Patient dose in angiographic interventional procedures: A multicentre study in Italy

Paola Isoardi; Loredana D'Ercole; Monica Cavallari; Laura Gianusso; Silvia Pini; Carlo Giordano; Lidia Angelini; Paola Enrica Colombo; Stefania Delle Canne; Antonella Del Vecchio; Riccardo Di Liberto; Simona Farnedi; Caterina Ghetti; Elena Lorenzini; Daniela Origgi; Nicoletta Paruccini; Massimo Pasquino; Claudia Cutaia; Mariagrazia Quattrocchi; Lucia Riccardi; Raffaella Soavi; Sabina Strocchi; Annalisa Trianni; Giovanna Venturi

doi:10.1016/j.ejmp.2019.06.008

Patient dose in angiographic interventional procedures: A multicentre study in Italy

Paola Isoardi, Loredana D'Ercole, Monica Cavallari, Laura Gianusso, Silvia Pini, Carlo Giordano, Lidia Angelini, Paola Enrica Colombo, Stefania Delle Canne, Antonella Del Vecchio, Riccardo Di Liberto, Simona Farnedi, Caterina Ghetti, Elena Lorenzini, Daniela Origgi, Nicoletta Paruccini, Massimo Pasquino, Claudia Cutaia, Mariagrazia Quattrocchi, Lucia RiccardiRaffaella Soavi, Sabina Strocchi, Annalisa Trianni, Giovanna Venturi

Research output: Contribution to journal › Article › peer-review

Abstract

PURPOSE: The Council Directive 2013/59/EURATOM considers interventional radiology to be a special practice involving high doses of radiation and requiring strict monitoring to ensure the best quality assurance programs. This work reports the early experience of managing dose data from patients undergoing angiography in a multicentre study.

MATERIALS AND METHODS: The study was based on a survey of about 15,200 sample procedures performed in 21 Italian hospitals centres involved on a voluntary basis. The survey concerned the collection of data related to different interventional radiology procedures: interventional cardiology, radiology, neuroradiology, vascular surgery, urology, endoscopy and pain therapy from a C-Arm and fixed units. The analysis included 11 types of procedures and for each procedure, air-kerma, kerma-area product and fluoroscopy time were collected.

RESULTS: The duration and dose values of fluoroscopic exposure for each procedure is strongly dependent on individual clinical circumstances including the complexity of the procedure; the observed distribution of patient doses was very wide, even for a specified protocol. The median values of the parameters were compared with the diagnostic reference levels (DRL) proposed for some procedures in Italy (ISTISAN) or internationally. This work proposes local DRL values for three procedures.

CONCLUSION: This first data collection serves to take stock of the situation on patient's dosimetry in several sectors and is the starting point for obtaining and updating DRL recalling that these levels are dependent on experience and technology available.

Original language	English
Pages (from-to)	273-292
Number of pages	20
Journal	Physica Medica
Volume	64
DOIs	https://doi.org/10.1016/j.ejmp.2019.06.008
Publication status	Published - Aug 2019

Keywords

Angiography/methods
Humans
Italy
Radiation Dosage
Radiography, Interventional/methods
Time Factors

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Isoardi, P., D'Ercole, L., Cavallari, M., Gianusso, L., Pini, S., Giordano, C., Angelini, L., Colombo, P. E., Canne, S. D., Vecchio, A. D., Di Liberto, R., Farnedi, S., Ghetti, C., Lorenzini, E., Origgi, D., Paruccini, N., Pasquino, M., Cutaia, C., Quattrocchi, M., ... Venturi, G. (2019). Patient dose in angiographic interventional procedures: A multicentre study in Italy. Physica Medica, 64, 273-292. https://doi.org/10.1016/j.ejmp.2019.06.008

Patient dose in angiographic interventional procedures : A multicentre study in Italy. / Isoardi, Paola; D'Ercole, Loredana; Cavallari, Monica; Gianusso, Laura; Pini, Silvia; Giordano, Carlo; Angelini, Lidia; Colombo, Paola Enrica; Canne, Stefania Delle; Vecchio, Antonella Del; Di Liberto, Riccardo; Farnedi, Simona; Ghetti, Caterina; Lorenzini, Elena; Origgi, Daniela; Paruccini, Nicoletta; Pasquino, Massimo; Cutaia, Claudia; Quattrocchi, Mariagrazia; Riccardi, Lucia; Soavi, Raffaella; Strocchi, Sabina; Trianni, Annalisa; Venturi, Giovanna.

In: Physica Medica, Vol. 64, 08.2019, p. 273-292.

Research output: Contribution to journal › Article › peer-review

Isoardi, P, D'Ercole, L, Cavallari, M, Gianusso, L, Pini, S, Giordano, C, Angelini, L, Colombo, PE, Canne, SD, Vecchio, AD, Di Liberto, R, Farnedi, S, Ghetti, C, Lorenzini, E, Origgi, D, Paruccini, N, Pasquino, M, Cutaia, C, Quattrocchi, M, Riccardi, L, Soavi, R, Strocchi, S, Trianni, A & Venturi, G 2019, 'Patient dose in angiographic interventional procedures: A multicentre study in Italy', Physica Medica, vol. 64, pp. 273-292. https://doi.org/10.1016/j.ejmp.2019.06.008

Isoardi, Paola ; D'Ercole, Loredana ; Cavallari, Monica ; Gianusso, Laura ; Pini, Silvia ; Giordano, Carlo ; Angelini, Lidia ; Colombo, Paola Enrica ; Canne, Stefania Delle ; Vecchio, Antonella Del ; Di Liberto, Riccardo ; Farnedi, Simona ; Ghetti, Caterina ; Lorenzini, Elena ; Origgi, Daniela ; Paruccini, Nicoletta ; Pasquino, Massimo ; Cutaia, Claudia ; Quattrocchi, Mariagrazia ; Riccardi, Lucia ; Soavi, Raffaella ; Strocchi, Sabina ; Trianni, Annalisa ; Venturi, Giovanna. / Patient dose in angiographic interventional procedures : A multicentre study in Italy. In: Physica Medica. 2019 ; Vol. 64. pp. 273-292.

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abstract = "PURPOSE: The Council Directive 2013/59/EURATOM considers interventional radiology to be a special practice involving high doses of radiation and requiring strict monitoring to ensure the best quality assurance programs. This work reports the early experience of managing dose data from patients undergoing angiography in a multicentre study.MATERIALS AND METHODS: The study was based on a survey of about 15,200 sample procedures performed in 21 Italian hospitals centres involved on a voluntary basis. The survey concerned the collection of data related to different interventional radiology procedures: interventional cardiology, radiology, neuroradiology, vascular surgery, urology, endoscopy and pain therapy from a C-Arm and fixed units. The analysis included 11 types of procedures and for each procedure, air-kerma, kerma-area product and fluoroscopy time were collected.RESULTS: The duration and dose values of fluoroscopic exposure for each procedure is strongly dependent on individual clinical circumstances including the complexity of the procedure; the observed distribution of patient doses was very wide, even for a specified protocol. The median values of the parameters were compared with the diagnostic reference levels (DRL) proposed for some procedures in Italy (ISTISAN) or internationally. This work proposes local DRL values for three procedures.CONCLUSION: This first data collection serves to take stock of the situation on patient's dosimetry in several sectors and is the starting point for obtaining and updating DRL recalling that these levels are dependent on experience and technology available.",

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author = "Paola Isoardi and Loredana D'Ercole and Monica Cavallari and Laura Gianusso and Silvia Pini and Carlo Giordano and Lidia Angelini and Colombo, {Paola Enrica} and Canne, {Stefania Delle} and Vecchio, {Antonella Del} and {Di Liberto}, Riccardo and Simona Farnedi and Caterina Ghetti and Elena Lorenzini and Daniela Origgi and Nicoletta Paruccini and Massimo Pasquino and Claudia Cutaia and Mariagrazia Quattrocchi and Lucia Riccardi and Raffaella Soavi and Sabina Strocchi and Annalisa Trianni and Giovanna Venturi",

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doi = "10.1016/j.ejmp.2019.06.008",

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TY - JOUR

T1 - Patient dose in angiographic interventional procedures

T2 - A multicentre study in Italy

AU - Isoardi, Paola

AU - D'Ercole, Loredana

AU - Cavallari, Monica

AU - Gianusso, Laura

AU - Pini, Silvia

AU - Giordano, Carlo

AU - Angelini, Lidia

AU - Colombo, Paola Enrica

AU - Canne, Stefania Delle

AU - Vecchio, Antonella Del

AU - Di Liberto, Riccardo

AU - Farnedi, Simona

AU - Ghetti, Caterina

AU - Lorenzini, Elena

AU - Origgi, Daniela

AU - Paruccini, Nicoletta

AU - Pasquino, Massimo

AU - Cutaia, Claudia

AU - Quattrocchi, Mariagrazia

AU - Riccardi, Lucia

AU - Soavi, Raffaella

AU - Strocchi, Sabina

AU - Trianni, Annalisa

AU - Venturi, Giovanna

PY - 2019/8

Y1 - 2019/8

N2 - PURPOSE: The Council Directive 2013/59/EURATOM considers interventional radiology to be a special practice involving high doses of radiation and requiring strict monitoring to ensure the best quality assurance programs. This work reports the early experience of managing dose data from patients undergoing angiography in a multicentre study.MATERIALS AND METHODS: The study was based on a survey of about 15,200 sample procedures performed in 21 Italian hospitals centres involved on a voluntary basis. The survey concerned the collection of data related to different interventional radiology procedures: interventional cardiology, radiology, neuroradiology, vascular surgery, urology, endoscopy and pain therapy from a C-Arm and fixed units. The analysis included 11 types of procedures and for each procedure, air-kerma, kerma-area product and fluoroscopy time were collected.RESULTS: The duration and dose values of fluoroscopic exposure for each procedure is strongly dependent on individual clinical circumstances including the complexity of the procedure; the observed distribution of patient doses was very wide, even for a specified protocol. The median values of the parameters were compared with the diagnostic reference levels (DRL) proposed for some procedures in Italy (ISTISAN) or internationally. This work proposes local DRL values for three procedures.CONCLUSION: This first data collection serves to take stock of the situation on patient's dosimetry in several sectors and is the starting point for obtaining and updating DRL recalling that these levels are dependent on experience and technology available.

AB - PURPOSE: The Council Directive 2013/59/EURATOM considers interventional radiology to be a special practice involving high doses of radiation and requiring strict monitoring to ensure the best quality assurance programs. This work reports the early experience of managing dose data from patients undergoing angiography in a multicentre study.MATERIALS AND METHODS: The study was based on a survey of about 15,200 sample procedures performed in 21 Italian hospitals centres involved on a voluntary basis. The survey concerned the collection of data related to different interventional radiology procedures: interventional cardiology, radiology, neuroradiology, vascular surgery, urology, endoscopy and pain therapy from a C-Arm and fixed units. The analysis included 11 types of procedures and for each procedure, air-kerma, kerma-area product and fluoroscopy time were collected.RESULTS: The duration and dose values of fluoroscopic exposure for each procedure is strongly dependent on individual clinical circumstances including the complexity of the procedure; the observed distribution of patient doses was very wide, even for a specified protocol. The median values of the parameters were compared with the diagnostic reference levels (DRL) proposed for some procedures in Italy (ISTISAN) or internationally. This work proposes local DRL values for three procedures.CONCLUSION: This first data collection serves to take stock of the situation on patient's dosimetry in several sectors and is the starting point for obtaining and updating DRL recalling that these levels are dependent on experience and technology available.

KW - Angiography/methods

KW - Humans

KW - Italy

KW - Radiation Dosage

KW - Radiography, Interventional/methods

KW - Time Factors

U2 - 10.1016/j.ejmp.2019.06.008

DO - 10.1016/j.ejmp.2019.06.008

M3 - Article

C2 - 31515030

VL - 64

SP - 273

EP - 292

JO - Physica Medica

JF - Physica Medica

SN - 1120-1797

ER -