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Research ArticleNeurointervention

Dose Measurement on Both Patients and Operators during Neurointerventional Procedures Using Photoluminescence Glass Dosimeters

T. Moritake, Y. Matsumaru, T. Takigawa, K. Nishizawa, A. Matsumura and K. Tsuboi
American Journal of Neuroradiology November 2008, 29 (10) 1910-1917; DOI: https://doi.org/10.3174/ajnr.A1235
T. Moritake
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Y. Matsumaru
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T. Takigawa
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K. Nishizawa
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A. Matsumura
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K. Tsuboi
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  • Fig 1.
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    Fig 1.

    The small PLD chips used in this study are 12 mm in length and 1.5 mm in diameter. A small square in the background represents 1 mm2.

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    Fig 2.

    Dose-monitoring points for patients. The number in each circle represents the position number for the PLD placement.

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    Fig 3.

    Geometric distribution of operators’ average ESDs per procedure. ESDs on No. 3 (thyroid) and Nos. 6–10 are measured inside of the lead protector. The number in each circle represents the position number for PLD placement.

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    Fig 4.

    A, The relative response of PLD to x-rays with different effective energy compared with an ionization chamber. PLD chips are irradiated on the tissue-equivalent phantom8 with (open circle) and without (black circle) a filter for energy compensation. B, Calibration factor converting the PLD readout value to the ESD as a function of the effective energy. All the PLD chips are irradiated without a filter for energy compensation.

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    Fig 5.

    A, The relative (percentage) dose distribution to the maximum ESD for each patient. Each number represents a corresponding patient number listed in on-line Table. B, Geometric distribution of the average ESDs per procedure of 28 interventional radiology patients. The number in each circle represents the position number for PLD placement.

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    Fig 6.

    Correlations between the maximum ESD and angiographic parameters. Circle indicates a neurointerventional procedure without skin injury; x, patient No. 1 in on-line Table exhibited a depilation; triangle, patient No. 9 in on-line Table exhibited a depilation. A, Correlation between maximum ESD and total exposure time (r = 0.5283, P = .005, n = 27). B, Correlation between maximum ESD and dose-area product (r = 0.7917, P < .001, n = 21). C, Correlation between maximum ESD and total number of DSA studies (r = 0.5636, P = .002, n = 27). D, Correlation between maximum ESD and total number of DSA frames (r = 0.8583, P < .001, n = 23). Lines on the graphs indicate linear regressions.

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    Fig 7.

    A 49-year-old man presents with radiation-induced depilation and erythema after a neurointerventional procedure. A, Square depilation in the right temporal area. B, Distribution of ESDs of this patient. The number in each circle represents the position number for PLD placement.

Tables

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    Table 1:

    Average ESDs to the patients for 28 therapeutic interventional radiology procedures

    Point No.AreaAverage (mGy; mean ± SD)Range (mGy)Median (mGy)25–75 Percentiles (mGy)
    5 in Fig 5BRight temporal1124 ± 134965–5373573210–1440
    1 in Fig 5BFrontal33 ± 343–1431913–38
    34 in Fig 5BRight eye380 ± 5937–207910444–445
    35 in Fig 5BLeft eye79 ± 1735–9133218–60
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    Table 2:

    Average ESDs to the operators for 25 therapeutic interventional radiology procedures

    Point No.AreaAverage (mGy; mean ± SD)Range (mGy)Median (mGy)25–75 percentiles (mGy)
    1 in Fig 3Right eye0.028 ± 0.0320.006–0.1330.0180.012–0.027
    2 in Fig 3Left eye0.254 ± 0.3380.014–1.2410.1320.076–0.230
    3 in Fig 3Thyroid (underneath protector)0.035 ± 0.0560.002–0.1980.0120.005–0.025
    17 in Fig 3Thyroid (outside protector)0.072 ± 0.0710.008–0.2100.0500.015–0.094
    9 in Fig 3Posterior neck (underneath protector)0.029 ± 0.0420.001–0.1820.0150.005–0.026
    4 in Fig 3Right upper arm0.032 ± 0.0460.005–0.1880.0150.010–0.026
    5 in Fig 3Left upper arm0.390 ± 0.7320.013–3.2960.1680.042–0.271
    11 in Fig 3Back of right hand0.050 ± 0.0700.004–0.2420.0180.014–0.037
    12 in Fig 3Back of left hand0.240 ± 0.4980.009–2.5060.1010.050–0.210
    13 in Fig 3Right finger0.110 ± 0.1560.004–0.5160.0370.020–0.082
    14 in Fig 3Left finger0.208 ± 0.3410.006–1.3330.0680.028–0.171
    6 in Fig 3Chest (underneath protector)0.009 ± 0.0210.000–0.1050.0020.001–0.005
    15 in Fig 3Chest (outside protector)0.152 ± 0.2600.008–1.0990.0660.026–0.109
    10 in Fig 3Back (underneath protector)0.016 ± 0.0300.000–0.1360.0080.002–0.013
    7 in Fig 3Abdomen (underneath protector)0.008 ± 0.0170.000–0.0690.0020.001–0.005
    16 in Fig 3Abdomen (outside protector)0.165 ± 0.3030.003–1.3340.0580.027–0.129
    8 in Fig 3Femur (underneath protector)0.013 ± 0.0240.000–0.0900.0040.001–0.010
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American Journal of Neuroradiology: 29 (10)
American Journal of Neuroradiology
Vol. 29, Issue 10
November 2008
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T. Moritake, Y. Matsumaru, T. Takigawa, K. Nishizawa, A. Matsumura, K. Tsuboi
Dose Measurement on Both Patients and Operators during Neurointerventional Procedures Using Photoluminescence Glass Dosimeters
American Journal of Neuroradiology Nov 2008, 29 (10) 1910-1917; DOI: 10.3174/ajnr.A1235

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Dose Measurement on Both Patients and Operators during Neurointerventional Procedures Using Photoluminescence Glass Dosimeters
T. Moritake, Y. Matsumaru, T. Takigawa, K. Nishizawa, A. Matsumura, K. Tsuboi
American Journal of Neuroradiology Nov 2008, 29 (10) 1910-1917; DOI: 10.3174/ajnr.A1235
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Cited By...

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  • Patient Radiation Dose Management in the Follow-Up of Potential Skin Injuries in Neuroradiology
  • A Comparison of Radiation Exposure between Diagnostic CTA and DSA Examinations of Cerebral and Cervicocerebral Vessels
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