University of Oulu

E. Saukko, A. Henner, M. T. Nieminen, S.-M. Ahonen, THE ESTABLISHMENT OF LOCAL DIAGNOSTIC REFERENCE LEVELS IN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY: A PRACTICAL TOOL FOR THE OPTIMISATION AND FOR QUALITY ASSURANCE MANAGEMENT, Radiation Protection Dosimetry, Volume 173, Issue 4, April 2017, Pages 338–344, https://doi.org/10.1093/rpd/ncw018

The establishment of local diagnostic reference levels in endoscopic retrograde cholangiopancreatography : a practical tool for the optimisation and for quality assurance management

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Author: Saukko, E.1; Henner, A.2; M. T. Nieminen, M. T. Nieminen3,4;
Organizations: 1Turku University Hospital, The Medical Imaging Centre of Southwest Finland , Kiinamyllynkatu 4-8, PO Box 52, 20521 Turku, Finland
2Oulu University of Applied Sciences, School of Health and Social Care , Kiviharjuntie 8, 90220 Oulu, Finland
3University of Oulu, Research Unit of Medical Imaging, Physics and Technology, PO Box 5000, 90014 Oulu, Finland
4Oulu University Hospital, Department of Diagnostic Radiology, PO Box 50, 90029 Oulu, Finland
5University of Oulu, Research Unit of Nursing Science and Health Management, PO Box 5000, 90014 Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019121848695
Language: English
Published: Oxford University Press, 2016
Publish Date: 2019-12-18
Description:

Abstract

Fluoroscopic procedures are an area of special concern in relation to radiation protection. The aim of this study was to describe the current level of patient radiation doses in endoscopic retrograde cholangiopancreatography (ERCP) collected from a single centre, as well as to establish and review local diagnostic reference levels (DRLs) in ERCP. A total of 100 patients’ radiation doses in ERCP were recorded, and the third-quartile method was adopted to establish local DRLs for ERCP. The mean dose area product (DAP) was 2.05 Gy cm², fluoroscopy time (FT) 1.7 min and the number of images was 3. The proposed local DRLs for ERCP were 3.00 Gy cm² and 3.0 min. Local DRLs were reviewed in a sample of 25 patients 5 y after they had been established. In reviewing data, the averages of DAP and FT were below the local DRLs. Local DRLs help in the optimisation process of fluoroscopic procedures and guides to a good clinical practice.

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Series: Radiation protection dosimetry
ISSN: 0144-8420
ISSN-E: 1742-3406
ISSN-L: 0144-8420
Volume: 173
Issue: 4
Pages: 338 - 344
DOI: 10.1093/rpd/ncw018
OADOI: https://oadoi.org/10.1093/rpd/ncw018
Type of Publication: A1 Journal article – refereed
Field of Science: 3142 Public health care science, environmental and occupational health
Subjects:
Copyright information: © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com