ASSESSMENT OF OCCUPATIONAL EXPOSURE IN THE MAIN PAEDIATRIC INTERVENTIONAL RADIOLOGY PROCEDURES

Author:

Morcillo Ana B1ORCID,Huerga Carlos1,Bayón José1,López Antonio1,Corredoira Eva1,Hernández Teresa2,Novo Joan R2,Ponce María D2,Fernández Lucía2,Rodríguez Ricardo2,Garzón Gonzalo2,Vañó Eliseo3,Guibelalde Eduardo3,Alejo Luis1ORCID

Affiliation:

1. Medical Physics Department , La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain

2. Vascular and Interventional Radiology Department , La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain

3. Radiology Department , Complutense University, Plaza de Ramón y Cajal, 28040 Madrid, Spain

Abstract

Abstract The aim of this study is to evaluate the personal dose equivalent Hp(10) in the most frequent (non-cardiac) paediatric interventional radiology (PIR) procedures: central venous catheters (CVC), hepatic/biliary and sclerotherapy interventions. i2 active solid-state dosemeters placed over the lead apron were used to monitor the exposure of three interventional radiologists over 18 months. A database was created to register all procedures performed by each radiologist (including the type of procedure and the kerma-area product, PKA). The mean Hp(10) per procedure for CVC, sclerotherapy and hepatic/biliary interventions was respectively 0.01 ± 0.01 mSv, 0.18 ± 0.13 mSv and 0.12 ± 0.06 mSv (k = 2). A similar value of Hp(10)/PKA was found despite the type of procedure or the patient weight (~10 μSv/Gy·cm2). There was high variability among individual interventions, probably due to the variable level of complexity, which led to uncertainties in the measurements’ mean higher than those associated with the dosemeter’s angular and energy dependence. i2 therefore proved suitable for monitoring Hp(10) in PIR procedures.

Funder

Foundation for Biomedical Research of La Paz University Hospital

Publisher

Oxford University Press (OUP)

Subject

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

Reference19 articles.

1. Paediatric interventional radiology;McLaren;Radiography,2014

2. Paediatric interventional radiology;Roebuck;Paediatr Radiol.,2009

3. Occupational radiological protection in interventional procedures. ICRP publication 139;International Commission on Radiological Protection;Ann. ICRP,2018

4. Radiological protection in paediatric diagnostic and interventional radiology. ICRP publication 121;International Commission on Radiological Protection;Ann. ICRP,2013

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