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The aim of this study was to evaluate the occupational radiation dose in interventional cardiology by using a shielding drape on the patient. A random study with and without the protective material was conducted. The following control parameters were registered: demographic data, number of stents, contrast media volume, fluoroscopy time, number of cine images, kerma-area product and cumulative air kerma. Occupational dose data were obtained by electronic active dosemeters. No statistically significant differences in the analysed control parameters were registered. The median dose value received by the interventional cardiologist was 50% lower in the group with a shielding drape with a statistically significant p-value <0.001. In addition, the median value of the maximum scatter radiation dose was 31% lower in this group with a statistically significant p-value <0.001. This study showed that a shielding drape is a useful tool for reducing the occupational radiation dose in a cardiac catheterisation laboratory. [ABSTRACT FROM AUTHOR]

Reducing occupational radiation dose in cardiac catheterisation laboratories is one of the objectives of the radiation protection system because the procedures performed involve high levels of radiation compared with others in health care. Recommendations on protection methods used are referred to different structural types and personal protection tools. In this work, the effectiveness of a shielding drape above the patient in different geometric shapes for a standard procedure in interventional cardiology was evaluated. Values of personal dose equivalent Hp(10) obtained simultaneously with three active electronic semiconductor dosemeters located at the usual position of staff and at the C-arm have been used to show the usefulness of the shielding drape. [ABSTRACT FROM AUTHOR]

Reducing occupational radiation dose in cardiac catheterisation laboratories is one of the objectives of the radiation protection system because the procedures performed involve high levels of radiation compared with others in health care. Recommendations on protection methods used are referred to different structural types and personal protection tools. In this work, the effectiveness of a shielding drape above the patient in different geometric shapes for a standard procedure in interventional cardiology was evaluated. Values of personal dose equivalent Hp(10) obtained simultaneously with three active electronic semiconductor dose-meters located at the usual position of staff and at the C-arm have been used to show the usefulness of the shielding drape. [ABSTRACT FROM AUTHOR]

An analysis of the relationship between image quality and incident air kerma has been carried out for a dynamic flat detector X-ray system used for interventional radiology. A phantom of polymethyl methacrylate (PMMA) to simulate patients and two different image test objects, Leeds TOR 18FG and NEMA XR 21, were used to evaluate the quality of the obtained images. Measurements were made simulating clinical configuration with different PMMA thicknesses (16, 20, 24 and 28 cm), available fields of view of 22, 31, 42 and 48 cm (diagonal dimension), in the three default fluoroscopy modes and in one of the most used digital subtraction angiography image acquisition modes. The obtained results are being used to help in the optimisation of clinical procedures. [ABSTRACT FROM AUTHOR]

Image quality for similar exposure conditions has been compared for two computed radiography (CR) systems (needle-based and conventional storage phosphor) and two flat-panel (DR) systems from different manufacturers mainly devoted to chest radiology. Image quality was assessed with a contrast-detail object and acrylic material to simulate clinical conditions. Specific image evaluation software was used to measure the contrast and obtain an image quality figure. Phantom and detector incident air kerma were measured for all images. Image quality differences were significant, and in the range of 100-300 µGy (phantom incident air kerma) the needle-based CR system and one of the DR systems show similar image quality and they are quite superior when compared with the conventional CR system. [ABSTRACT FROM AUTHOR]

The design of a national dose protocol for interventional radiology has been one of the tasks during the European SENTINEL Coordination Action. The present paper describes the pilot experience carried out in cooperation with the Spanish Society on Vascular and Interventional Radiology (SERVEI). A prospective sample of procedures was initially agreed. A common quality control of the X-ray systems was carried out, including calibration of the air kerma area product (KAP) meters. Occupational doses of the radiologists involved in the survey were also included in the survey. A total of 10 Spanish hospitals with interventional X-ray units were involved. Six hundred and sixty-four patient dose data were collected from 397 diagnostic and 267 therapeutic procedures. Occupational doses were evaluated in a sample of 635 values. The obtained KAP median/mean values (Gy·cm²) for the gathered procedures were: biliary drainage (30.6/68.9), fistulography (4.5/9.8), lower limb arteriography (52.2/60.7), hepatic chemoembolisation (175.8/218.3), iliac stent (45.9/73.2) and renal arteriography (39.1/59.8). Occupational doses (mean monthly values, in mSv) were 1.9 (over apron); 0.3 (under apron) and 4.5 (on hands). With this National experience, a protocol was agreed among the SENTINEL partners to conduct future similar surveys in other European countries. [ABSTRACT FROM AUTHOR]

New features have been added to a system (QCONLINE) for auditing patient dosimetric and technical parameters 'on line', working on a digital radiology department and using the information contained in the DICOM header of some modalities. The audit of other parameters than patient doses have been included, setting alarm conditions to alert on malfunction of the X-ray system or bad operation modes, in addition to the evaluation of patient doses. A new module to analyse, collect and process the relevant information transferred by the modality performed procedure step (MPPS) service has been launched. Several examples with the exploitation of the new features are presented. The transportability of the system has been tested in two remote hospitals during several months. The new MPPS module has demonstrated to be a good tool to complement the information existing in the DICOM header. The system allows to help in the optimisation of digital radiology departments managing patient dosimetry and procedure data in real time. [ABSTRACT FROM AUTHOR]