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Local Diagnostic Reference Levels in Interventional Radiology.

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Local dose reference levels during transarterial chemoembolization procedure.

Abraham González-Ruíz1, Imane Ou-Saada2, Frank Jhonatan Isidro-Ortega3

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Summary

This study establishes local diagnostic reference levels for Transarterial chemoembolization (TACE) radiation doses in Mexico. Findings help optimize patient safety and radiation management in interventional radiology procedures.

Keywords:
Diagnostic reference levelsRadiation doseRadiation safetyTACE

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Area of Science:

  • Interventional Radiology
  • Medical Physics
  • Radiological Protection

Background:

  • Transarterial chemoembolization (TACE) involves significant radiation exposure.
  • Establishing local diagnostic reference levels (LDRLs) is crucial for radiation safety in TACE procedures.
  • International guidelines exist, but local data is needed for specific healthcare settings.

Purpose of the Study:

  • To develop local diagnostic reference levels (LDRLs) for radiation doses during TACE.
  • To analyze radiation dose indicators in a Mexican hospital setting.
  • To compare established LDRLs with international standards.

Main Methods:

  • A cross-sectional study involving 108 patients undergoing TACE.
  • Collection of radiation dose data including Kerma-area product (PKA) and air-kerma at the reference point (Ka, r).
  • Descriptive statistical analysis correlating dosimetric quantities with patient characteristics.

Main Results:

  • Development of specific LDRLs for TACE procedures based on local data.
  • Identification of significant correlations between radiological factors and dosimetric quantities.
  • Comparison of derived LDRLs with existing international frameworks.

Conclusions:

  • The study successfully established LDRLs for TACE in a Mexican hospital.
  • Findings provide a basis for optimizing radiation protection protocols in TACE.
  • This contributes to the global effort of standardizing radiation dose management in interventional radiology.