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Physicians' radiation exposure in the catheterization lab: does the type of procedure matter?

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Physicians' radiation exposure in the catheterization lab: does the type of procedure matter? / Ingwersen, Maja; Drabik, Anna; Kulka, Ulrike; Oestreicher, Ursula; Fricke, Simon; Krankenberg, Hans; Schwencke, Carsten; Mathey, Detlef.

In: JACC-CARDIOVASC INTE, Vol. 6, No. 10, 01.10.2013, p. 1095-102.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Ingwersen, M, Drabik, A, Kulka, U, Oestreicher, U, Fricke, S, Krankenberg, H, Schwencke, C & Mathey, D 2013, 'Physicians' radiation exposure in the catheterization lab: does the type of procedure matter?', JACC-CARDIOVASC INTE, vol. 6, no. 10, pp. 1095-102. https://doi.org/10.1016/j.jcin.2013.05.012

APA

Ingwersen, M., Drabik, A., Kulka, U., Oestreicher, U., Fricke, S., Krankenberg, H., Schwencke, C., & Mathey, D. (2013). Physicians' radiation exposure in the catheterization lab: does the type of procedure matter? JACC-CARDIOVASC INTE, 6(10), 1095-102. https://doi.org/10.1016/j.jcin.2013.05.012

Vancouver

Ingwersen M, Drabik A, Kulka U, Oestreicher U, Fricke S, Krankenberg H et al. Physicians' radiation exposure in the catheterization lab: does the type of procedure matter? JACC-CARDIOVASC INTE. 2013 Oct 1;6(10):1095-102. https://doi.org/10.1016/j.jcin.2013.05.012

Bibtex

@article{586274e76d314996a59b0361208cb884,
title = "Physicians' radiation exposure in the catheterization lab: does the type of procedure matter?",
abstract = "OBJECTIVES: This study sought to evaluate differences in radiation exposure of the operator depending on the type of catheterization lab procedure.BACKGROUND: Invasive cardiologists and angiologists are exposed to long-term, low-dose occupational radiation. Increased workload and specialization require more detailed knowledge of the extent and cause of the radiation exposure.METHODS: In this prospective single-center experience, radiation doses of 3 operators were measured by real-time dosimetry for body, neck, and hand during 284 procedures in 281 patients over a period of 14 weeks. To determine the association between the type of procedure and the doses and to draw a pairwise comparison between the procedures, 3 mixed models were used.RESULTS: The type of procedure, the patient's body mass index, and the fluoroscopy time were independently associated with the operator's radiation exposure. Per procedure, the operators were exposed to a mean effective dose (E) of 2.2 ± 5.9 μSv. Compared with coronary angiography, E was 2.3-fold higher in pelvic procedures (95% confidence interval [CI]: 1.7 to 3.0, p < 0.001), 1.7-fold higher in upper limb procedures (95% CI: 1.3 to 2.1, p < 0.001), and 1.4-fold higher in below-the-knee procedures (95% CI: 1.1 to 2.0, p = 0.023). The mean eye dose was 19.1 ± 37.6 μSv. Eye doses were significantly higher in peripheral procedures than in coronary angiography procedures. The mean hand dose was 99.6 ± 196.0 μSv. Hand doses were significantly higher in pelvic than in coronary angiography, upper limb, and below-the-knee procedures.CONCLUSIONS: Endovascular procedures for pelvic, upper limb, and below-the-knee disease are accompanied with a higher radiation exposure of the operator than with coronary procedures.",
keywords = "Coronary Angiography, Endovascular Procedures, Fluoroscopy, Humans, Occupational Exposure, Occupational Health, Percutaneous Coronary Intervention, Physicians, Prospective Studies, Radiation Dosage, Radiation Injuries, Radiation Monitoring, Radiography, Interventional, Radiology, Interventional, Risk Assessment, Risk Factors, Time Factors, Workload",
author = "Maja Ingwersen and Anna Drabik and Ulrike Kulka and Ursula Oestreicher and Simon Fricke and Hans Krankenberg and Carsten Schwencke and Detlef Mathey",
note = "Copyright {\textcopyright} 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.",
year = "2013",
month = oct,
day = "1",
doi = "10.1016/j.jcin.2013.05.012",
language = "English",
volume = "6",
pages = "1095--102",
journal = "JACC-CARDIOVASC INTE",
issn = "1936-8798",
publisher = "Elsevier Inc.",
number = "10",

}

RIS

TY - JOUR

T1 - Physicians' radiation exposure in the catheterization lab: does the type of procedure matter?

AU - Ingwersen, Maja

AU - Drabik, Anna

AU - Kulka, Ulrike

AU - Oestreicher, Ursula

AU - Fricke, Simon

AU - Krankenberg, Hans

AU - Schwencke, Carsten

AU - Mathey, Detlef

N1 - Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

PY - 2013/10/1

Y1 - 2013/10/1

N2 - OBJECTIVES: This study sought to evaluate differences in radiation exposure of the operator depending on the type of catheterization lab procedure.BACKGROUND: Invasive cardiologists and angiologists are exposed to long-term, low-dose occupational radiation. Increased workload and specialization require more detailed knowledge of the extent and cause of the radiation exposure.METHODS: In this prospective single-center experience, radiation doses of 3 operators were measured by real-time dosimetry for body, neck, and hand during 284 procedures in 281 patients over a period of 14 weeks. To determine the association between the type of procedure and the doses and to draw a pairwise comparison between the procedures, 3 mixed models were used.RESULTS: The type of procedure, the patient's body mass index, and the fluoroscopy time were independently associated with the operator's radiation exposure. Per procedure, the operators were exposed to a mean effective dose (E) of 2.2 ± 5.9 μSv. Compared with coronary angiography, E was 2.3-fold higher in pelvic procedures (95% confidence interval [CI]: 1.7 to 3.0, p < 0.001), 1.7-fold higher in upper limb procedures (95% CI: 1.3 to 2.1, p < 0.001), and 1.4-fold higher in below-the-knee procedures (95% CI: 1.1 to 2.0, p = 0.023). The mean eye dose was 19.1 ± 37.6 μSv. Eye doses were significantly higher in peripheral procedures than in coronary angiography procedures. The mean hand dose was 99.6 ± 196.0 μSv. Hand doses were significantly higher in pelvic than in coronary angiography, upper limb, and below-the-knee procedures.CONCLUSIONS: Endovascular procedures for pelvic, upper limb, and below-the-knee disease are accompanied with a higher radiation exposure of the operator than with coronary procedures.

AB - OBJECTIVES: This study sought to evaluate differences in radiation exposure of the operator depending on the type of catheterization lab procedure.BACKGROUND: Invasive cardiologists and angiologists are exposed to long-term, low-dose occupational radiation. Increased workload and specialization require more detailed knowledge of the extent and cause of the radiation exposure.METHODS: In this prospective single-center experience, radiation doses of 3 operators were measured by real-time dosimetry for body, neck, and hand during 284 procedures in 281 patients over a period of 14 weeks. To determine the association between the type of procedure and the doses and to draw a pairwise comparison between the procedures, 3 mixed models were used.RESULTS: The type of procedure, the patient's body mass index, and the fluoroscopy time were independently associated with the operator's radiation exposure. Per procedure, the operators were exposed to a mean effective dose (E) of 2.2 ± 5.9 μSv. Compared with coronary angiography, E was 2.3-fold higher in pelvic procedures (95% confidence interval [CI]: 1.7 to 3.0, p < 0.001), 1.7-fold higher in upper limb procedures (95% CI: 1.3 to 2.1, p < 0.001), and 1.4-fold higher in below-the-knee procedures (95% CI: 1.1 to 2.0, p = 0.023). The mean eye dose was 19.1 ± 37.6 μSv. Eye doses were significantly higher in peripheral procedures than in coronary angiography procedures. The mean hand dose was 99.6 ± 196.0 μSv. Hand doses were significantly higher in pelvic than in coronary angiography, upper limb, and below-the-knee procedures.CONCLUSIONS: Endovascular procedures for pelvic, upper limb, and below-the-knee disease are accompanied with a higher radiation exposure of the operator than with coronary procedures.

KW - Coronary Angiography

KW - Endovascular Procedures

KW - Fluoroscopy

KW - Humans

KW - Occupational Exposure

KW - Occupational Health

KW - Percutaneous Coronary Intervention

KW - Physicians

KW - Prospective Studies

KW - Radiation Dosage

KW - Radiation Injuries

KW - Radiation Monitoring

KW - Radiography, Interventional

KW - Radiology, Interventional

KW - Risk Assessment

KW - Risk Factors

KW - Time Factors

KW - Workload

U2 - 10.1016/j.jcin.2013.05.012

DO - 10.1016/j.jcin.2013.05.012

M3 - SCORING: Journal article

C2 - 24156970

VL - 6

SP - 1095

EP - 1102

JO - JACC-CARDIOVASC INTE

JF - JACC-CARDIOVASC INTE

SN - 1936-8798

IS - 10

ER -