Diagnostic reference levels and complexity indices in interventional radiology: a national programme
| Autor: | Rafael Ruiz-Cruces, M. M. Soler-Cantos, A. Martin-Palanca, F. J. Diaz-Romero, Eliseo Vano, A. Gil-Agudo, J. Hernandez-Armas, M. A. Zarca-Diaz, T. Moreno-Sanchez, J. J. Muñoz Ruiz-Canela, Manuel Perez-Martinez, J. J. Gallego-Beuter, J. C. Zapata-Jimenez, M. Gonzalez-de-Garay, V. Parra-Osorio, J. M. Fernandez-Soto, A. Lopez-Medina, F. Rosales-Espizua, C. Moreno-Saiz, M. Canis-Lopez, Roberto M. Sanchez-Casanueva, P. Galan-Montenegro, F. Moreno-Rodriguez, Sergio Cañete, F. Carrera-Magariño, J. M. Pastor-Vega |
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| Rok vydání: | 2016 |
| Předmět: |
Quality Control
Clinical audit medicine.medical_specialty medicine.medical_treatment Radiology Interventional Radiation Dosage Revascularization 030218 nuclear medicine & medical imaging Complexity index 03 medical and health sciences 0302 clinical medicine Reference Values Surveys and Questionnaires Humans Medicine Radiology Nuclear Medicine and imaging Neuroradiology medicine.diagnostic_test business.industry Angiography Stent Interventional radiology General Medicine Quartile Spain 030220 oncology & carcinogenesis Female Radiology business |
| Zdroj: | European Radiology. 26:4268-4276 |
| ISSN: | 1432-1084 0938-7994 |
| Popis: | To propose national diagnostic reference levels (DRLs) for interventional radiology and to evaluate the impact of the procedural complexity on patient doses. Eight interventional radiology units from Spanish hospitals were involved in this project. The participants agreed to undergo common quality control procedures for X-ray systems. Kerma area product (KAP) was collected from a sample of 1,649 procedures. A consensus document established the criteria to evaluate the complexity of seven types of procedures. DRLs were set as the 3rd quartile of KAP values. The KAP (3rd quartile) in Gy cm2 for the procedures included in the survey were: lower extremity arteriography (n = 784) 78; renal arteriography (n = 37) 107; transjugular hepatic biopsies (THB) (n = 30) 45; biliary drainage (BD) (n = 314) 30; uterine fibroid embolization (UFE) (n = 56) 214; colon endoprostheses (CE) (n = 31) 169; hepatic chemoembolization (HC) (n = 269) 303; femoropopliteal revascularization (FR) (n = 62) 119; and iliac stent (n = 66) 170. The complexity involved the increases in the following KAP factors from simple to complex procedures: THB x4; BD x13; UFE x3; CE x3; HC x5; FR x5 and IS x4. The evaluation of the procedure complexity in patient doses will allow the proper use of DRLs for the optimization of interventional radiology. • National DRLs for interventional procedures have been proposed given level of complexity • For clinical audits, the level of complexity should be taken into account. • An evaluation of the complexity levels of the procedure should be made. |
| Databáze: | OpenAIRE |
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