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Diagnostic reference levels in interventional neuroradiology procedures - a systematic review
Rogério Lopes1, Pedro Teles2,3, Joana Santos4
1Unidade Local de Saúde de Gaia e Espinho, University of Porto, Rua Conceição Fernandes s/n, Vila Nova de Gaia, 4434-502, Portugal. rogerio.mira.lopes@ulsge.min-saude.pt.
Establishing diagnostic reference levels (DRLs) for interventional neuroradiology (INR) is complex. This review analyzed DRLs in fluoroscopy-guided INR procedures, highlighting their importance for optimizing radiological practices.
Area of Science:
- Radiology
- Medical Imaging
- Interventional Neuroradiology
Background:
- Diagnostic Reference Levels (DRLs) are challenging to establish in interventional neuroradiology (INR) due to procedure complexity and variability.
- INR encompasses a range of intricate fluoroscopy-guided procedures.
Purpose of the Study:
- To systematically review and compare diagnostic reference levels (DRLs) for fluoroscopy-guided interventional neuroradiology (INR) procedures.
- To analyze existing DRL data within the field of INR.
Main Methods:
- A systematic review of observational studies reporting DRLs in INR procedures.
- Literature search conducted on Scopus, PubMed, and Web of Science (2017-2023).
- Included procedures: cerebral arteriography, aneurysm embolisation, thrombectomy, AVM/AVF embolisation, retinoblastoma embolisation, spinal cord arteriography.
Main Results:
- Initial search identified 303 articles; 21 were included after screening.
- Data from 21 studies were analyzed for DRLs in various INR procedures.
- The review synthesized findings on DRLs across diverse INR interventions.
Conclusions:
- Patient condition variability in INR hinders DRL standardization.
- DRLs are crucial for monitoring and optimizing radiological practices in INR.
- Despite challenges, DRLs remain essential for quality assurance in interventional radiology.
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