Abstract
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.
Original language | English (US) |
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Pages (from-to) | 486-491 |
Number of pages | 6 |
Journal | Journal of neurointerventional surgery |
Volume | 10 |
Issue number | 5 |
DOIs | |
State | Published - 2018 |
Keywords
- angiography
ASJC Scopus subject areas
- Surgery
- Clinical Neurology