[Analysis of variation in delivered dose in diagnostic and therapeutic cerebral angiography].
OBJECTIVE
Analysis of dose-area product (DAP) in cerebral angiography, according to the type of pathology and technique used.


METHODS
Use of dosimetric and clinical data resulting from 84 diagnostic cerebral angiograms and 32 cerebral embolizations.


RESULTS
The diagnostic angiography data were divided into three categories: A/ When a secondarily embolized aneurysm was diagnosed: n=17. B/ When the final diagnosis was an arteriovenous malformation (AVM): n=10. C/ In the case where the diagnosis was neither AVM, nor aneurysm to embolize: n=57. The cerebral embolizations were classified in two sub-groups: K/ When the embolization immediately followed the diagnostic angiogram: n=15. L/ When the embolization of the aneurysm took place 24 to 48H after the angiography: n=17. The mean DAP of group B containing the AVM is higher than mean DAP values in groups A and C, because of the increased cinegraphic time. There is a strong correlation between the duration of the fluoroscopy and the DAP (n=116; r=0.931; p<0.0001). Addition of runs in the group L contributes to the augmentation of the exposure time (significant difference in time: p=0.0054) and thus with the fact that DAP L>DAPK.


CONCLUSIONS
Radiation dose during diagnostic cerebral angiography is increased in the presence of AVM. DAP of embolizations are higher when diagnostic and therapeutic phases are separated in time.
Ben Salem
D
D
Service de Neuroradiologie et de Radiologie des Urgences, CHU-Dijon, 3 rue du Fg raines, 21033 Dijon Cedex.
Martin
D
D
Aho
L S
LS
Walker
P M
PM
Lalande
A
A
Brunotte
F
F
Krause
D
D
Ricolfi
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000528:radiation effects*; D002533:Cerebral Angiography / Q000009:adverse effects*; D004307:Dose-Response Relationship, Radiation; D005260:Female; D005471:Fluoroscopy / Q000009:adverse effects*; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology* / Q000517:prevention & control; D011855:Radiodermatitis / Q000209:etiology; D011874:Radiometry; D012189:Retrospective Studies; D012306:Risk