Abstract

Radiation-related tissue injuries after medical radiation procedures, such as fluoroscopically guided intervention (FGI), have been reported in patients. Real-time monitoring of medical radiation exposure administered to patients during FGI is important to avoid such tissue injuries. In our previous study, we reported a novel (prototype) real-time radiation system for FGI. However, the prototype sensor indicated low sensitivity to radiation exposure from the side and back, although it had high-quality fundamental characteristics. Therefore, we developed a novel 4-channel sensor with modified shape and size than the previous sensor, and evaluated the basic performance (i.e., measured the energy, dose linearity, dose rate, and angular dependence) of the novel and previous sensors. Both sensors of our real-time dosimeter system demonstrated the low energy dependence, excellent dose linearity (R2 = 1.0000), and good dose rate dependence (i.e., within 5% statistical difference). Besides, the sensitivity of 0° ± 180° in the horizontal and vertical directions was almost 100% sensitivity for the new sensor, which significantly improved the angular dependence. Moreover, the novel dosimeter exerted less influence on X-ray images (fluoroscopy) than other sensors because of modifying a small shape and size. Therefore, the developed dosimeter system is expected to be useful for measuring the exposure of patients to radiation doses during FGI procedures.

Highlights

  • Radiation-related tissue injuries after medical radiation procedures, such as fluoroscopically guided intervention (FGI), have been reported in patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14]

  • The International Commission on Radiological Protection (ICRP) has provided importance to monitor, in real-time, whether the threshold doses for tissue reactions are being approached or exceeded for radiation protection during FGI [3]

  • Thereby, in this study, we have study, we have significantly improved the previous radiation sensor regarding significantly the angular improved theby previous radiation sensor the angular dependence by modifying the shape dependence modifying the shape ofregarding the phosphor from a disk to a circular cone

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Summary

Introduction

Radiation-related tissue injuries after medical radiation procedures, such as fluoroscopically guided intervention (FGI), have been reported in patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14]. Real-time monitoring of medical radiation exposure administered to patients during FGI is important to avoid such tissue injuries. The ICRP has provided importance to monitor, in real-time, whether the threshold doses for tissue reactions are being approached or exceeded for radiation protection during FGI [3]. Co.,Medical, Ltd., Billadal, Sweden)California, as real-time dosimeters, the skin (PSD; Uniforssensor). Evaluated the usefulness of the developed real-time radiation dosimeter systems

Materials and Methods
Dosimeter Response Characteristics
Angular Dependence and Fluoroscopic Image
Basic Characteristics
Angular
Discussion
Conclusions
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