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Radiation exposure during ureteroscopy.
1Department of Urology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.
The Journal of Urology
|December 1, 1990
Summary
Minimizing fluoroscopy time during ureteroscopy reduces radiation exposure for urologists and patients. Utilizing portable C-arm units and protective gear like lead aprons is recommended for radiation safety.
Area of Science:
- Urology
- Medical Imaging
- Radiation Safety
Background:
- Fluoroscopy use in ureteroscopy poses radiation risks to healthcare professionals and patients.
- Quantifying radiation exposure is crucial for implementing safety protocols.
Purpose of the Study:
- To measure radiation exposure levels during ureteroscopy.
- To identify methods for minimizing radiation exposure for urologists and patients.
Main Methods:
- Radiation entrance dosages were measured at skin level in 37 patients.
- Dosages were also measured on urologists (neck, trunk, finger) and nurses (neck, trunk).
- Radiation exposure time was recorded in 79 patients, correlating with procedure type and ureteroscope (rigid/flexible).
Main Results:
- Radiation exposure time can be reduced by optimizing fluoroscopy usage.
- Portable C-arm fluoroscopy units with advanced features (electronic imaging, last image hold) can minimize exposure.
- Personal protective equipment, including lead aprons and thyroid shields, is essential.
Conclusions:
- Reducing fluoroscopy time is key to minimizing radiation exposure during ureteroscopy.
- Adoption of specific equipment and protective measures can enhance safety for all involved.