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Congress: ECR25
Poster Number: ESI-14194
Type: EuroSafe Imaging Poster
DOI: 10.26044/ecr2025/ESI-14194
Authorblock: M. Ostadi Ataabadi1, J. Rübenthaler1, J. Ricke1, M. B. Steinberger1, C. Ramsl2, M. Ingrisch1, R. S. Stahl1; 1Munich/DE, 2Vienna/AT
Disclosures:
Maryam Ostadi Ataabadi: Nothing to disclose
Johannes Rübenthaler: Nothing to disclose
Jens Ricke: Nothing to disclose
Maria Barbara Steinberger: Nothing to disclose
Christian Ramsl: Nothing to disclose
Michael Ingrisch: Nothing to disclose
Robert Stephan Stahl: Nothing to disclose
Keywords: Radiation physics, Radioprotection / Radiation dose, CT, Fluoroscopy, Comparative studies, Dosimetry, Dosimetric comparison
Methods or background

Over a period of one month, the radiation exposure of staff during 61 diagnostic and therapeutic radiological interventions at the LMU University Hospital in Munich was measured using a real-time dosimetry system (RaySafe i3, Unfors RaySafe, Sweden) (Fig. 1).

Fig 1: RaySafe i3 real-time dosimetry system. The dose measured by each dosimeter is displayed live on a screen in the interventional suite and can be saved for later evaluation (Image courtesy of RaySafe™ [5]).

The interventions included 

  • 25 general radiological angiographies (ANG),
  • 17 angiographies in the cardiac catheterization laboratory (Cath Lab), 
  • 11 CT-guided interventions (CTI), 
  • and 8 procedures in neuroradiology (NRAD).

For each intervention the dose of every staff member was measured using real-time dosimeters placed at chest height over the lead apron and shown on a screen in the interventional suite (Fig. 2).

Fig 2: Background: Dosimeters and screen of the RaySafe i3 real-time dosimetry system. Foreground: Radiation protection glasses with attached eye lens dosimeter and thermoluminescence dosimeter.

The dose accumulated per intervention was recorded separately for four personnel categories: 

  • interventionists (IR), 
  • radiology residents (RR),
  • first radiology technicians (RT1),
  • and second radiology technicians (RT2).

Not all roles were occupied during each intervention and for any intervention the measured dose for a role was only considered in the statistical evaluation if it was occupied during the entire duration of the intervention. 

 

We then conducted a statistical analysis of the relationship between the

  • accumulated dose per intervention and the professional role (IR, RR, RT1 and RT2),
  • and the total accumulated dose per intervention for the entire team and the type of intervention (ANG, Cath Lab, CTI and NRAD).

We used the Kruskal-Wallis test to assess whether there were any significant differences between the distributions of dose values of the observed groups. Post hoc pair-wise comparisons of groups were performed using Dunn’s test with Holm-Bonferroni correction. P-values less than 0.05 were considered significant.

 

GALLERY