even without lead glasses. Splash incidents occurred for all interventional radiologists and one radiographer. Conclusion The use of lead glasses even in this small study resulted in a decreased dose of radiation to the lens of the eye. Regular use of radiation protection eyewear will reduce eye dose for primary proceduralists to well below yearly and lifetime thresholds.

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Section: Discussionmentioning

confidence: 99%

Occupational radiation exposure to the lens of the eye in interventional radiology

et al. 2021

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“…These challenges have implications at many levels: future trainees cannot be inspired without appropriate knowledge of the specialties; challenges exist with accreditation and training; and advocacy of our profession for patients will ultimately suffer. 4 The purpose of this opinion piece is to stimulate a discussion and reach a consensus on how we view ourselves as clinicians. To modernise the radiological specialities of IR and INR, a unified approach is necessary, without which our ability to influence the perception of others to our profession is limited.…”

Section: Point Of Viewmentioning

confidence: 99%

“…Often, it is not realised that not all interventional radiologists provide the same service. These challenges have implications at many levels: future trainees cannot be inspired without appropriate knowledge of the specialties; challenges exist with accreditation and training; and advocacy of our profession for patients will ultimately suffer 4 …”

Section: Point Of Viewmentioning

confidence: 99%

The ‘Sic Vos non Vobis’ of Interventional Radiology – Rebranding and modernising the Interventional Specialities of Radiology in Australia and New Zealand

et al. 2022

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“…The pre-procedure assessment consultation provides the interventional radiologist with a valuable opportunity to clinically assess the patient and is considered essential in modern IR practice [32,33]. This consultation allows for individualised planning, including assessment of potential infective risk factors, which are summarised in Table 2.…”

Section: Pre-procedures Assessment For Clinical Features and Risk Fac...mentioning

confidence: 99%

Current Strategies for Prevention of Infection After Uterine Artery Embolisation

Lukies

Clements

2022

Cardiovasc Intervent Radiol

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Uterine artery embolisation (UAE) is a safe and effective procedure for symptomatic uterine fibroids with an estimated rate of post-operative intra-uterine infection of 0.9–2.5%. While rates of infection have remained low over the past two decades, there is variation in infection prevention practices. Intra-uterine infection after UAE may occur via access site haematogenous spread or ascension of vaginal flora through the cervical canal. Although the evidence base is immature, risk factors for infection including previous pelvic infection, hydrosalpinx, endocervical incompetence, diabetes, smoking, obesity, respiratory disease, and immunosuppression should be assessed during the pre-operative consultation with the interventional radiologist to tailor a plan for minimising infection, which may include optimisation of any modifiable risk facts and prophylactic antibiotics.

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What is a modern Interventional Radiologist in Australia and New Zealand?

Cited by 13 publications

References 3 publications

Occupational radiation exposure to the lens of the eye in interventional radiology

Occupational radiation exposure to the lens of the eye in interventional radiology

The ‘Sic Vos non Vobis’ of Interventional Radiology – Rebranding and modernising the Interventional Specialities of Radiology in Australia and New Zealand

Current Strategies for Prevention of Infection After Uterine Artery Embolisation

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