Patient dose reference levels in surgery: a multicenter study.
Dosimetry
Fluoroscopy
Radiation exposure
Radiation protection
Surgery
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
06
04
2018
accepted:
06
06
2018
revised:
11
05
2018
pubmed:
3
8
2018
medline:
26
2
2019
entrez:
3
8
2018
Statut:
ppublish
Résumé
To assess diagnostic reference levels (DRLs) in surgery for the most frequent procedures as required by the European Directive 2013/59/Euratom. A survey was conducted in six centers. Eight orthopedic, urology and gastrointestinal surgical procedures were analyzed. Kerma area product (KAP) and fluoroscopy time (FT) were recorded for 50 patients (except for elbow: 30 patients) per procedure and per center from September 2016 to September 2017. DRLs were calculated as the 3rd quartiles of the distributions. For shoulder surgery, DRLs were defined according to the complexity of the procedure. For hand/wrist and foot/ankle surgery, DRLs were defined according to the technology (conventional C-arm vs. mini-C-arm). Results of 1870 procedures were retrieved. DRLs were calculated for the two dosimetric indicators and the eight procedures. DRLs were 2130 mGy.cm This study reports DRLs in surgery based on a multicentric survey. • Delivered dose in surgery depends on procedure, practice and patient. • Diagnostic reference levels (DRLs) are proposed for eight surgical procedures. • DRLs are useful to benchmark practices and optimize protocols.
Identifiants
pubmed: 30069810
doi: 10.1007/s00330-018-5600-2
pii: 10.1007/s00330-018-5600-2
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
674-681Commentaires et corrections
Type : ErratumIn
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