Radiation Scatter at Fluoroscopy-Guided Endoscopic Procedures: Building Toward Further Optimization
Ji Young Bang1, Robert Hawes, Shyam Varadarajulu
1Digestive Health Institute, Orlando Health, Orlando, Florida, USA .
Introduction:
Exposure to ionizing radiation by endoscopy personnel during fluoroscopy-guided procedures remains a health hazard. We aimed to evaluate a novel lead flap-enhanced artificial intelligence-enabled fluoroscopy (LE-AIF) system to minimize radiation scatter.
Methods:
We conducted prospective study of 218 patients who underwent fluoroscopy-guided endoscopic procedures using conventional AIF or LE-AIF systems. The primary outcome measure was comparison of radiation scatter to endoscopists.
Results:
Radiation scatter to endoscopists and anesthesia personnel were significantly lower using LE-AIF. On linear regression analysis, conventional AIF and fluoroscopy duration were associated with radiation scatter.
Discussion:
LE-AIF significantly reduced radiation scatter at endoscopic procedures.
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