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Author Panick, Catherine ♦ Wunderle, Kevin ♦ Sands, Mark ♦ Martin, Charles
Source United States Department of Energy Office of Scientific and Technical Information
Content type Text
Language English
Subject Keyword RADIOLOGY AND NUCLEAR MEDICINE ♦ BIOMEDICAL RADIOGRAPHY ♦ BLOOD VESSELS ♦ GERMANIUM ♦ GY RANGE ♦ IMAGE PROCESSING ♦ LIVER ♦ NEOPLASMS ♦ PATIENTS ♦ RADIATION DOSES ♦ YTTRIUM 90
Abstract PurposeWe sought to evaluate patient radiation exposure during complex liver interventional procedures performed with newer angiography equipment.Materials and MethodsWe conducted a retrospective study of transjugular intrahepatic portosystemic shunt (TIPS) creations and liver tumor embolizations performed in our new angiography suite (Discovery IGS740, GE Healthcare). T tests were used to compare air kerma-area product (P{sub KA}) and reference plane air kerma (K{sub a,r}) in the new room versus data from historical rooms and previous studies (including the RAD IR study). Results were expressed as medians [interquartile ranges (Q1, Q3)].ResultsFrom February 2015 to June 2016, 134 complex liver interventional procedures were performed in the new room, including 14 TIPS creations, 60 hepatic tumor arterial embolizations (HAEs), 26 Y90 mappings (Y90m), and 34 Y90 radioembolizations (Y90). K{sub a,r} (Gy) values were as follows: TIPS, 0.65 (0.24, 1.15); HAE, 0.89 (0.49, 1.49); Y90m, 0.54 (0.38, 0.94); Y90, 0.46 (0.21, 1.06). P{sub KA} (Gy·cm{sup 2}) values were as follows: TIPS, 148.2 (66.7, 326.5); HAE, 142.6 (88, 217.8); Y90m, 148.3 (98.2, 247); Y90, 90.8 (43.9, 161.5). K{sub a,r} and P{sub KA} were lower in the new room than in historical rooms [K{sub a,r} and P{sub KA} reductions: TIPS, 58 and 49%; HAE, 31 and 39%; Y90m, 58 and 52%; Y90, 49 and 56% (p < 0.05)] and versus the RAD IR study [K{sub a,r} and P{sub KA} reductions: TIPS, 64 and 43%; HAE, 26 and 40% (p < 0.05)].ConclusionsUsing the latest technology and image processing tools enables significant reduction in radiation exposure during complex liver interventional procedures.
ISSN 01741551
Educational Use Research
Learning Resource Type Article
Publisher Date 2018-12-15
Publisher Place United States
Journal Cardiovascular and Interventional Radiology
Volume Number 41
Issue Number 12


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