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Radiation Protection Dosimetry Advance Access published online on February 3, 2006
Radiation Protection Dosimetry, doi:10.1093/rpd/nci714
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

SCIENTIFIC AND TECHNICAL PAPER

EVALUATION OF RISK OF DETERMINISTIC EFFECTS IN FLUOROSCOPICALLY GUIDED PROCEDURES

E. Vano 1 *, L. Gonzalez 2, E. Guibelalde 2, P. Aviles 2, J. M. Fernandez 3, C. Prieto 3, and C. Galvan 4

1 Medical Physics Service, San Carlos University Hospital, 28040 Madrid, Spain; Radiology Department, Medicine School, Complutense University, 28040 Madrid, Spain
2 Radiology Department, Medicine School, Complutense University, 28040 Madrid, Spain
3 Medical Physics Service, San Carlos University Hospital, 28040 Madrid, Spain
4 Radiology Department, Medicine School, Complutense University, 28040 Madrid, Spain; Radiotherapy Service, San Carlos University Hospital, 28040 Madrid, Spain

* To whom correspondence should be addressed.
E. Vano, E-mail: eliseov{at}med.ucm.es


  Abstract

A methodology for the evaluation of skin dose distribution and possible skin injuries on patients undergoing interventional procedures has been developed as part of the European DIMOND programme. Relevant dosimetric data from the procedures are recorded and other specific measurements for skin dose evaluation (slow films for therapy, radiochromic films, thermoluminescence dosemeters and optically stimulated luminescence dosemeters) have been carried out. For non-cardiac and for some cardiac procedures, dose-area product values of 200 and 300 Gy cm2 were proposed, respectively, as a trigger level for further detailed skin dose investigation and possible clinical follow-up. Results from a survey of 191 selected complex procedures are reported. Out of all the patients included in the trial, 16% received skin doses ≥1.5 Gy. No skin injuries were found in any of the patients followed.


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