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Irradiator Commissioning and Dosimetry for Assessment of LQ α and β Parameters, Radiation Dosing Schema, and in vivo Dose Deposition
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REDUCTION OF STAFF RADIATION DOSE IN PROSTATIC ARTERY EMBOLISATION.

G Andrade1,2, W J Garzón3, H J Khoury4

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Radiation Exposure Curtailment for Embolisation (RECiFE) significantly reduced staff radiation doses during prostatic artery embolisation (PAE) procedures by 83%. This optimized protocol enhances safety for medical professionals undergoing fluoroscopy.

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Area of Science:

  • Interventional Radiology
  • Medical Physics
  • Urology

Background:

  • Prostatic artery embolisation (PAE) treats benign prostatic hyperplasia and lower urinary tract symptoms.
  • PAE is an interventional procedure utilizing fluoroscopy, posing radiation risks to patients and staff.
  • High radiation doses are a concern for healthcare professionals during PAE.

Purpose of the Study:

  • To demonstrate the reduction of radiation doses for staff during PAE.
  • To implement and evaluate an optimized protocol named Radiation Exposure Curtailment for Embolisation (RECiFE).
  • To improve safety measures in interventional radiology procedures.

Main Methods:

  • Implementation of the RECiFE protocol, in collaboration with medical and technical teams.
  • Utilisation of Siemens Combined Applications to Reduce Exposure (CARE) protocol.
  • Adjustment of angiographic equipment acquisition parameters.

Main Results:

  • An approximate 83% reduction in radiation doses received by the primary physician during PAE.
  • Significant decrease in staff radiation exposure was achieved.
  • Successful optimisation of the PAE procedure regarding radiation safety.

Conclusions:

  • The RECiFE protocol effectively reduces staff radiation dose during PAE.
  • Optimising angiographic equipment parameters and implementing RECiFE enhances procedural safety.
  • PAE can be performed with significantly lower radiation exposure to staff.