Abstract
As a result of the increasing risk of developing radiation-related complications, many approaches aimed at reducing this risk and enhancing the outcomes of the patient, doctor or device operator have been developed. In this systematic review, we aim to discuss previous investigations that studied patient shielding or protection within the context of selected interventional radiology procedures. We included original studies that used Ka,r, and PKA for the assessment of the outcomes of two procedures: transjugular intrahepatic portosystemic shunt creation (TIPS) and hepatic arterial chemoembolization (HAE). A thorough search strategy was conducted on relevant databases to identify all relevant studies. We included 13 investigations, including 12 cross-sectional studies and one randomized controlled trial. Significant diversity was found among all these studies in terms of the used modalities, which made them hard to compare. However, almost all studies agreed that using novel imaging and interventional modalities is useful when obtaining better outcomes and reducing patient radiation exposure. The use of ultrasound-guided procedures and providing adequate lead curtains has also been recommended by the identified studies in order to minimize the frequency of radiation exposure. The reported Ka,r, and PKA were also variable between studies and were discussed within this study. Our findings indicate that unified guidelines for patient radiation shielding should be urgently investigated.
Highlights
BackgroundAs a result of increasing medical advances in interventional radiology techniques and the reported benefits of various related fluoroscopic guided procedures, there can be prolonged procedures exposing the patient and staff to higher amounts of radiation with potential short- and long-term effects
It is clear that interventional radiology plays an important role in the management of many diseases and fewer reported complications than those resulting from invasive surgical procedures, previous studies have demonstrated that interventional radiological procedures may be associated with increased side effects including hair loss and other tissue-reactive abnormalities that are secondary to the increased exposure to radiation [1,2,3,4,5]
In this systematic review we aim to address those studies that have assessed patient shielding or protection in selected interventional radiology procedures, as measured by the aforementioned two parameters
Summary
As a result of increasing medical advances in interventional radiology techniques and the reported benefits of various related fluoroscopic guided procedures, there can be prolonged procedures exposing the patient and staff to higher amounts of radiation with potential short- and long-term effects. Previous studies have demonstrated that an estimation of Dskin, max can be undertaken using various modalities including metaloxide-semiconductor field-effect transistors, four photoluminescence sensors attached to the back of the patients, and wireless dosimeter modalities [8,9,10,11] This approach has been previously reported to have various benefits when estimating the real-time data of radiation exposure, subsequent evidence indicates that it had some limitations which restrict its benefits to specific institutions [12,13]. It has been indicated that both modalities have a significant correlating factor, and estimating the value of any of these modalities can obtain that of the other [17,18,19]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
