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Evaluation of patients' skin dose during IR procedures using radiosensitive indicators

Research Project

Project/Area Number 17390338
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Radiation science
Research InstitutionTeikyo University

Principal Investigator

FURUI Shigeru  Teikyo University School of Medicine, Department of Radiology, Professor, 医学部, 教授 (40114631)

Co-Investigator(Kenkyū-buntansha) NAKAMURA Hironobu  Osaka University Graduate School of Medicine, Department of Radiology, Professor, 医学部, 教授 (00116071)
ISHIGUCHI Tsuneo  Aichi Medical University, Department of Radiology, Professor, 医学部, 教授 (70115525)
YAMAGUCHI Ichiro  National Institute of Public Health, Senior Research Officer, 生活環境部, 主任研究官 (50311395)
ISSHIKI Takaaki  Teikyo University School of Medicine, Department of Medicine, Professor, 医学部, 教授 (60150273)
SUZUKI Shigeru  Teikyo University School of Medicine, Department of Radiology, Lecturer, 医学部, 助手 (60317691)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥11,000,000 (Direct Cost: ¥11,000,000)
Fiscal Year 2006: ¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 2005: ¥7,900,000 (Direct Cost: ¥7,900,000)
KeywordsRadiation / Exposure / Dosage / Interventional Radiology
Research Abstract

We developed two types of radiosensitive indicators (high dose type, low dose type) to estimate patients' entrance skin dose (ESD) during interventional radiology procedures. We assessed the relationship between color difference of the indicators and absorbed doses. With low dose type, the response was almost linear with the natural logarithm of the dose from 0.3 to 6 Gy. With high dose type, the response was almost linear with the natural logarithm of the dose from 3 to 15 Gy. Based on this relationship, we can calculate the absorbed dose from the color of indicator.
Using these indicators, we assessed the patients' ESD during 3 types of interventional procedures. This study included consecutive 72 patients who underwent percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) in the 6 institutions, 104 patients who underwent catheter ablation for arrhythmia in the 3 institutions, 103 patients who underwent neurointerventional procedures in the 6 institutions. They wore jackets with 100 radiosensitive indicators adhered to the back during the PCI and ablation procedures, or caps with 44 indicators during the interventional procedures. The maximum ESD for each patient was 3.2 ± 2.1 Gy (range : 0.5 - 10.2 Gy, median : 2.7 Gy) for PCI, 0.5 ± 0.5 Gy (range : 0.0 - 2.7 Gy, median : 0.5 Gy) for ablation, and 1.9 ± 1.1 Gy (range : 0.4 - 5.6 Gy, median : 1.5 Gy) for neurointervention. Radiation skin injuries were observed in 2 patients of PCI, and 6 of neurointervention.
In many cases of PCI for CTO and some cases of neurointervention, the maximum ESDs exceed the thresholds for radiation skin injuries. Therefore, the patients' ESDs should be estimated to reduce the doses in these interventional procedures.

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (9 results)

All 2006 2005 Other

All Journal Article (9 results)

  • [Journal Article] 古井滋 IVRにおける患者および術者被ばく2006

    • Author(s)
      鈴木滋, 古井滋
    • Journal Title

      臨床画像 22

      Pages: 179-187

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Patients' and physicians' exposure during interventional radiology2006

    • Author(s)
      Suzuki S, Furui S.
    • Journal Title

      Rinsyo-Gazou 22

      Pages: 179-187

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] IVRにおける患者および術者被ばく2006

    • Author(s)
      鈴木 滋
    • Journal Title

      臨床画像 22・2

      Pages: 179-187

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 機能性色素を用いた頭部IVRにおける患者被ばく線量推定の試み2005

    • Author(s)
      片岡章勝, 辻良憲, 吉原美保ら
    • Journal Title

      共済医報 54

      Pages: 64-68

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] IVR用放射線感受性インジケータ2005

    • Author(s)
      鈴木滋, 古井滋
    • Journal Title

      Isotope News 617

      Pages: 7-11

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Attempt to estimate patients' skin dose during Neurointervention, using functional dyestuff2005

    • Author(s)
      Kataoka M, Tsuji Y, Yoshihara M, et al.
    • Journal Title

      Kyousai-I-Hou 54

      Pages: 64-68

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Radiosensitive indicator for Interventional radiology2005

    • Author(s)
      Suzuki S, Furui S.
    • Journal Title

      Isotope News 617

      Pages: 7-11

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Patients' skin dose during percutaneous coronary intervention for chronic total occlusion

    • Author(s)
      S Suzuki, S Furui, T Isshiki, et al.
    • Journal Title

      Catheterization and Cardiovascular Interventions (In press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Patients' skin dose during percutaneous coronary intervention for chronic total occlusion

    • Author(s)
      S Suzuki, S Furui, T Isshiki, et al.
    • Journal Title

      Catheterization and Cardiovascular Interventions [in press]

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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