University Hospital of St. John, (CHUSJ) Radiology Department, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Oporto Medical School, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal.
CINTESIS@RISE Department of Community, Information and Health Decision Sciences - MEDCIDS, Faculty of Medicine University of Porto, Clinical and Health Services Research - PDICSS, Rua Dr. Plácido da Costa, s/n, 4200-450 Porto, Portugal; Oporto Medical School, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal.
Radiography (Lond). 2023 May;29(3):597-603. doi: 10.1016/j.radi.2023.04.001. Epub 2023 Apr 17.
This study aimed to characterise radiation protection (RP) measures used in interventional radiology (IR) departments in Portugal with respect to European and national recommendations.
An online national survey was created to characterise the fluoroscopy technology as well as analyse the frequency of body fluoroscopy-guided intervention procedures (FGIP), RP education and training of the staff, and RP measures used daily.
In Portugal, most equipment for FGIP are single-sourced and have a flat panel detector (70%). The most commonly FGIP are percutaneous biliary drainage, percutaneous arterial and venous thrombolysis/thrombectomy, arteriovenous malformations embolization, and percutaneous transluminal balloon angioplasty for arteriovenous fistulas. Only a few staff members had received postgraduate education and training in RP (30%), with most nurses having not received RP education and training (40%). Some of the recommended RP measures lacked harmonisation. Additionally, >50% of the IR departments do not consider examination dose values to identify patients eligible for tissue reactions follow-up.
This is the first study to examine the characteristics of IR departments in Portugal. We observed a lack of RP education and training among staff members; further, there was a need to update some RP measures in some IR departments according to the recommendations.
Our findings will be presented to the participating IR departments in order to update and promote RP best practices. Moreover, our findings will be presented to the national societies of the different professional groups in order to inform strategies for harmonising RP education and training of the staff.
本研究旨在描述葡萄牙介入放射学（IR）部门的辐射防护（RP）措施，以符合欧洲和国家的建议。
创建了一个在线全国性调查，以描述透视技术，并分析身体透视引导介入程序（FGIP）的频率、工作人员的 RP 教育和培训以及日常使用的 RP 措施。
在葡萄牙，大多数 FGIP 设备都是单一来源的，并且具有平板探测器（70%）。最常见的 FGIP 是经皮胆道引流、经皮动脉和静脉溶栓/血栓切除术、动静脉畸形栓塞术以及经皮腔内球囊血管成形术用于动静脉瘘。只有少数工作人员接受过 RP 研究生教育和培训（30%），大多数护士没有接受过 RP 教育和培训（40%）。一些推荐的 RP 措施缺乏协调。此外，超过 50%的 IR 部门不考虑检查剂量值来确定是否有资格进行组织反应随访的患者。
这是首次检查葡萄牙 IR 部门特征的研究。我们观察到工作人员的 RP 教育和培训不足；此外，根据建议，一些 IR 部门需要更新一些 RP 措施。
我们的发现将提交给参与的 IR 部门，以更新和促进 RP 的最佳实践。此外，我们的发现将提交给不同专业团体的国家协会，以便为协调工作人员的 RP 教育和培训提供信息策略。
