RT Journal Article
SR Electronic
T1 Radiation dose reduction during neuroendovascular procedures
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 481
OP 486
DO 10.1136/neurintsurg-2017-013189
VO 10
IS 5
A1 Morris, Pearse P
A1 Geer, Carol P
A1 Singh, Jasmeet
A1 Brinjikji, Waleed
A1 Carter, Rickey E
YR 2018
UL http://jnis.bmj.com/content/10/5/481.abstract
AB Aim To describe the impact of steps towards reduction of procedural doses of radiation during neuroendovascular procedures.Methods Phantom exposures under controlled circumstances were performed using a Rando-Alderson adult-sized head phantom. Customized imaging protocols were devised for pediatric and adult imaging and implemented in clinical use. Outcome data for estimated skin doses (ESD) and dose–area product (DAP) following pediatric and adult diagnostic and interventional procedures over 4.5 years were analyzed retrospectively.Results Dose estimates were reduced by 50% or more after introduction of customized imaging protocols in association with modification of personnel behavior compared with doses recorded with previously used vendor-recommended protocols.Discussion Substantial reductions in radiation use during neuroendovascular procedures can be achieved through a combination of equipment modification and operator behavior.