Optimisation of Patient and Staff Exposure in Interventional Radiology

  • Renato PadovaniEmail author
Conference paper
Part of the NATO Science for Peace and Security Series B: Physics and Biophysics book series (NAPSB, volume 1)


The number of fluoroscopically guided interventional cardiology procedures increased more and more rapidly in the last 10 years together with their complexity. The main reason is that, with interventional cardiology, even more patients can often be cured without the use of surgery and their stay in hospital is limited.


Reference Level Fluoroscopy Time Dosimetry Method Protective Apron Fluoroscopy Mode 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Onnasch DG, Schroder FK, Fischer G, Kramer HH. Diagnostic reference levels and effective dose in paediatric cardiac catheterisation. Br J Radiol. 2006 Aug 17.Google Scholar
  2. 2.
    Struelens L, Vanhavere F, Bosmans H, Van Loon R, Geukens M. Data analysis from a multi-centre, comparative study of agiographic examinations leading to practical guidelines for the optimisation of patient doses. Radiat Prot Dosimetry 2005;117(1–3):87–92.Google Scholar
  3. 3.
    Dragusin O, Desmet W, Heidbuchel H, Padovani R, Bosmans H. Radiation dose levels during interventional cardiology procedures in a tertiary care hospital. Radiat Prot Dosimetry 2005;117(1–3):231–235.Google Scholar
  4. 4.
    Verdun FR, Aroua A, Trueb PR, Vock P, Valley JF. Diagnostic and interventional radiology: a strategy to introduce reference dose level taking into account the national practice. Radiat Prot Dosimetry 2005;114(1–3):188–191.CrossRefGoogle Scholar
  5. 5.
    Brambilla M, Marano G, Dominietto M, Cotroneo AR, Carriero A. Patient radiation doses and references levels in interventional radiology. Radiol Med (Torino). 2004 Apr;107(4):408–418. English, Italian.Google Scholar
  6. 6.
    Aroua A, Rickli H, Stauffer JC, Schnyder P, Trueb PR, Valley JF, Vock P,Verdun FR. How to set up and apply reference levels in fluoroscopy at a national level. Eur Radiol. 2006 Oct 27.Google Scholar
  7. 7.
    Neofotistou V, Vano E, Padovani R, Kotre J, Dowling A, Toivonen M, Kottou S, Tsapaki V, Willis S, Bernardi G, Faulkner K. Preliminary reference levels in interventional cardiology. Eur Radiol 2003 Oct;13(10):2259–2263.CrossRefGoogle Scholar
  8. 8.
    Trianni A, Padovani R, Foti C, Cragnolini E, Chizzola G, Toh H, Bernardi G, Proclemer A. Dose to cardiologists in haemodynamic and electrophysiology cardiac interventional procedures. Radiat Prot Dosimetry 2005; 117(1–3):111–115.Google Scholar
  9. 9.
    Delichas M, Psarrakos K, Molyvda-Athanassopoulou E, Giannoglou G, Sioumdas A, Hatziioannou K, Papanastassiou E. Radiation exposure to cardiologists performing interventional cardiology procedures. Eu J Radiol 2003; 48:268–273.CrossRefGoogle Scholar
  10. 10.
    Vano E, Guibelalde E, Fernandez JM, Gonzalez L, Ten JI. Radiation exposure to medical staff in cardiac radiology. Br J Radiol 1998; 71:954–960 11.Google Scholar
  11. 11.
    International Commission on Radiation Protection. General Principles of Monitoring for Radiation Protection of Workers. ICRP Publication 75.1997.Google Scholar
  12. 12.
    National Council on Radiation Protection and Measurements. Use of Personal Monitors to Estimate Effective Dose Equivalent and Effective Dose to Workers for External Exposure to Low-LET Radiation. NCRP Report 122.1995.Google Scholar
  13. 13.
    Padovani R, Foti C, Malisan MR. Staff dosimetry protocols in interventional radiology. Radiat Prot Dosimetry 2001; 94(1–2):193-196.Google Scholar
  14. 14.
    Niklason LT, Marx MV, Chan HP. The estimation of occupational effective dose in diagnostic radiology with two dosimeters. Health Phys 1994; 67(6): 611–615.CrossRefGoogle Scholar
  15. 15.
    Karppinen J, Parvianen T, Servomaa A, Komppa T. Radiation risk and exposure of radiologists and patients during coronary angiography and percutaneous transluminal coronary angioplasty (PTCA). Radiat Prot Dosimetry 1995; 57:481–485.Google Scholar
  16. 16.
    Axelsson B, Cederlund T, Svane B. Evaluation of radiation exposure to personnel in cardiac angiography. Radiat Prot Dosimetry 1995; 57(1–4): 433–436.Google Scholar
  17. 17.
    Padovani R, Foti C, Malisan MR. Staff dosimetry protocols in interventional radiology. Radiat Prot Dosimetry 2001; 94(1–2):193–196.Google Scholar
  18. 18.
    Williams JR. The interdependence of staff and patient doses in interventional radiology. Br J Radiol 1997; 70:498–503.Google Scholar
  19. 19.
    Faulkner K, Marshall NW. The relationship of effective dose to personnel and monitor reading for simulated fluoroscopic irradiation conditions. Health Phys 1993; 64(5):502–508.CrossRefGoogle Scholar
  20. 20.
    Schultz FW and Zoetelief J. Estimating effective dose for a cardiac catheterisation procedure with single or double personal dosemeter. Radiat Prot Dosimetry 2006; 118(2):196–204.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.Medical Physics DepartmentUniversity Hospital S. Maria della MisericordiaUdineItaly

Personalised recommendations