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介入放射学中的患者剂量:一项欧洲调查。

Patient dose in interventional radiology: a European survey.

作者信息

Vano E, Järvinen H, Kosunen A, Bly R, Malone J, Dowling A, Larkin A, Padovani R, Bosmans H, Dragusin O, Jaschke W, Torbica P, Back C, Schreiner A, Bokou C, Kottou S, Tsapaki V, Jankowski J, Papierz S, Domienik J, Werduch A, Nikodemova D, Salat D, Kepler K, Bor M D, Vassileva J, Borisova R, Pellet S, Corbett R H

机构信息

Radiology Department, Ciudad Universitaria, Complutense University, Madrid, Spain.

出版信息

Radiat Prot Dosimetry. 2008;129(1-3):39-45. doi: 10.1093/rpd/ncn024. Epub 2008 Feb 20.

Abstract

Patient doses for a few common fluoroscopy-guided procedures in interventional radiology (IR) (excluding cardiology) were collected from a few radiological departments in 13 European countries. The major aim was to evaluate patient doses for the basis of the reference levels. In total, data for 20 procedures for about 1300 patients were collected. There were many-fold variations in the number of IR equipment and procedures per population, in the entrance dose rates, and in the patient dose data (total dose area product or DAP, fluoroscopy time and number of frames). There was no clear correlation between the total DAP and entrance dose rate, or between the total DAP and fluoroscopy time, indicating that a number of parameters affect the differences. Because of the limited number of patients, preliminary reference levels were proposed only for a few procedures. There is a need to improve the optimisation of IR procedures and their definitions and grouping, in order to account for their different complexities.

摘要

从13个欧洲国家的一些放射科收集了介入放射学(IR,不包括心脏病学)中一些常见透视引导程序的患者剂量。主要目的是评估作为参考水平基础的患者剂量。总共收集了约1300名患者20种程序的数据。不同人群的IR设备数量和程序、入射剂量率以及患者剂量数据(总剂量面积乘积或DAP、透视时间和帧数)存在许多倍的差异。总DAP与入射剂量率之间,或总DAP与透视时间之间没有明显的相关性,这表明有许多参数影响这些差异。由于患者数量有限,仅针对少数程序提出了初步参考水平。有必要改进IR程序的优化及其定义和分组,以考虑其不同的复杂性。

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