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
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Publish Date: | 2019-12-18 |
Description: |
AbstractFluoroscopic 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. see all
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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 |