title: A pilot experience launching a national dose protocol for vascular and interventional radiology.
abstract: The design of a national dose protocol for interventional radiology has been one of the tasks during the European SENTINEL Coordination Action. The present paper describes the pilot experience carried out in cooperation with the Spanish Society on Vascular and Interventional Radiology (SERVEI). A prospective sample of procedures was initially agreed. A common quality control of the X-ray systems was carried out, including calibration of the air kerma area product (KAP) meters. Occupational doses of the radiologists involved in the survey were also included in the survey. A total of 10 Spanish hospitals with interventional X-ray units were involved. Six hundred and sixty-four patient dose data were collected from 397 diagnostic and 267 therapeutic procedures. Occupational doses were evaluated in a sample of 635 values. The obtained KAP median/mean values (Gy.cm2) for the gathered procedures were: biliary drainage (30.6/68.9), fistulography (4.5/9.8), lower limb arteriography (52.2/60.7), hepatic chemoembolisation (175.8/218.3), iliac stent (45.9/73.2) and renal arteriography (39.1/59.8). Occupational doses (mean monthly values, in mSv) were 1.9 (over apron); 0.3 (under apron) and 4.5 (on hands). With this National experience, a protocol was agreed among the SENTINEL partners to conduct future similar surveys in other European countries.
authors.affiliation: Complutense University, Madrid, Spain. eliseov@med.ucm.es
authors.forename: E
authors.initials: E
authors.lastname: Vano
authors.forename: A
authors.initials: A
authors.lastname: Segarra
authors.forename: J M
authors.initials: JM
authors.lastname: Fernandez
authors.forename: J M
authors.initials: JM
authors.lastname: Ordiales
authors.forename: R
authors.initials: R
authors.lastname: Simon
authors.forename: J J
authors.initials: JJ
authors.lastname: Gallego
authors.forename: J
authors.initials: J
authors.lastname: del Cerro
authors.forename: E
authors.initials: E
authors.lastname: Casasola
authors.forename: J F
authors.initials: JF
authors.lastname: Verdu
authors.forename: T
authors.initials: T
authors.lastname: Ballester
authors.forename: J
authors.initials: J
authors.lastname: Sotil
authors.forename: A
authors.initials: A
authors.lastname: Aspiazu
authors.forename: M A
authors.initials: MA
authors.lastname: Garcia
authors.forename: F
authors.initials: F
authors.lastname: Moreno
authors.forename: F
authors.initials: F
authors.lastname: Carreras
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: M M
authors.initials: MM
authors.lastname: Soler
authors.forename: J
authors.initials: J
authors.lastname: Palmero
authors.forename: J
authors.initials: J
authors.lastname: Ciudad
authors.forename: F
authors.initials: F
authors.lastname: Diaz
authors.forename: J
authors.initials: J
authors.lastname: Hernandez
authors.forename: M
authors.initials: M
authors.lastname: Gonzalez
authors.forename: P
authors.initials: P
authors.lastname: Rosales
mesh_terms: D000792:Angiography; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging; D016461:Chemoembolization, Therapeutic; D002985:Clinical Protocols / Q000592:standards*; D003952:Diagnostic Imaging / Q000379:methods* / Q000592:standards; D005471:Fluoroscopy / Q000379:methods / Q000592:standards; D006801:Humans; D016273:Occupational Exposure / Q000032:analysis*; D010865:Pilot Projects; D011446:Prospective Studies; D011829:Radiation Dosage; D011834:Radiation Monitoring / Q000379:methods* / Q000592:standards; D015642:Radiology, Interventional / Q000379:methods* / Q000592:standards; D014652:Vascular Diseases / Q000145:classification / Q000000981:diagnostic imaging*