Patient radiation dose in percutaneous biliary interventions: recommendations for DRLs on the basis of a multicentre study.
Adult
Biliary Tract
/ diagnostic imaging
Biliary Tract Surgical Procedures
/ methods
Female
Fluoroscopy
/ statistics & numerical data
Germany
Humans
Male
Radiation Dosage
Radiation Exposure
/ statistics & numerical data
Radiography, Interventional
/ statistics & numerical data
Radiology, Interventional
/ standards
Reference Values
Retrospective Studies
Stents
Biliary system
Interventional radiography
Interventional ultrasound
Multicentre study
Radiation exposure
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
10
10
2018
accepted:
27
03
2019
revised:
20
03
2019
pubmed:
25
4
2019
medline:
27
8
2019
entrez:
25
4
2019
Statut:
ppublish
Résumé
Percutaneous biliary interventions (PBIs) can be associated with a high patient radiation dose, which can be reduced when national diagnostic reference levels (DRLs) are kept in mind. The aim of this multicentre study was to investigate patient radiation exposure in different percutaneous biliary interventions, in order to recommend national DRLs. A questionnaire asking for the dose area product (DAP) and the fluoroscopy time (FT) in different PBIs with ultrasound- or fluoroscopy-guided bile duct punctures was sent to 200 advanced care hospitals. Recommended national DRLs are set at the 75th percentile of all DAPs. Twenty-three facilities (9 interventional radiology depts. and 14 gastroenterology depts.) returned the questionnaire (12%). Five hundred sixty-five PBIs with 19 different interventions were included in the analysis. DAPs (range 4-21,510 cGy·cm DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. PBI with US-guided bile duct puncture did not reduce DAP, when compared to PBI with fluoroscopy-guided bile duct puncture. National DRLs of 4300 cGy·cm • DAPs and FTs in percutaneous biliary interventions showed substantial variations depending on the centre and the type of PBI. • PBI with US-guided bile duct puncture did not reduce DAP when compared to PBI with fluoroscopy-guided bile duct puncture. • DRLs of 4300 cGy·cm
Identifiants
pubmed: 31016441
doi: 10.1007/s00330-019-06208-6
pii: 10.1007/s00330-019-06208-6
doi:
Types de publication
Journal Article
Multicenter Study
Review
Langues
eng
Pagination
3390-3400Références
Eur Radiol. 2016 Dec;26(12):4268-4276
pubmed: 27384609
Med Phys. 2017 Sep;44(9):4928-4942
pubmed: 28636805
Eur Radiol. 2007 Jun;17(6):1621-33
pubmed: 17072616
Cardiovasc Intervent Radiol. 2012 Jun;35(3):613-20
pubmed: 21792735
Phys Med Biol. 2000 Dec;45(12):3833-46
pubmed: 11131203
J Vasc Interv Radiol. 2003 Jun;14(6):711-27
pubmed: 12817038
Insights Imaging. 2013 Dec;4(6):737-9
pubmed: 24092563
Radiology. 2010 Nov;257(2):321-32
pubmed: 20959547
Med Phys. 2011 Oct;38(10):5490-9
pubmed: 21992367
Eur Radiol. 2017 Oct;27(10):4281-4290
pubmed: 28289939
J Vasc Interv Radiol. 2012 Jan;23(1):11-8
pubmed: 22057151
Circulation. 2001 Oct 9;104(15):1779-84
pubmed: 11591614
Gastroenterol Clin North Am. 2018 Sep;47(3):621-641
pubmed: 30115441
Abdom Imaging. 2008 Sep-Oct;33(5):555-9
pubmed: 18253782
Eur J Radiol. 2004 Jun;50(3):285-91
pubmed: 15145489
Ann ICRP. 2017 Oct;46(1):1-144
pubmed: 29065694
J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S263-73
pubmed: 19560006
J Vasc Interv Radiol. 2015 Nov;26(11):1699-709
pubmed: 26371999
Eur J Radiol. 2017 May;90:114-128
pubmed: 28583622
J Vasc Interv Radiol. 2006 Jan;17(1):77-84
pubmed: 16415136
Br J Radiol. 2012 Oct;85(1018):e957-8
pubmed: 22972980
Radiat Prot Dosimetry. 2008;129(1-3):39-45
pubmed: 18287189
Catheter Cardiovasc Interv. 2018 Mar 1;91(4):717-722
pubmed: 28557313
Insights Imaging. 2017 Apr;8(2):183-197
pubmed: 28205026