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Estimation of patie...
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Andersson, Jonas,1975-Umeå universitet,Radiofysik
(author)
Estimation of patient skin dose in fluoroscopy : summary of a joint report by AAPM TG357 and EFOMP
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-05-20
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John Wiley & Sons,2021
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-183708
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183708URI
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https://doi.org/10.1002/mp.14910DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: Physicians use fixed C-arm fluoroscopy equipment with many interventional radiological and cardiological procedures. The associated effective dose to a patient is generally considered low risk, as the benefit-risk ratio is almost certainly highly favorable. However, X-ray-induced skin injuries may occur due to high absorbed patient skin doses from complex fluoroscopically guided interventions (FGI). Suitable action levels for patient-specific follow-up could improve the clinical practice. There is a need for a refined metric regarding follow-up of X-ray-induced patient injuries and the knowledge gap regarding skin dose-related patient information from fluoroscopy devices must be filled. The most useful metric to indicate a risk of erythema, epilation or greater skin injury that also includes actionable information is the peak skin dose, that is, the largest dose to a region of skin.Materials and Methods: The report is based on a comprehensive review of best practices and methods to estimate peak skin dose found in the scientific literature and situates the importance of the Digital Imaging and Communication in Medicine (DICOM) standard detailing pertinent information contained in the Radiation Dose Structured Report (RDSR) and DICOM image headers for FGI devices. Furthermore, the expertise of the task group members and consultants have been used to bridge and discuss different methods and associated available DICOM information for peak skin dose estimation.Results: The report contributes an extensive summary and discussion of the current state of the art in estimating peak skin dose with FGI procedures with regard to methodology and DICOM information. Improvements in skin dose estimation efforts with more refined DICOM information are suggested and discussed.Conclusions: The endeavor of skin dose estimation is greatly aided by the continuing efforts of the scientific medical physics community, the numerous technology enhancements, the dose-controlling features provided by the FGI device manufacturers, and the emergence and greater availability of the DICOM RDSR. Refined and new dosimetry systems continue to evolve and form the infrastructure for further improvements in accuracy. Dose-related content and information systems capable of handling big data are emerging for patient dose monitoring and quality assurance tools for large-scale multihospital enterprises.
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Bednarek, Daniel R.State University of New York, 875 Ellicott St, NY, Buffalo, United States
(author)
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Bolch, WesleyUniversity of Florida, 1275 Center Drive, FL, Gainesville, United States
(author)
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Boltz, ThomasOrange Factor Imaging Physicists, 4035 E Captain Dreyfus Ave, AZ, Phoenix, United States
(author)
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Bosmans, HildeUniversity of Leuven, Herestraat 49, Leuven, Belgium
(author)
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Gislason-Lee, Amber J.University of Leeds, Worsley Building, Clarendon Way, Leeds, United Kingdom
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Granberg, ChristofferUmeå universitet,Radiofysik(Swepub:umu)chgr0005
(author)
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Hellström, MaxUmeå universitet,Radiofysik(Swepub:umu)mahe0239
(author)
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Kanal, KalpanaUniversity of Washington Medical Center, 1959 NE Pacific Street, WA, Seattle, United States
(author)
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McDonagh, EdJoint Department of Physics, The Royal Marsden NHS Foundation Trust, Fulham Road, London, United Kingdom
(author)
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Paden, RobertMayo Clinic, 5777 East Mayo Blvd, AZ, Phoenix, United States
(author)
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Pavlicek, WilliamMayo Clinic, 13400 E Shea Blvd., AZ, Scottsdale, United States
(author)
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Khodadadegan, YasamanProgressive Insurance, Customer Relation Management, 6300 Wilson Mills Rd., Mayfield Village, OH, United States
(author)
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Torresin, AlbertoNiguarda Ca'Granda Hospital, Via Leon Battista Alberti 5, Milano, Italy
(author)
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Trianni, AnnalisaUdine University Hospital, Piazzale S. Maria Della Misericordia, n. 15, Udine, Italy
(author)
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Zamora, DavidUniversity of Washington Medical Center, 6852 31st Ave NE, WA, Seattle, United States
(author)
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Umeå universitetRadiofysik
(creator_code:org_t)
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In:Medical physics (Lancaster): John Wiley & Sons48:7, s. e671-e6960094-24052473-4209
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