Hostname: page-component-7b7567c8c-2n9c9 Total loading time: 0 Render date: 2026-11-15T09:51:50.155Z Has data issue: false hasContentIssue false
  • English
  • Français

Statistical analysis of measured operators’ finger doses ininterventional radiology

Published online by Cambridge University Press:  23 January 2014

J.A. Feghali,
F. Tagnard-Mérat,
L. Donadille,
J.L. Rehel,
B. Aubert,
R. Allodji,
C. Gauron,
J. Farah and
I. Clairand
J.A. Feghali
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
F. Tagnard-Mérat
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, FranceService de Médecine de Prévention du Ministère de la Défense, Centre de Médecine Prévention des Armées de Paris/EHMP site de Paris 5, 74 boulevard de Port-Royal, 75230 Paris Cedex 05, France
L. Donadille
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
J.L. Rehel
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
B. Aubert
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
R. Allodji
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
C. Gauron
Affiliation:
INRS, Département EAM, 75680 Paris Cedex 14, France
J. Farah*
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
I. Clairand
Affiliation:
IRSN, Pôle Radioprotection Homme, BP 17, 92262 Fontenay-aux-Roses, France
*
a jad.farah@irsn.fr

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the 'Save PDF' action button.

This work suggests a classification of interventional radiology and cardiology proceduresbased on statistical analysis of operators’ finger doses measured in routine clinicalconditions. In total, 346 finger doses were measured and the observed mean finger dose perclass of procedure ranged from 0.03 mSv to 1.56 mSv for Cerebral, and Bone and Jointprocedures, respectively. The statistical analysis showed that the finger dose in Cerebralprocedures is significantly lower than in Cardiac procedures, which was significantlylower than the rest. Furthermore, finger doses in therapeutic procedures and in close oneswere significantly greater than in diagnostic procedures and in distal ones. This workalso studied the statistical relation between the use of ceiling-suspended shields orleaded gloves and the extremity dose. From the set of collected and analyzed data, afinger dose classification was proposed for different criteria: procedure type(diagnostics/therapeutic), proximity (close/distal), procedure class and access route.

Keywords

interventional radiologyoperator finger dosestatistical analysisprocedure classification

Information

Type
Article
Information
Radioprotection , Volume 49 , Issue 2 , April 2014, pp. 91 - 99
Copyright
© EDP Sciences, 2014

References

Blanpain, T., Brasselet, C., Tassan-Mangina, S., Deschildre, A., Clément, J.P., Gaillot-Petit, N., Tourneux, C., Metz, D. (2008) Doses estimations of a comparative study between radial and femoral access during coronary angiograms and percutaneous coronary interventions, Radioprotection 43, 449-463. Google Scholar
Carinou, E., Brodecki, M., Domienik, J., Donadille, L., Koukorava, C., Krim, S., Nikodemová, D., Ruiz-Lopez, N., Sans-Merce, M., Struelens, L., Vanhavere, F. (2011) Recommendations to reduce extremity and eye lens doses in interventional radiology and cardiology, Radiat. Meas. 46, 1324-1329. Google Scholar
Council Directive 96/29/Euratom of 13 May 1996 laying down basic safety standards for the protection of the health of workers and the general public against the dangers arising from ionizing radiation, Official Journal L 159, 1-114.
Delichas, M., Psarrakos, K., Molyvda-Athanassopoulou, E., Giannoglou, G., Sioundas, A., Hatziioannou, K., Papanastassiou, E. (2003) Radiation exposure to cardiologists performing interventional cardiology procedures, Eur. J. Radiol. 48, 268-273. Google ScholarPubMed
Donadille, L., Carinou, E., Brodecki, M., Domienik, J., Jankowski, J., Koukorava, C., Krim, S., Nikodemova, D., Ruiz-Lopez, N., Sans-Merce, M., Struelens, L., Vanhavered, F., Zaknoune, R. (2011) Staff eye lens and extremity exposure in interventional cardiology: results of the ORAMED project, Radiat. Meas. 46, 1203-1209. Google Scholar
Efstathopoulos, E.P., Pantos, I., Andreou, M., Gkatzis, A., Carinou, E., Koukorava, C., Kelekis, N.L., Brountzo, E. (2011) Occupational radiation doses to the extremities and the eyes in interventional radiology and cardiology procedures, Br. J. Radiol. 84, 70-77. Google ScholarPubMed
Fay, M.P., Proschan, M.A. (2010) Wilcoxon-Mann-Whitney or t-test? On assumptions for hypothesis tests and multiple interpretations of decision rules, Stat. Surveys 4, 1-39. Google ScholarPubMed
Harstall, R., Heine, P.F., Mini, R.L., Orler, R. (2005) Radiation exposure to the surgeon during fluoroscopically assisted percutaneous vertebroplasty, Spine 16, 1893-1898. Google Scholar
ICRP Publication 74 (1997) Conversion coefficients for use in radiological protection against external radiation, Ann. ICRP 26.
ICRP Publication 103 (2007) The 2007 Recommendations of the International Commission on Radiological Protection, Ann. ICRP 37.
ISO 4037-1 (1996) X and gamma reference radiation for calibrating dosimeters and dose-rate meters and determining their response as a function of photon energy - Part 1: Radiation characteristics and production methods.
ISO 4037-2 (1997) X and gamma reference radiation for calibrating dosimeters and dose-rate meters and determining their response as a function of photon energy - Part 2: Dosimetry for radiation protection over the energy range 8 keV to 1.3 MeV and 4 MeV to 9 MeV.
ISO 4037-3 (1999) X and gamma reference radiation for calibrating dosimeters and dose-rate meters and determining their response as a function of photon energy - Part 3: Calibration of area and personal dosimeters and the measurement of their response as a function of energy and angle of incidence.
Kim, K.P., Miller, D.L., Balter, S., Kleinerman, R.A., Linet, M.S., Kwon, D., Simon, S.L. (2008) Occupational radiation doses to operators performing cardiac catheterization procedures, Health Phys. 94, 211-227. Google ScholarPubMed
Kim, K.P., Miller, D. (2009) Minimising radiation exposure to physicians performing fluoroscopically guided cardiac catheterisation procedures: A review, Radiat. Prot. Dosim. 133, 227-233. Google ScholarPubMed
Koukorava, C., Carinou, E., Ferrari, P., Krim, S., Struelens, L. (2011) Study of the parameters affecting operator doses in interventional radiology using Monte Carlo simulations, Radiat. Meas. 46, 1216-1222. Google Scholar
LeHeron, J.C. (1992) Estimation of effective dose to the patient during medical X-ray examinations from measurements of dose-area product, Phys. Med. Biol. 37, 2117-2126. Google Scholar
Marshall, N.W., Noble, J., Faulkner, K. (1995) Patient and staff dosimetry in neuroradiological procedures, Br. J. Radiol. 68, 495-501. Google ScholarPubMed
Martin, C.J. (2009) A review of radiology staff doses and dose monitoring requirements, Radiat. Prot. Dosim. 136, 140-157. Google ScholarPubMed
Martin, C.J., Whitby, M. (2003) Application of ALARP to extremity doses for hospital workers, J. Radiol. Prot. 23, 405-421. Google ScholarPubMed
Miller, D.L. (2008) Overview of contemporary interventional fluoroscopy procedures, Health Phys. 95, 638-644. Google ScholarPubMed
Miller, D.L., Vañó, E., Bartal, G., Balter, S., Dixon, R., Padovani, R., Schueler, B., Cardella, J.F., de Baère, T. (2010) Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology, Cardiovasc. Intervent. Radiol. 33, 230-239. Google ScholarPubMed
Pappas P.A., DePuy V. (2004) An overview of non-parametric tests in SASr: When, Why, and How. In: The Proceedings of the South-East SAS Users Group, SESUG 2004, Nashville, TN, paper TU04:1-5.
Ramsdale, M.L., Walker, W.J., Horton, P.W. (1990) Extremity doses during interventional radiology, Clin. Radiol. 41, 34-36. Google ScholarPubMed
Roger, V.L. et al. (2011) Heart Disease and Stroke Statistics — 2011 Update. A Report from the American Heart Association, Citation 11 123, e18-e209. Google ScholarPubMed
SAS Institute Inc. (1999) The SAS (Statistical Analysis Systems, Institute Inc.) System Release 8.02, Cary, NC, USA.
Stern S.H., Rosenstein M., Renaud L., Zankl M. (1995) Handbook of selected tissue doses for fluoroscopic and cineangiographic examination of coronary arteries. HHS Publication FDA 95-8289. Rockville, MD: US Department of Health and Human Services.
Synowitz, M., Kiwit, J. (2006) Surgeon’s radiation exposure during percutaneous vertebroplasty, J. Neurosurg. Spine 4, 106-109. Google ScholarPubMed
Togni, M., Balmer, F., Pfiffner, D., Maier, W., Zeiher, A.M., Meier, B. (2004) Percutaneous coronary interventions in Europe 1992−2001, Eur. Heart J. 25, 1208-1213. Google ScholarPubMed
UNSCEAR (2008) Sources and Effects of Ionizing Radiation, Volume I: Sources. Report to the General Assembly with Scientific Annexes A and B. United Nations, Vienna.
Vanhavere F. et al. (2012) ORAMED: Optimization of Radiation Protection of Medical Staff. EURADOS Report 2012-02, ISSN 2226-8057.
Vaňo, E., Fernandez, J.M., Delgado, V., González, L. (1995) Evaluation of tungsten and lead surgical gloves for radiation protection, Health Phys. 68, 855-858. Google ScholarPubMed
Watson, L.E., Riggs, M.W., Bourland, P.D. (1997) Radiation exposure during cardiology fellowship training, Health Phys. 73, 690-693. Google ScholarPubMed
Whitby, M., Martin, C.J. (2005) A study of the distribution of dose across the hands of interventional radiologists and cardiologists, Br. J. Radiol. 78, 219-229. Google ScholarPubMed