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Related Experiment Videos

Radiogenic risks from hysterosalpingography.

Kostas Perisinakis1, John Damilakis, John Grammatikakis

  • 1Department of Medical Physics, Faculty of Medicine, University of Crete, PO Box 1393, 71500, Stavrakia, Iraklion, Crete, Greece. perisina@med.uoc.gr

European Radiology
|July 2, 2003
PubMed
Summary

Hysterosalpingography (HSG) involves low radiation doses to patients, with risks to future embryos and cancer induction estimated below 0.1%. Radiation risks remain low but can increase with prolonged fluoroscopy or radiography.

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Area of Science:

  • Radiology
  • Medical Physics
  • Radiation Oncology

Background:

  • Hysterosalpingography (HSG) is a diagnostic imaging procedure.
  • Assessing radiation dose and associated risks is crucial for patient safety.
  • Standardized data for risk estimation across different laboratories is needed.

Purpose of the Study:

  • To determine ovarian dose, effective dose, and radiogenic risks from HSG.
  • To provide data for estimating radiogenic risks in various HSG settings.
  • To evaluate risks to future embryos and cancer induction in patients.

Main Methods:

  • Measured fluoroscopy time, radiograph count, and entrance surface dose in 78 patients.
  • Used an anthropomorphic phantom and thermoluminescence dosimetry to determine organ doses.

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  • Estimated radiogenic risks for embryo anomalies and cancer induction.
  • Main Results:

    • Average HSG: 0.3 min fluoroscopy, 3.2 radiographs.
    • Average ovarian dose: 2.7 mGy; effective dose: 1.2 mSv.
    • Risks for embryo anomalies and fatal cancer induction estimated < 10(-3) of nominal risks.

    Conclusions:

    • Radiation risks from typical HSG procedures are generally low.
    • Prolonged fluoroscopic or radiographic exposure can elevate risks.
    • Data provided enables radiogenic risk estimation for HSG in diverse laboratory settings.