BACKGROUND AND PURPOSE: Radiation exposure from neurointerventional procedures can be substantial, with risk of radiation injuries. We present the results of a follow-up program applied to potential skin injuries in interventional neuroradiology based on North American and European guidelines. MATERIALS AND METHODS: The following guidelines approved in 2009 by SIR and CIRSE have been used over the last 2 years to identify patients with potential skin injuries requiring clinical follow-up: peak skin dose >3 Gy, air kerma at the patient entrance reference point >5 Gy, kerma area product >500 Gy · cm(2), or fluoroscopy time >60 minutes. RESULTS: A total of 708 procedures (325 in 2009 and 383 in 2010) were included in the study. After analyzing each dose report, 19 patients (5.9%) were included in a follow-up program for potential skin injuries in 2009, while in 2010, after introducing several optimizing actions and refining the selection criteria, only 4 patients (1.0%) needed follow-up. Over the last 2 years, only 3 patients required referral to a dermatology service. CONCLUSIONS: The application of the guidelines to patient radiation dose management helped standardize the selection criteria for including patients in the clinical follow-up program of potential skin radiation injuries. The peak skin dose resulted in the most relevant parameter. The refinement of selection criteria and the introduction of a low-dose protocol in the x-ray system, combined with a training program focused on radiation protection, reduced the number of patients requiring clinical follow-up.
BACKGROUND AND PURPOSE: Radiation exposure from neurointerventional procedures can be substantial, with risk of radiation injuries. We present the results of a follow-up program applied to potential skin injuries in interventional neuroradiology based on North American and European guidelines. MATERIALS AND METHODS: The following guidelines approved in 2009 by SIR and CIRSE have been used over the last 2 years to identify patients with potential skin injuries requiring clinical follow-up: peak skin dose >3 Gy, air kerma at the patient entrance reference point >5 Gy, kerma area product >500 Gy · cm(2), or fluoroscopy time >60 minutes. RESULTS: A total of 708 procedures (325 in 2009 and 383 in 2010) were included in the study. After analyzing each dose report, 19 patients (5.9%) were included in a follow-up program for potential skin injuries in 2009, while in 2010, after introducing several optimizing actions and refining the selection criteria, only 4 patients (1.0%) needed follow-up. Over the last 2 years, only 3 patients required referral to a dermatology service. CONCLUSIONS: The application of the guidelines to patient radiation dose management helped standardize the selection criteria for including patients in the clinical follow-up program of potential skin radiation injuries. The peak skin dose resulted in the most relevant parameter. The refinement of selection criteria and the introduction of a low-dose protocol in the x-ray system, combined with a training program focused on radiation protection, reduced the number of patients requiring clinical follow-up.
Authors: Michael S Stecker; Stephen Balter; Richard B Towbin; Donald L Miller; Eliseo Vañó; Gabriel Bartal; J Fritz Angle; Christine P Chao; Alan M Cohen; Robert G Dixon; Kathleen Gross; George G Hartnell; Beth Schueler; John D Statler; Thierry de Baère; John F Cardella Journal: J Vasc Interv Radiol Date: 2009-07 Impact factor: 3.464
Authors: L D'Ercole; L Mantovani; F Zappoli Thyrion; M Bocchiola; A Azzaretti; F Di Maria; C Massa Saluzzo; P Quaretti; G Rodolico; P Scagnelli; L Andreucci Journal: AJNR Am J Neuroradiol Date: 2007-03 Impact factor: 3.825
Authors: Amber J Gislason-Lee; Claire Keeble; Daniel Egleston; Josephine Bexon; Stephen M Kengyelics; Andrew G Davies Journal: J Med Imaging (Bellingham) Date: 2017-05-02
Authors: K van der Marel; S Vedantham; I M J van der Bom; M Howk; T Narain; K Ty; A Karellas; M J Gounis; A S Puri; A K Wakhloo Journal: AJNR Am J Neuroradiol Date: 2017-01-19 Impact factor: 3.825
Authors: Travis R Ladner; Manus J Donahue; Daniel F Arteaga; Carlos C Faraco; Brent A Roach; L Taylor Davis; Lori C Jordan; Michael T Froehler; Megan K Strother Journal: J Neurosurg Date: 2016-03-11 Impact factor: 5.115
Authors: Yon Kwon Ihn; Bum-Soo Kim; Jun Soo Byun; Sang Hyun Suh; Yoo Dong Won; Deok Hee Lee; Byung Moon Kim; Young Soo Kim; Pyong Jeon; Chang-Woo Ryu; Sang-Il Suh; Dae Seob Choi; See Sung Choi; Jin Wook Choi; Hyuk Won Chang; Jae-Wook Lee; Sang Heum Kim; Young Jun Lee; Shang Hun Shin; Soo Mee Lim; Woong Yoon; Hae Woong Jeong; Moon Hee Han Journal: Neurointervention Date: 2016-09-03