title: Patient radiation dose during lithotripsy.
abstract: Measurements were made of the radiation dose to patients undergoing lithotripsy. Two groups were studied; patients undergoing ultrasound localization of calculi, and patients undergoing fluoroscopic localization. Dose area product (DAP) measurements were obtained using a Diamentor ionization chamber. Ultrasound localization produced a mean DAP of 137 cGy cm2 equivalent to a mean effective dose of 0.24 mSv. Fluoroscopy localization produced a mean DAP of 552 cGy cm2 equivalent to a mean effective dose of 1.2 mSv. There was no correlation between stone size and fluoroscopy time. We recommend the use of ultrasound localization as a first option whilst restricting the use of fluoroscopy (preferably pulsed) for ureteric and difficult renal calculi.
authors.affiliation: Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, UK.
authors.forename: A
authors.initials: A
authors.lastname: Macnamara
authors.forename: P
authors.initials: P
authors.lastname: Hoskins
mesh_terms: D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging* / Q000628:therapy; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D011829:Radiation Dosage