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Direct measurement of patient's entrance skin dose during neurointerventional procedure to avoid further radiation-induced skin injuries.

Abstract：

:Although several cases of radiation-induced skin injury (RSI) have been reported in association with neurointerventional procedures such as endovascular embolization for cerebral aneurysm, cerebral arteriovenous malformation, and dural arteriovenous fistula, in most cases the absorbed doses are not measured directly; therefore, we built the first direct measurement system that enables the ideal dosimetry for entrance skin dose (ESD) during neurointerventional procedures to be easily determined. This system was then applied to a 55-year-old man who underwent two transvenous embolizations with a 2-month interval, for a right cavernous sinus dural arteriovenous fistula, to establish the efficacy of precise mapping of ESDs. Throughout the procedures, the patient wore a fitted dosimetry cap that contained 60 radiophotoluminescence glass dosimeter (RPLGD) chips. After the first procedure, temporary epilation occurred in the occipital region. Precise mapping of ESDs revealed that this region was exposed to 4.2Gy. In the first procedure, the X-ray tube was generally positioned straight for an optimal posterior-anterior view; however, in the second procedure we intermittently used the second-best position to prevent further RSI. In this position, the maximum ESD was 1.0Gy in the right posterior-temporal region and the epilation site was exposed to

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Hayakawa M,Moritake T,Kataoka F,Takigawa T,Koguchi Y,Miyamoto Y,Akahane K,Matsumaru Y

doi

10.1016/j.clineuro.2010.03.019

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

530-6

issue

6

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(10)00077-6

journal_volume

112

pub_type

杂志文章

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