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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Radiation exposure to patients during interventional procedures in 20 countries: Initial IAEA project results
American Journal of Roentgenology, Volume 193, No. 2, Year 2009
Notification
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Description
OBJECTIVE. The purpose of our study was to investigate the level of radiation protection of patients and staff during interventional procedures in 20 countries of Africa, Asia, and Europe. SUBJECTS AND METHODS. In a multinational prospective study, information on radiation protection tools, peak skin dose (PSD), and kerma-area product (KAP) was provided by 55 hospitals in 20 mainly developing countries (nine mostly in Eastern Europe, five in Africa, and six in Asia). RESULTS. Nearly 40% of the interventional rooms had an annual workload of more than 2,000 patients. It is remarkable that the workload of pediatric interventional procedures can reach the levels of adult procedures even in developing countries. About 30% of participating countries have shown a 100% increase in workload in 3 years. Lead aprons are used in all participating rooms. Even though KAP was available in almost half of the facilities, none had experience in its use. One hundred of 505 patients monitored for PSD (20%) were above the 2-Gy threshold for deterministic effects. CONCLUSION. Interventional procedures are increasing in developing countries, not only for adults but also for pediatric patients. The situation with respect to staff protection is considered generally acceptable, but this is not the case for patient protection. Many patients exceeded the dose threshold for erythema. A substantial number (62%) of percutaneous transluminal coronary angioplasty procedures performed in developing countries in this study are above the currently known dose reference level and thus could be optimized. Therefore, this study has significance in introducing the concept of patient dose estimation and dose management. © American Roentgen Ray Society.
Authors & Co-Authors
Tsapaki, Virginia
Greece, Athens
Konstantopoulio Hospital
Ahmed, Nada A.
Sudan, Khartoum
Sudan Atomic Energy Commission
AlSuwaidi, Jamila Salem
United Arab Emirates, Dubai
Dubai Hospital
Beganovic, Adnan
Bosnia and Herzegovina, Sarajevo
Univerzitet u Sarajevu
Benider, Abdelkader
Morocco, Agdal
Ministère de la Santé Rabat
BenOmrane, Latifa
Tunisia, Tunis
Ministère de la Santé Publique
Borisova, Rada
Bulgaria, Sofia
National Center of Radiobiology and Radiation Protection Bulgaria
Economides, Sotirios
Greece, Athens
Greek Atomic Energy Commission
El-Nachef, Leila
Lebanon, Beirut
National Council for Scientific Research, Beirut
Faj, Dario
Croatia, Osijek
Kbc Osijek
Hovhannesyan, Ashot
Armenia, Yerevan
Csc
Kharita, Mohammad Hassan
Syrian Arab Republic, Damascus
Atomic Energy Commission of Syria
Khelassi-Toutaoui, Nadia
Algeria, Algiers
Commissariat à L'energie Atomique
Manatrakul, Nisakorn
Thailand, Nontaburi
Thailand Ministry of Public Health
Mirsaidov, Ilkhom
Tajikistan, Dushanbe
Radiation Safety Agency (state Regulatory Authority)
Shaaban, Mohamed
Kuwait
Al-sabah Hospital
Ursulean, Ion
Moldova, Chisinau
National Scientific Practical Center of Applied Preventive Medicine
Wambani, Jeska Sidika
Kenya, Nairobi
Kenyatta National Hospital
Zaman, Areesha
Pakistan, Islamabad
Pakistan Atomic Energy Commission
Ziliukas, Julius
Lithuania, Vilnius
Radiation Protection Centre
Žontar, Dejan
Slovenia, Ljubljana
Slovenian Radiation Protection Administration
Rehani, Madan Mohan
Austria, Vienna
International Atomic Energy Agency, Vienna
Statistics
Citations: 103
Authors: 22
Affiliations: 22
Identifiers
Doi:
10.2214/AJR.08.2115
ISSN:
0361803X
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study