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Radiation Protection Dosimetry Advance Access originally published online on February 29, 2008
Radiation Protection Dosimetry 2008 129(1-3):46-49; doi:10.1093/rpd/ncn025
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

A pilot experience launching a national dose protocol for vascular and interventional radiology

E. Vano1,2,*, A. Segarra3,6, J. M. Fernandez1,2, J. M. Ordiales2, R. Simon2, J. J. Gallego2, J. del Cerro4, E. Casasola4, J. F. Verdu5, T. Ballester5, J. Sotil6, A. Aspiazu7, M. A. Garcia7, F. Moreno8, F. Carreras8, M. Canis9, M. M. Soler9, J. Palmero10, J. Ciudad10, F. Diaz11, J. Hernandez11, M. Gonzalez12 and P. Rosales12

1 Complutense University, Madrid, Spain
2 San Carlos University Hospital, Madrid, Spain
3 Spanish Society of Vascular and Interventional Radiology
4 Fundacion Alcorcon, Madrid, Spain
5 General University Hospital, Alicante, Spain
6 Vall de Hebron Hospital, Barcelona, Spain
7 Txagorritxu Hospital, Victoria, Spain
8 Juan Ramon Jiménez Hospital, Huelva, Spain
9 Reina Sofia Hospital, Cordoba, Spain
10 Clinic Hospital, Valencia, Spain
11 Canarias University Hospital, La Laguna, Spain
12 Basurto Hospital, Bilbao, Spain

* Corresponding author: eliseov{at}med.ucm.es

The design of a national dose protocol for interventional radiology has been one of the tasks during the European SENTINEL Coordination Action. The present paper describes the pilot experience carried out in cooperation with the Spanish Society on Vascular and Interventional Radiology (SERVEI). A prospective sample of procedures was initially agreed. A common quality control of the X-ray systems was carried out, including calibration of the air kerma area product (KAP) meters. Occupational doses of the radiologists involved in the survey were also included in the survey. A total of 10 Spanish hospitals with interventional X-ray units were involved. Six hundred and sixty-four patient dose data were collected from 397 diagnostic and 267 therapeutic procedures. Occupational doses were evaluated in a sample of 635 values. The obtained KAP median/mean values (Gy·cm2) for the gathered procedures were: biliary drainage (30.6/68.9), fistulography (4.5/9.8), lower limb arteriography (52.2/60.7), hepatic chemoembolisation (175.8/218.3), iliac stent (45.9/73.2) and renal arteriography (39.1/59.8). Occupational doses (mean monthly values, in mSv) were 1.9 (over apron); 0.3 (under apron) and 4.5 (on hands). With this National experience, a protocol was agreed among the SENTINEL partners to conduct future similar surveys in other European countries.


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