Radiation levels on interventional radiology in the National Institute of Cancerology
DOI:
https://doi.org/10.32685/2590-7468/invapnuclear.5.2021.602Keywords:
radiological protection, isodose surfaces, interventional radiology, radiation level assessmentDownloads
How to Cite
Issue
Section
Published
Abstract
Various interventional radiology procedures are performed at the National Cancer Institute of Bogotá, Colombia. The X-ray radiation levels to which personnel in the C-arm fluoroscopy room are exposed are determined by estimating isodose surfaces at a 45° oblique plane to the right of the patient table, where a ratio of approximately 12 to 1 is found between the mean ambient dose equivalent rates for over- and under-couch X-ray configurations. A 2:1 ratio is found for the mean ambient dose equivalent to the physician and the surgical technologist considering lateral planes with respect to the table. Last, an approximate annual effective dose is determined using data for the frequency of in-house procedures and duration of central venous catheter insertion, assuming the use of a leaded apron. The effective dose rate to the physician is six times larger than that to the surgical technologist.
References
J. Valentin, “Avoidance of radiation injuries from medical interventional procedures”, Annals of the ICRP, vol. 30, n.° 2, pp. 7-22, 2000. https://doi.org/10.1016/S0146-6453(01)00004-5
P. O. Lopez, L. T. Dauer, R. Loose et al., “Occupational radiological protection in interventional procedures”, Annals of the ICRP, vol. 47, n.° 2, pp. 1-118, 2018. https://doi.org/10.1177/0146645317750356
J. R. Steele, A. K. Jones y E. P. Ninan, “Quality initiatives: Establishing an interventional radiology patient radiation safety program”, RadioGraphics, vol. 32, n.° 1, pp. 277-287, 2012. https://doi.org/10.1148/rg.321115002
P. Ferrari, F. Becke, Z. Jovanovic et al., “Simulation of h p (10) and effective dose received by the medical staff in interventional radiology procedures”, Journal of Radiological Protection, vol. 39, n.° 3, pp. 809-824, 2019. https://doi.org/10.1088/1361-6498/ab2c42
K. Chida, Y. Kaga, Y. Haga et al., “Occupational dose in interventional radiology procedures”, American Journal of Roentgenology, vol. 200, n.° 1, pp. 138-141, 2013. https://doi.org/10.2214/AJR.11.8455
E. Vano, L. Gonzalez, F. Beneytez y F. Moreno, “Lens injuries induced by occupational exposure in non-optimized interventional radiology laboratories”, The British Journal of Radiology, vol. 71, n.° 847, pp. 728-733, 1998. https://doi.org/10.1259/bjr.71.847.9771383
E. P. Efstathopoulos, I. Pantos, M. Andreou et al., “Occupational radiation doses to the extremities and the eyes in interventional radiology and cardiology procedures”, The British Journal of Radiology, vol. 84, n.° 997, pp. 70-77, 2011. https://doi.org/10.1259/bjr/83222759
O. Ciraj‐Bjelac, M. M. Rehani, K. H. Sim et al., “Risk for radiation‐induced cataract for staff in interventional cardiology: Is there reason for concern?”, Catheterization & Cardiovascular Interventions, vol. 76, n.° 6, pp. 826-834, 2010. https://doi.org/10.1002/ccd.22670
R. Moura y F. A. Bacchim, “Protecao radiologica aplicada a radiologia intervencionista”, Jornal Vascular Brasileiro, vol. 14, n.° 3, pp. 197-199, 2015. https://doi.org/10.1590/1677-5449.1403
J. K. Dave, “Why is the X-ray tube usually located underneath the patient instead of above the patient for interventional fluoroscopic procedures?”, American Journal of Roentgenology, vol. 207, n.° 3, W24-W25, 2016. https://doi.org/10.2214/AJR.16.16454
N. W. Marshall y K. Faulkner, “The dependence of the scattered radiation dose to personnel on technique factors in diagnostic radiology”, The British Journal of Radiology, vol. 65, n.° 769, pp. 44-49, 1992. https://doi.org/10.1259/0007-1285-65-769-44
K. Faulkner y B. M. Moores, “An assessment of the radiation dose received by staff using fluoroscopic equipment”, The British Journal of Radiology, vol. 55, n.° 652, pp. 272-276, 1982. https://doi.org/10.1259/0007-1285-55-652-272
H. Jarvinen, N. Buls, P. Clerinx et al., “Overview of double dosimetry procedures for the determination of the effective dose to the interventional radiology staff ”, Radiation Protection Dosimetry, vol. 129, pp. 333-339, n.° 1-3, 2008. https://doi.org/10.1093/rpd/ncn082
RaySafe x2 - Product specifications brochure, RaySafe, Billdal, Suecia, may. 2021. Disponible en https://www.raysafe.com/sites/default/files/2021-07/raysafe_x2_specification_brochure.pdf
D. Followill, The Phantoms of Medical and Health Physics, 1.ª ed., Nueva York: Springer-Verlag, 2014.
B. A. Schueler, “The aapm/rsna physics tutorial for residents general overview of fluoroscopic imaging”, Radio- Graphics, vol. 20, n.° 4, pp. 1115-1126, 2000. https://doi.org/10.1148/radiographics.20.4.g00jl301115
D. B. Rowe, “BiLinear, bicubic, and in between spline interpolation”, Department of Mathematics, Statistics, and Computer Science, Marquette University, Wisconsin, feb. 2018. Disponible en https://www.mssc.mu.edu/~daniel/pubs/RoweTalkMSCS_BiCubic.pdf
J. Liu, Z. Gan, en X. Zhu, “Directional bicubic interpolation — A new method of image super-resolution”, en Proceedings of 3rd International Conference on Multimedia Technology (ICMT-13), 2013, pp. 463-470.
R. Padovani, C. Foti y M. Malisan, “Staff dosimetry protocols in interventional radiology”, Radiation Protection Dosimetry, vol. 94, n.° 1-2, pp. 193-197, 2001. https://doi.org/10.1093/oxfordjournals.rpd.a006471
“Units of radiation. Calculation of equivalent dose and effective dose”, Ministry of the Environment Government of Japan, Tokio, Japan, ene. 2019. Disponible en https://www.env.go.jp/en/chemi/rhm/basic-info/1st/pdf/basic-1st-02-03-06.pdf