SESAME: A TOOL FOR NUMERICAL DOSIMETRIC RECONSTRUCTION OF PATIENTS OVEREXPOSURES IN INTERVENTIONAL RADIOLOGY.


Journal

Radiation protection dosimetry
ISSN: 1742-3406
Titre abrégé: Radiat Prot Dosimetry
Pays: England
ID NLM: 8109958

Informations de publication

Date de publication:
23 Dec 2019
Historique:
received: 23 07 2018
revised: 27 11 2018
accepted: 14 01 2019
pubmed: 13 2 2019
medline: 2 7 2020
entrez: 13 2 2019
Statut: ppublish

Résumé

Radiation overexposure accidents are rare but can have severe health consequences. Evaluating the dose received by the patient is a crucial step in the medical management. For that purpose, for more than 15 years, IRSN has been developing an in-house tool named SESAME for the numerical reconstruction of radiological accidents due to external sources. Recently, two new functionalities were implemented in SESAME to allow accurate reconstructions of interventional radiology (IR) overexposures. The experimental validation of SESAME for the reconstruction of overexposures in IR is presented. First, an anthropomorphic dummy equipped with dosemeters was irradiated following conditions similar to a fluoroscopically guided interventional procedure. Then the procedure was simulated using SESAME. Finally measured doses were compared to calculated doses. Even with a limited amount of data available, SESAME can provide valuable dose information for the medical team in charge of the patient, such as skin dose mapping and dose distribution in depth.

Identifiants

pubmed: 30753615
pii: 5308883
doi: 10.1093/rpd/ncz004
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

231-238

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Auteurs

Christelle Huet (C)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Fabrice Entine (F)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Céline Bassinet (C)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Matthieu Dondey (M)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Serge Dreuil (S)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Jean-Louis Georges (JL)

Service de Cardiologie, Centre Hospitalier de Versailles André Mignot, 177 rue de Versailles, 78150 Le Chesnay, France.

Cécile Etard (C)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

Isabelle Clairand (I)

Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Pôle Santé et Environnement, 31 Avenue de la Division Leclerc, 92260 Fontenay-aux- Roses, France.

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Classifications MeSH