Radiological risk analysis of image-guided interventional procedures
DOI:
https://doi.org/10.15392/2319-0612.2023.2131Keywords:
Radiological Risk, Risk Matrix, Radiologia intervencionistaAbstract
Image-guided interventional procedures have become one of the medical applications that produces the highest doses of radiation for both the patient and the personnel involved in it. Safety assessment was applied to a generic service where image-guided interventional procedures was carried, using the semi-quantitative method of risk matrix, implemented in the Cuban SECURE-MR-FMEA code. The process map was prepared, identifying 6 stages with 76 accidental sequences. Values showed that the first screening for the developed model reports 45 % of high risks, 42% and 13 % of moderate and low risks, and once the number of controllers increased, high risks decrease to 11 % and there is an increase in moderate and low risks of 54 % and 35 % respectively. These results stress the importance of using all necessary measures for the protection of the public, patients and occupationally exposed workers.
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References
JASCHKE W. Radiation-induced skin injuries to patients: what the interventional radiolo-gist needs to know. Cardiovasc Intervent Radiol. vol. 40: 8, p. 1131-1140, 2017.
KOENIG T. Skin injuries from fluoroscopically guided procedures: part 1, characteristics of radiation injury. AJR Am J Roentgenol. vol. 177: 1, p. 3-11, 2001.
ICRP- International Commission on Radiological Protection. Prevention of Accidents to Patients Undergoing Radiation Therapy. ICRP Publication 86. Ann. ICRP 30: 3, 2000.
TORRES A.; MONTES DE OCA J. New algorithm for risk analysis in radiotherapy. Nu-cleus. 58, p. 39-46, 2015.
TORRES A.; et al. Dynamic risk monitoring using risk matrix in medical practices with ion-izing radiations. Nucleus. 59, p. 29-33, 2016.
TORRES A.; et al. SECURE-MR-FMEA cuban code for comprehensive risk analysis of practices with ionizing radiation. Nucleus. 69, 44-55 (2016).
IAEA- International Atomic Energy Agency. Application of the Risk Matrix Method to Radiotherapy. TECDOC Series, 1685, 2016.
JOANA G.; et al. Risk management in radiation therapy with SEVRRA. Brazilian Jour-nal of Radiation Sciences. vol. 6: 3, p. 01-12, 2018.
NAZCO J.; et al. Study of risks in superficial radiotherapy with SENSUS SRT-100TM us-ing FMEA and code SECURE MR-FMEA. Revista de Ciencias Médicas de Pinar del Río. 22, p. 78-90, 2018.
VILARAGUT J.J. ; et al. Prevention of accidental exposure in radiotherapy: the risk matrix approach. Health Phys. vol. 104: 2, p. 139-150, 2013.
TORRES A.; et al. Risk evaluation of the kilovoltage radiotherapy practice. Nucleus. 61, p. 21-5, 2017.
SÁNCHEZ L.; DÍAZ A.; CORREA T.; et al. Evaluaciones de seguridad mediante la utili-zación del método de la matriz de riesgo en radioterapia. Rev. latinoam. fís. méd. vol. 2 : 1, p. 20-24, 2016.
DUMÉNIGO C.; et al. Radiation safety assessment of Cobalt 60 external beam radiother-apy using the risk-matrix method. In: 12th International Congress of the International Radiation Protection Association, Buenos Aires, Argentina. 19-24 October 2008. Availa-ble at: <https://inis.iaea.org/collection/NCLCollectionStore/Public/40/108/40108743.pdf? r=1.> Last accessed : 12 October 2020
GONZÁLEZ D.E.; BORJAS P. Risk appraisal in the radiotherapy patient: “V. I. Lenin” Hospital in Holguin province. Nucleus. 57, p. 26-30, 2015.
DUMÉMIGO C.; et al. Latin America in the prevention of accidents in radiotherapy. Use of the risk matrices. International Conference on Radiation Protection in Medicine: Achieving Change in Practice; 11–15 December 2017; Vienna, Austria. Available at: <https://www.iaea.org/sites/default/files/18/02/rpop-session7.pdf>. Last accessed: 14 Sep-tember 2019.
DUMÉNIGO C.; GUERRERO M.; LÓPEZ R.; PAZ A.B. Risk matrix in Nuclear Medi-cine. Modelation in SEVRRA. In : X Latin-American Congress of IRPA, Buenos Aires, Argentina, April 12-17, 2015.
AMADOR Z.H.; TORRES A.; SÁNCHEZ L.; et al. Risk assessment in Therapeutic Nu-clear Medicine in Cuba with an integrated approach. Revista Habanera de Ciencias Mé-dicas. vol. 19: 1, p. 167-180, 2020.
AMADOR Z.H.; AROCHE L.; TORRES A. Probabilistic analysis of radiological risks in the hybrid SPECT/PET/CT facility in Cuba. Nucleus. 68, p. 20-26, 2021.
AMADOR Z.H.; TORRES A. Use of the SECURE-MR-FMEA Code for Radiological Risk Analysis in Conventional Therapeutic Nuclear Medicine. J. Health Med. Sci. vol. 4 : 3, p. 173-181, 2018.
AMADOR Z.H.; TORRES A. Risk Analysis in the Specific Patient Therapeutic Nuclear Medicine. J. Health Med. Sci. vol. 4 : 4, p. 215-223, 2018.
ALLES A.; PÉREZ Y.; DUMÉNIGO C. Radiological safety assessment in the practice of well logging using risk matrices. Nucleus. 55, p. 24-28, 2014.
HEIMAIER C.; NIKLAUS Z.; BERTHOLD C.; KARA L.; WEISAUPT D. Improving patient safety: implementing dose monitoring software in fluoroscopically guided interven-tions. J Vasc Interv Radiol. vol. 26: 11, p. 1699-1709, 2015.
KOSTOVA-LEFTEROVA D. Lessons from two cases of radiation induced skin injuries in fluoroscopic procedures in Bulgaria. Journal of radiological protection: official journal of the Society for Radiological Protection. vol. 37: 4, p. 938-946, 2017.
VANO E.; et al. Radiation Cataract Risk in Interventional Cardiology Personnel. Radia-tion Research. vol. 174: 4, p. 490-495, 2010.
COUSINS C.; SHARP C. Medical interventional procedures-reducing the radiation risks. Clinical radiology. vol. 59: 6, p. 468-473, 2004.
ICRP- International Commission on Radiological Protection. Avoidance of radiation inju-ries from medical interventional procedures. ICRP Publication 85. Ann. ICRP 30:2, 2000.
ARIR- Australian Radiation Protection and Nuclear Safety Agency, Australian radiation incident register Summary of radiation incidents: 1 January to 31 December 2010, Available at: <https://www.arpansa.gov.au/sites/default/files/legacy/pubs/RadiationProtection/arir/arir2010.rtf>. Last accessed: 1 September 2021.
ARIR- Australian Radiation Protection and Nuclear Safety Agency, Australian radiation incident register (ARIR). Summary of radiation incidents: 1 January to 31 December 2015, Available at: <https://www.arpansa.gov.au/sites/default/files/legacy/pubs/RadiationProtection/arir/arir2015.pdf>. Last accessed: 1 September 2021.
SRIMAHACHOTA S.; et al. Radiation skin injury caused by percutaneous coronary inter-vention, report of 3 cases. International Journal of Cardiology. vol. 154: 2: p. 31-33, 2012.
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