Prospective Evaluation of the radiologist’s hand dose in CT-guided interventions.

نویسندگان

  • B Rogits
  • K Jungnickel
  • D Löwenthal
  • S Kropf
  • E A Nekolla
  • O Dudeck
  • M Pech
  • G Wieners
  • J Ricke
چکیده

PURPOSE Assessment of radiologist's hand dose in CT-guided interventions and determination of influencing factors. MATERIALS AND METHODS The following CT-guided interventions were included: Core biopsy, drainage, periradicular therapy, and celiac plexus neurolysis. The hand dose was measured with an immediately readable dosimeter, the EDD-30 (Unfors, Sweden). The default parameters for CT fluoroscopy were 120 kV, 90 mA and a 4 mm slice thickness. All interventions were performed on a 16-slice CT unit (Aquilion 16 Toshiba, Japan). The tumor size, degree of difficulty (1 - 3), level of experience and device parameters (mAs, dose-length product, scan time) were documented. RESULTS 138 CT-guided interventions (biopsy n = 99, drainage n = 23, pain therapy n = 16) at different locations (lung n = 41, retroperitoneum n = 53, liver n = 25, spine n = 19) were included. The lesion size was 4 - 240 mm (median: 23 mm). The fluoroscopy time per intervention was 4.6 - 140.2 s (median: 24.2 s). The measured hand dose ranged from 0.001 - 3.02 mSv (median: 0.22 mSv). The median hand dose for lung puncture (n = 41) was slightly higher (median: 0.32 mSv, p = 0.01) compared to that for the liver, retroperitoneum and other. Besides physical influencing factors, the degree of difficulty (p = 0.001) and summed puncture depth (p = 0.004) correlated significantly with the hand dose. CONCLUSION The median hand dose for different CT-guided interventions was 0.22 mSv. Therefore, the annual hand dose limit would normally only be reached with about 2000 interventions.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ultrasound-guided versus Computed Tomography-controlled facet joint injections in the middle and lower cervical spine: a prospective randomized clinical trial.

OBJECTIVES A prospective randomized clinical trial was conducted to evaluate accuracy, time-saving, radiation doses and pain relief of ultrasound-guided (US) facet joint injections versus Computed Tomography (CT)-controlled interventions in the cervical spine. MATERIAL AND METHODS Forty adult patients were consecutively enrolled and randomly assigned to the US- or CT group. US-guided facet jo...

متن کامل

Low kilovolt “prospective ECG-triggering” vs. “retrospective ECG-gating” coronary CTA: comparison of image quality and radiation dose

Background: To compare image quality and radiation doses of low kilovolt (kV) “prospective ECG-triggering” (PT) and standard “retrospective ECG-gating” (RG) coronary computed tomography (CT) angiography. Materials and Methods: A total of 101 consecutive patients (76 males, 25 females; mean age: 55.44 ± 8.28 years) with low-to-intermediate risk status for coronary artery disease and with a body ...

متن کامل

Standard edge detection algorithms versus conventional auto-contouring used for a three-dimensional rigid CT-CT matching

Background: To reduce uncertainties of patient positioning, the Computerized Tomography (CT) images acquired at the treatment planning time can be compared with those images obtained during radiation dose delivery. This can be followed during dose delivery procedure as Image Guided radiotherapy (IGRT) to verify the prescribed radiation dose delivery to the target as well as to monitor ...

متن کامل

Evaluation of Volumetric Doses of Organs at Risk in Carcinoma Cervix Patients with HDR Intracavitary Brachytherapy and Comparison of CT-based and Conventional Plans

Background: Brachytherapy treatment planning in cervix carcinoma patients using two dimensional (2D) orthogonal images provides only point dose estimates while CT-based planning provides volumetric dose assessment helping in understanding the correlation between morbidity and the dose to organs at risk (OARs) and treatment volume. Objective: Aim of present study is to compare Internationa...

متن کامل

Graphene Quantum Dots-Coated Bismuth Nanoparticles for X-ray CT Imaging-Guided Photothermal therapy of Cancer Cells

Introduction: Theranostic nanoparticles, which integrate both diagnostic and therapeutic capabilities into one nanoagent, has great promise to ablate more effective tumoral tissue by optimizing and real-time monitoring treatment interventions, as well as monitoring therapeutic response to corresponding effect. Multifunctional theranostic nanoagent based on graphene quantum dots...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin

دوره 185 11  شماره 

صفحات  -

تاریخ انتشار 2013