How Effective Are Radiation Reducing Gloves in C-arm Fluoroscopy-guided Pain Interventions?
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Background: The physician’s hands are close to the X-ray field in C-arm fluoroscopy-guided pain interventions. We prospectively investigated the radiation attenuation of Proguard RR-2 gloves. Methods: In 100 cases, the effective doses (EDs) of two dosimeters without a radiation-reducing glove were collected. EDs from the two dosimeters−one dosimeter wrapped with a glove and the other dosimeter without a glove− were also measured at the side of the table (Group 1, 140 cases) and at a location 20 cm away from the side of the table (Group 2, 120 cases). Mean differences such as age, height, weight, radiation absorbed dose (RAD), exposure time, ED, and ratio of EDs were analyzed. Results: In the EDs of two dosimeters without gloves, there were no significant differences (39.0 ± 36.3 μSv vs. 38.8 ± 36.4 μSv) (P = 0.578). The RAD (192.0 ± 182.0 radcm2) in Group 2 was higher than that (132.3 ± 103.5 radcm2) in Group 1 (P = 0.002). The ED (33.3 ± 30.9 μSv) of the dosimeter without a glove in Group 1 was higher than that (12.3 ± 8.8 μSv) in Group 2 (P ＜ 0.001). The ED (24.4 ± 22.4 μSv) of the dosimeter wrapped with a glove in Group 1 was higher than that (9.2 ± 6.8 μSv) in Group 2 (P < 0.001). No significant differences were noted in the ratio of EDs (73.5 ± 6.7% vs. 74.2 ± 9.3%, P = 0.469) between Group 1 and Group 2. Conclusions: Proguard RR-2 gloves have a radiation attenuation effect of 25.8−26.5%. The radiation attenuation is not significantly different by intensity of scatter radiation or the different RADs of C-arm fluoroscopy.
Abstract
Background: The physician’s hands are close to the X-ray field in C-arm fluoroscopy-guided pain interventions. We prospectively investigated the radiation attenuation of Proguard RR-2 gloves. Methods: In 100 cases, the effective doses (EDs) of two dosimeters without a radiation-reducing glove were collected. EDs from the two dosimeters−one dosimeter wrapped with a glove and the other dosimeter without a glove− were also measured at the side of the table (Group 1, 140 cases) and at a location 20 cm away from the side of the table (Group 2, 120 cases). Mean differences such as age, height, weight, radiation absorbed dose (RAD), exposure time, ED, and ratio of EDs were analyzed. Results: In the EDs of two dosimeters without gloves, there were no significant differences (39.0 ± 36.3 μSv vs. 38.8 ± 36.4 μSv) (P = 0.578). The RAD (192.0 ± 182.0 radcm2) in Group 2 was higher than that (132.3 ± 103.5 radcm2) in Group 1 (P = 0.002). The ED (33.3 ± 30.9 μSv) of the dosimeter without a glove in Group 1 was higher than that (12.3 ± 8.8 μSv) in Group 2 (P ＜ 0.001). The ED (24.4 ± 22.4 μSv) of the dosimeter wrapped with a glove in Group 1 was higher than that (9.2 ± 6.8 μSv) in Group 2 (P < 0.001). No significant differences were noted in the ratio of EDs (73.5 ± 6.7% vs. 74.2 ± 9.3%, P = 0.469) between Group 1 and Group 2. Conclusions: Proguard RR-2 gloves have a radiation attenuation effect of 25.8−26.5%. The radiation attenuation is not significantly different by intensity of scatter radiation or the different RADs of C-arm fluoroscopy.
참고문헌 (23)
- Pyong Eun Park, "Radiation Safety and Education in the Applicants of the Final Test for the Expert of Pain Medicine", The Korean Journal of Pain, 25(1), pp.16~21 (2012), 대한통증학회
- Kim C, "Radiation safety among cardiology fellows", Am J Cardiol, 106, pp.125~128 (2010)
- 정철희, "Radiation Exposure of the Hand and Chest during C-arm Fluoroscopy-Guided Procedures", The Korean Journal of Pain, 26(1), pp.51~56 (2013), 대한통증학회
- Fink GE, "Radiation safety in fluoroscopy for neuraxial injections", AANA J, 77, pp.265~269 (2009)
- Schueler BA, "Operator shielding: how and why", Tech Vasc Interv Radiol, 13, pp.167~171 (2010)
- 류재성, "The Survey about the Degree of Damage of Radiation-Protective Shields in Operation Room", The Korean Journal of Pain, 26(2), pp.142~147 (2013), 대한통증학회
- Calder PR, "Assessment of the efficacy of Proguard RR-2 radio-protective gloves during forearm manipulation", Injury, 34, pp.159~161 (2003)
- Mori H, "Evaluation of the effectiveness of X-ray protective aprons in experimental and practical fields", Radiol Phys Technol, 7, pp.158~166 (2014)
- Arnstein PM, "The risk from radiation exposure during operative X-ray screening in hand surgery", J Hand Surg Br, 19, pp.393~396 (1994)
- Koukorava C, "Doses to operators during interventional radiology procedures : focus on eye lens and extremity dosimetry", Radiat Prot Dosimetry, 144, pp.482~486 (2011)
- 백승우, "A Randomized Controlled Trial about the Levels of Radiation Exposure Depends on the Use of Collimation C-arm Fluoroscopic-guided Medial Branch Block", The Korean Journal of Pain, 26(2), pp.148~153 (2013), 대한통증학회
- Hernández García JM, "A survey on the use of fluoroscopy in the treatment of pain:do we perform it correctly?", Rev Esp Anestesiol Reanim, 59, pp.430~435 (2012)
- Rehani MM, "ICRP Publication 117. Radiological protection in fluoroscopically guided procedures performed outside the imaging department", Ann ICRP, 40, pp.1~102 (2010)
- Albert JM, "Radiation risk from CT: implications for cancer screening", AJR Am J Roentgenol, 201, pp.W81~W87 (2013)
- Shah DJ, "Radiation-induced cancer:a modern view", Br J Radiol, 85, pp.e1166~e1173 (2012)
- Miller ME, "Radiation exposure and associated risks to operating-room personnel during use of fluoroscopic guidance for selected orthopaedic surgical procedures", J Bone Joint Surg Am, 65, pp.1~4 (1983)
- Back DL, "Radiation protection for your hands", Injury, 36, pp.1416~1420 (2005)
- Sanchez R, "Staff radiation doses in a real-time display inside the angiography room", Cardiovasc Intervent Radiol, 33, pp.1210~1214 (2010)
- Luchs JS, "Radiation safety during spine interventions", J Vasc Interv Radiol, 16, pp.107~111 (2005)
- Detorie N, "Reducing occupational exposure from fluoroscopy", J Am Coll Radiol, 4, pp.335~337 (2007)
- Vano E, "Radiation-associated lens opacities in catheterization personnel : results of a survey and direct assessments", J Vasc Interv Radiol, 24, pp.197~204 (2013)
- Miller DL, "Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology", Cardiovasc Intervent Radiol, 33, pp.230~239 (2010)
- Jae Hun Cho, "A Study to Compare the Radiation Absorbed Dose of the C-arm Fluoroscopic Modes", The Korean Journal of Pain, 24(4), pp.199~204 (2011), 대한통증학회