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Kikuchi K, Takaki H, Matsumoto K, Kobayashi K, Kako Y, Kodama H, Ogasawara A, Taniguchi J, Takahagi M, Hagihara Y, Yamakado K. Radioprotective Effects of a Semicircular X-ray Shielding Device for Operators During CT Fluoroscopy-Guided Interventional Procedures: Experimental and Clinical Studies. Cardiovasc Intervent Radiol 2023:10.1007/s00270-023-03456-4. [PMID: 37188896 DOI: 10.1007/s00270-023-03456-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Accepted: 04/25/2023] [Indexed: 05/17/2023]
Abstract
PURPOSE To evaluate, experimentally and clinically, the radioprotective effects of a semicircular X-ray shielding device for operators during CT fluoroscopy-guided IR procedures. MATERIALS AND METHODS During experimentation, the reduction rates of scattered radiation rates from CT fluoroscopy were evaluated using a humanoid phantom. Two shielding device positions were tested: "shielding close to the CT gantry" and "shielding close to the operator". The scattered radiation rate without shielding was also evaluated. The clinical study retrospectively evaluated the operator's radiation exposure during 314 CT-guided IR procedures. With a semicircular X-ray shielding device (with shielding group, n = 119) or without it (no shielding group, n = 195), CT fluoroscopy-guided IR procedures were performed. Radiation dose measurements were taken using a pocket dosimeter placed near the operator's eye. For shielding and no shielding groups, the procedure time, dose length product (DLP), and the operator's radiation exposures were compared. RESULTS Experimentation revealed the respective mean reduction rates of "shielding close to the CT gantry" and "shielding close to the operator" as 84.3% and 93.5% compared with the no-shielding setting. Although no significant differences were found in the procedure time and the DLP between "no shielding" and "with shielding" groups in the clinical study, the operators' radiation exposure in the "with shielding" group (0.03 ± 0.04 mSv) was significantly lower than in the "no shielding" group (0.14 ± 0.15 mSv; p < .001). CONCLUSION The semicircular X-ray shielding device provides valuable radioprotective effects for operators during CT fluoroscopy-guided IR.
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Affiliation(s)
- Keisuke Kikuchi
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
- Department of Radiological Technology, Hyogo Medical University Hospital, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Haruyuki Takaki
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan.
| | - Kazuma Matsumoto
- Department of Radiological Technology, Hyogo Medical University Hospital, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Kaoru Kobayashi
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Yasukazu Kako
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Hiroshi Kodama
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Atsushi Ogasawara
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Junichi Taniguchi
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Motonori Takahagi
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Yoshiaki Hagihara
- Department of Radiological Technology, Hyogo Medical University Hospital, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
| | - Koichiro Yamakado
- Department of Radiology, Hyogo Medical University, 1-1 Mukogawa-cho, Nishinomiya, Hyogo Prefecture, 663-8501, Japan
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