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IMPLEMENTATION OF RAY SAFE i2 SYSTEM FOR STAFF DOSE MEASURING IN INTERVENTIONAL RADIOLOGY

Authors:
  • Ss. Cyril and Methodius University in Skopje, Faculty of Natural Sciences and Mathematics-Skopje

Abstract

Abstract – Interventional radiology procedures usually delivered the highest radiation dose to the patients as well as to medical personal. Beside another factors like patient size, fluoroscopy time, machine calibration etc., a good clinical practice has strong effects to staff and patient’s radiation dose. MATERIALS AND METHODS: In August 2012, a Ray Safe i2 system was installed in a private hospital in Skopje. The main purpose of this dosimetry system is to provide real time indication for the current exposure level of the medical personal. Knowing that, the staff has prerequisites to adjust their behavior to minimize unnecessary exposure like changing distance from exposed volume, C-ram angulations, field of view etc. and on this way to develop a good clinical practice. The Ray Safe i2 system is consisted by ten digital dosimeters, two dock stations, real time display, dose viewer and dose manager software. During interventional procedures, each involved staff wears dosimeter which measures and records X-Ray exposure every second and transfer the data wirelessly to the real time display. Color indication bars (green, yellow, red) represents the intensity of the currently received exposure, whereas green zone indicates < 0.2 mSv/h, yellow zone from 0.2 to 2 mSv/h and red zone indications from 2 to 20 mSv/h. Additionally, accumulated dose per individual is displayed next to the color indication bars. By using the software, information about personal dose history, such as annual dose, dose per particular session, hour, day or week, can be viewed and analyzed. RESULTS: In this work it was found that staff accumulated doses were constantly increased over time, but reported number of procedures does not correspond to this tendency. Our assumption is that there is a misleading between reported number and actual performed procedures. Doctor1 received 55 times more dose than Doctor2 and Nurse1 received 11 to 3 times more dose than another Nurses. It was found a correlation of R2 = 0.1247 and p=1.71303E-12 between DAP and fluoroscopy time regardless of type of procedure. CONCLUSIONS: Staff doses are proportional to number of procedures and fluoroscopy time, but depend also on patient size, exposure factors, type of procedure, etc. The main reason for discrepancies among personal doses is based on different number of performed procedures. According to Ray Safe dose records, it is very unlikely that personal will reach the annual dose limits. Keywords – Ray Safe i2 system, interventional radiology staff doses
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