DOSE AREA PRODUCT VALUES OF FLUOROSCOPICALLY GUIDED PAIN MANAGEMENT PROCEDURES: COMPARISON OF A BELGIAN TEACHING HOSPITAL WITH NATIONAL DIAGNOSTIC REFERENCE LEVELS.
Radiat Prot Dosimetry. 2017 Dec 05;:1-Four
Authors: Hustinx N, Steyaert A, le Polain de Waroux B, Neglect P
In 2011, nationwide diagnostic reference ranges (DRLs) had been proposed for ache administration fluoroscopic procedures in Belgium. The first purpose of this work is to match the dose space product values (DAP) recorded on the Saint-Luc College Hospital to those DRLs. From 2012 to 2015, 7664 interventional ache administration procedures (4740 epidural, 2097 medial department and 807 transforaminal infiltrations) had been carried out. Uni/multivariable analyses had been carried out relating to the affect of various elements. The fluoroscopy length and the DAP are decrease to the DRLs (p < zero.001). From 7644 procedures’ DAP, 1431 (18.7%) had been greater than the DRLs: 1397 epidural (29.5%), 16 medial department (zero.eight%) and 18 transforaminal infiltrations (2.2%) (p < zero.001 between procedures). The primary issue that considerably modifies DAP, as length, is the practitioner. Moreover, we obtained [IQR: 25-75] values for epidural [0.0174-0.055 mGy m2], medial department block [0.0194-0.0472] and transforaminal infiltrations [0.0499-0.1067 mGy m2] (p < zero.05 vs. DRLs, respectively, zero.05, zero.25 and zero.three mGy m2). Systematic use of distinction affirmation considerably will increase DAP (p < zero.001). This retrospective evaluation reveals variations in DAP, primarily pushed by the practitioner. This implies the existence of modifiable elements. Packages aiming to find out these elements to cut back this DAP are justified.
PMID: 29216390 [PubMed – as supplied by publisher]