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ETRAP
2005
23 - 25 November in Brussels, Belgium
3rd International Conference on Education and Training in Radiological Protection
Title |
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Towards a specific education and training programme in radiological protection for practitioners in interventional cardiology |
Presented by |
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Thierens, Hubert |
Institute(s) |
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Ghent University, Radiological Protection Department (BE) |
Description |
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Authors:
H. Thierens (1,2), E. Bogaert (2), K. Lemmens (2), K. Bacher (2)
Full affiliation:
(1) Radiological Protection Department
(2) Medical Physics Department University Ghent, Proeftuinstraat 86, B-9000 Ghent, Belgium
Abstract:
With respect to exposures in the medical sector, doses to patients and practitioners are among the highest in interventional cardiology. The ongoing FANC study in Belgium shows that in case of difficult interventions skin doses in patients exceed frequently the threshold for direct effects of 2 Gy. Appropriate education and training in radiological protection for practitioners in interventional cardiology is an urgent need to keep doses at an acceptable level.
Apart from general radiological protection issues applicable to all medical uses of X-rays, education and training programmes of cardiologists and other practitioners in the catheterization laboratory should deal with the specific measures to be taken to reduce patient and personnel doses when using C-arm X-ray equipment in fluoroscopy and cine mode.
Based on the data of the FANC multicenter study in Belgium a number of important recommendations for this specific interventional cardiology section in radiological protection programmes will be given. Monte Carlo simulations of patient-X-ray equipment geometries will be used to demonstrate the impact of the different variables and changes of procedures on patient and practitioner doses. The use of the DAP-reading as on-line patient dose indicator will be discussed.
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Full paper |
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Thierens.pdf (31 KB - 31,472 bytes) |
Presentation |
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Thierens.pdf (43 KB - 43,933 bytes) |
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