TREATMENT OF INTERNAL CAROTID ANEURYSMS USING PIPELINE EMBOLIZATION DEVICES: MEASURING THE RADIATION DOSE OF THE PATIENT AND DETERMINING THE FACTORS AFFECTING IT-Reference-Cited by-同舟云学术

TREATMENT OF INTERNAL CAROTID ANEURYSMS USING PIPELINE EMBOLIZATION DEVICES: MEASURING THE RADIATION DOSE OF THE PATIENT AND DETERMINING THE FACTORS AFFECTING IT

Published:2020-01-10 Issue:3 Volume:188 Page:389-396
ISSN:0144-8420
Container-title:Radiation Protection Dosimetry
language:en
Short-container-title:

Author:

Kawauchi Satoru¹²³,Chida Koichi²,Moritake Takashi⁴,Hamada Yusuke¹,Matsumaru Yuji⁵,Tsuruta Wataro⁶,Sato Masayuki⁵,Hosoo Hisayuki⁶,Sun Lue⁷

Affiliation:

1. Department of Radiology, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan

2. Course of Radiological Technology, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8575, Japan

3. Okinaka Memorial Institute for Medical Research, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan

4. Department of Radiological Health Science, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka 807-8555, Japan

5. Division for Stroke Prevention and Treatment, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan

6. Department of Endovascular Neurosurgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan

7. Health Research Institute, Department of Life Science and Biotechnology, National Institute of Advanced Industrial Science and Technology (AIST), Central 6, 1-1-1 Higashi, Tsukuba, Ibaraki 305-8566, Japan

Abstract

Abstract The purpose of this study was to measure the peak skin dose (PSD) and bilateral lens doses using radiophotoluminescence glass dosimeters and to determine the factors influencing the radiation dose in cases of cerebral aneurysm treated with pipeline embolization devices (PEDs). The cumulative dose, PSD and right and left lens doses were 3818.1 ± 1604.6, 1880.0 ± 723.0, 124.8 ± 49.2 and 180.7 ± 124.8 mGy, respectively. Using multivariate analysis, body mass index (p < 0.01; odds ratio (OR) = 1.806; 95% confidence interval (CI) = 1.007–3.238) and deployment time of PED (p < 0.05; OR = 1.107; 95% CI = 1.001–1.224) were found to be the independent predictors of PSD exceeding 2 Gy. Measures such as collimation of the radiation field and optimization of radiation dose should be taken to reduce the radiation to the patient.

Funder

Grant-in-Aid for Scientific Research

Japan Society for the Promotion of Science

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Radiology Nuclear Medicine and imaging,General Medicine,Radiation,Radiological and Ultrasound Technology

Link

http://academic.oup.com/rpd/article-pdf/188/3/389/33423089/ncz298.pdf

Reference25 articles.

1. Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience;Lylyk;Neurosurgery,2009

2. The pipeline embolization device for the intracranial treatment of aneurysms trial;Nelson;AJNR Am. J. Neuroradiol.,2011

3. Pipeline for uncoilable or failed aneurysms: results from a multicenter clinical trial;Becske;Radiology,2013

4. Treatment of cavernous sinus aneurysms with flow diversion: results in 44 patients;Puffer;AJNR Am. J. Neuroradiol.,2014

5. Predictors of cerebral aneurysm persistence and occlusion after flow diversion: a single-institution series of 445 cases with angiographic follow-up;Bender;J. Neurosurg.,2018

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