Radiation exposure to patients during interventional procedures in 20 countries: initial IAEA project results
| Autor: | Nada A. Ahmed, S. Economides, Rada Borisova, Jamila Salem Al-Suwaidi, Abdelkader Benider, Dario Faj, Leila El-Nachef, Julius Ziliukas, N. Khelassi-Toutaoui, Virginia Tsapaki, Madan M. Rehani, Ion Ursulean, Jeska Sidika Wambani, Latifa BenOmrane, Ilkhom Mirsaidov, Mohammad Hassan Kharita, Adnan Beganović, Ashot Hovhannesyan, Nisakorn Manatrakul, Mohamed Shaaban, Dejan Zontar, Areesha Zaman |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Asia Developing country Pilot Projects Workload Radiation Dosage Radiography Interventional Occupational safety and health Patient safety Radiation Protection fashion Radiation Monitoring Occupational Exposure medicine Humans Scattering Radiation Radiology Nuclear Medicine and imaging Medical physics Prospective Studies Prospective cohort study Child Interventional cardiology business.industry General Medicine Environmental Exposure Europe interventional cardiology dose radiation protection Air Pollutants Radioactive fashion.garment Emergency medicine Africa Calibration Lead apron Female Radiation protection business |
| Zdroj: | AJR. American journal of roentgenology. 193(2) |
| ISSN: | 1546-3141 |
| Popis: | The purpose of our study was to investigate the level of radiation protection of patients and staff during interventional procedures in 20 countries of Africa, Asia, and Europe.In a multinational prospective study, information on radiation protection tools, peak skin dose (PSD), and kerma-area product (KAP) was provided by 55 hospitals in 20 mainly developing countries (nine mostly in Eastern Europe, five in Africa, and six in Asia).Nearly 40% of the interventional rooms had an annual workload of more than 2,000 patients. It is remarkable that the workload of pediatric interventional procedures can reach the levels of adult procedures even in developing countries. About 30% of participating countries have shown a 100% increase in workload in 3 years. Lead aprons are used in all participating rooms. Even though KAP was available in almost half of the facilities, none had experience in its use. One hundred of 505 patients monitored for PSD (20%) were above the 2-Gy threshold for deterministic effects.Interventional procedures are increasing in developing countries, not only for adults but also for pediatric patients. The situation with respect to staff protection is considered generally acceptable, but this is not the case for patient protection. Many patients exceeded the dose threshold for erythema. A substantial number (62%) of percutaneous transluminal coronary angioplasty procedures performed in developing countries in this study are above the currently known dose reference level and thus could be optimized. Therefore, this study has significance in introducing the concept of patient dose estimation and dose management. |
| Databáze: | OpenAIRE |
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