Gafchromic XR‐QA2 film as a complementary dosimeter for hand‐monitoring in CTF‐guided biopsies

Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure t...

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Published inJournal of applied clinical medical physics Vol. 17; no. 1; pp. 316 - 327
Main Authors Sarmento, Sandra, Pereira, Joana, Sousa, Maria José, Cunha, Luís, Dias, Anabela G., Pereira, Miguel F., Oliveira, Augusto D., Cardoso, João V., Santos, Luís M., Gouvêa, Margarida, Lencart, Joana, Alves, João G., Santos, João A.M.
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.01.2016
John Wiley and Sons Inc
Subjects
Biopsy
Calibration
CTF‐guided biopsies
Digitization
Dosimetry
Film Dosimetry - instrumentation
Film Dosimetry - methods
Fluoroscopy - methods
Gafchromic XR‐QA2 film
Hand - diagnostic imaging
Hand - radiation effects
hand monitoring
Humans
Medical Imaging
Optimization
Phantoms, Imaging
Radiation Dosage
Specialty products
Tomography, X-Ray Computed - methods
Uncertainty
Visualization
Online AccessGet full text

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Abstract Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR‐QA2 self‐developing film as a complementary dosimeter to quantify hand exposure during CTF‐guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute Hp(0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%–8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum. PACS numbers: 07.57.Kp, 29.40.‐n, 85.25.Pb, 87.57.qp
AbstractList Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR‐QA2 self‐developing film as a complementary dosimeter to quantify hand exposure during CTF‐guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute H p (0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%–8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum. PACS numbers: 07.57.Kp, 29.40.‐n, 85.25.Pb, 87.57.qp
Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR‐QA2 self‐developing film as a complementary dosimeter to quantify hand exposure during CTF‐guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute Hp(0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%–8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum.PACS numbers: 07.57.Kp, 29.40.‐n, 85.25.Pb, 87.57.qp
Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick-check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR-QA2 self-developing film as a complementary dosimeter to quantify hand exposure during CTF-guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute Hp(0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%-8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum.
Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR‐QA2 self‐developing film as a complementary dosimeter to quantify hand exposure during CTF‐guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute (0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%–8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum. PACS numbers: 07.57.Kp, 29.40.‐n, 85.25.Pb, 87.57.qp
Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high hand exposures, despite use of quick‐check method and needle holders whenever feasible. Therefore, reliable monitoring is crucial to ensure the safe use of CTF. This is a challenge, because ring dosimeters monitor exposure only at the base of one finger, while the fingertips may be exposed to the highly collimated CT beam. In this work we have explored the possibility of using Gafchromic XR‐QA2 self‐developing film as a complementary dosimeter to quantify hand exposure during CTF‐guided biopsies. A glove used in a previous study and designed to contain 11 TLDs was adapted to include Gafchromic strips 7 mm wide, covering the fingers. A total of 22 biopsies were successfully performed wearing this GafTLD glove under sterile gloves, and the IR reported no difficulty or reduction of dexterity while wearing it. Comparison of dose distributions obtained from digitization of the Gafchromic film strips and absolute Hp(0.07) readings from TLDs showed good agreement, despite some positional uncertainty due to relative movement. Per procedure, doses at the base of the ring finger can be as low as 3%–8% of hand dose maximum. Accumulated dose at the base of the ring finger was four times lower than the dose maximum. PACS numbers: 07.57.Kp, 29.40.‐n, 85.25.Pb, 87.57.qp
Author Santos, João A.M.
Sarmento, Sandra
Sousa, Maria José
Alves, João G.
Pereira, Miguel F.
Santos, Luís M.
Gouvêa, Margarida
Oliveira, Augusto D.
Cardoso, João V.
Dias, Anabela G.
Pereira, Joana
Cunha, Luís
Lencart, Joana
AuthorAffiliation 7 Instituto de Ciências Biomédicas, Abel Salazar da Universidade do Porto Porto Portugal
3 Universidade de Lisboa (UL), Instituto Superior Técnico (IST), Laboratório de Protecção e Segurança Radiológica (LPSR) Bobadela LRS Portugal
2 Serviço de Física Médica, IPOPFG E.P.E. Porto Portugal
1 Centro de Investigação, Instituto Português de Oncologia do Porto Francisco Gentil (IPOPFG), E.P.E Porto Portugal
4 Serviço de Radiologia de Intervenção, IPOPFG E.P.E. Porto Portugal
6 Serviço de Radiologia, IPOPFG E.P.E. Porto Portugal
5 UL‐IST, Centro de Ciências e Tecnologias Nucleares (C2TN) Bobadela LRS Portugal
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Cites_doi 10.1148/radiology.201.2.8888264
10.1148/radiol.2462061968
10.1148/radiology.212.3.r99se36673
10.1007/s00270-005-0104-2
10.1118/1.3675398
10.1016/S1051-0443(07)61701-1
10.1093/rpd/ncq418
10.1097/00004032-200308000-00005
10.1016/j.jvir.2010.01.007
10.1118/1.3271584
10.1016/j.radmeas.2007.11.079
10.1148/radiology.209.3.9844686
10.1120/jacmp.v13i6.3994
10.1016/S1051-0443(07)61828-4
10.1118/1.3476455
10.1118/1.3302140
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References 2010; 21
2010; 37
2012
2011
2010
2009
1998; 209
1999; 212
2008; 43
2012; 39
2008; 246
2013
2001; 12
2012; 13
1996; 201
2005; 28
2003; 85
2011; 144
2007; 37
(e_1_2_6_19_1) 2012
e_1_2_6_10_1
e_1_2_6_9_1
e_1_2_6_8_1
(e_1_2_6_21_1) 2010
(e_1_2_6_23_1) 2013
e_1_2_6_5_1
e_1_2_6_4_1
e_1_2_6_7_1
e_1_2_6_6_1
(e_1_2_6_17_1) 2009
e_1_2_6_13_1
e_1_2_6_14_1
e_1_2_6_3_1
e_1_2_6_11_1
e_1_2_6_2_1
e_1_2_6_12_1
e_1_2_6_22_1
e_1_2_6_18_1
e_1_2_6_15_1
(e_1_2_6_20_1) 2011
e_1_2_6_16_1
References_xml – volume: 144
  start-page: 448
  issue: 1‐4
  year: 2011
  end-page: 52
  article-title: Preliminary assessment of the dose to the interventional radiologist in fluoro‐CT‐guided procedures
  publication-title: Radiat Prot Dosimetry.
– year: 2011
– year: 2009
– volume: 12
  start-page: 215
  issue: 2
  year: 2001
  end-page: 19
  article-title: Biopsy of lung nodules with use of I–I device under intermittent CT fluoroscopic guidance: preliminary clinical study
  publication-title: J Vasc Interv Radiol.
– volume: 85
  start-page: 165
  issue: 2
  year: 2003
  end-page: 73
  article-title: Evaluation of patient and staff doses during various CT fluoroscopy guided interventions
  publication-title: Health Phys.
– volume: 13
  start-page: 3994
  issue: 6
  year: 2012
  article-title: Reference dosimetry using radiochromic film
  publication-title: J Appl Clin Med Phys.
– volume: 37
  start-page: 4782
  issue: 9
  year: 2010
  end-page: 92
  article-title: Implementation of radiochromic film dosimetry protocol for volumetric dose assessments to various organs during diagnostic CT procedures
  publication-title: Med Phys.
– volume: 37
  start-page: 189
  issue: 1
  year: 2010
  end-page: 96
  article-title: Computed tomography dose measurements with radiochromic films and a flatbed scanner
  publication-title: Med Phys.
– volume: 21
  start-page: 607
  issue: 5
  year: 2010
  end-page: 15
  article-title: Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology
  publication-title: J Vasc Interv Radiol.
– volume: 12
  start-page: 1417
  issue: 12
  year: 2001
  end-page: 21
  article-title: CT fluoroscopy‐guided intervention: marked reduction of scattered radiation dose to the physician's hand by use of a lead plate and an improved I–I device
  publication-title: J Vasc Interv Radiol.
– volume: 246
  start-page: 519
  issue: 2
  year: 2008
  end-page: 25
  article-title: Dose Reduction during CT Fluoroscopy: phantom study of angular beam modulation
  publication-title: Radiology.
– volume: 28
  start-page: 589
  issue: 5
  year: 2005
  end-page: 94
  article-title: Radiation dose to the radiologist's hand during continuous CT fluoroscopy‐guided interventions
  publication-title: Cardiovasc Intervent Radiol.
– volume: 39
  start-page: 842
  issue: 2
  year: 2012
  end-page: 50
  article-title: Characteristics of Gafchromic XRQA2 films for kV image dose measurement
  publication-title: Med Phys.
– volume: 201
  start-page: 576
  issue: 2
  year: 1996
  end-page: 78
  article-title: Radiation dosimetry at CT fluoroscopy: physician's hand dose and development of needle holders
  publication-title: Radiology.
– volume: 37
  issue: 2‐4
  year: 2007
  article-title: ICRP Publication 103: The 2007 Recommendations of the International Commission on Radiological Protection
  publication-title: Ann ICRP.
– volume: 212
  start-page: 673
  issue: 3
  year: 1999
  end-page: 81
  article-title: CT fluoroscopy‐guided abdominal interventions: techniques, results, and radiation exposure
  publication-title: Radiology.
– volume: 37
  start-page: 1083
  issue: 3
  year: 2010
  end-page: 92
  article-title: Reference radiochromic film dosimetry in kilovoltage photon beams during CBCT image acquisition
  publication-title: Med Phys.
– volume: 209
  start-page: 850
  issue: 3
  year: 1998
  end-page: 55
  article-title: Evaluation of biopsy needles and prototypic needle guide devices for percutaneous biopsy with CT fluoroscopic guidance in simulated organ tissue
  publication-title: Radiology.
– year: 2010
– volume: 43
  start-page: 641
  issue: 2‐6
  year: 2008
  end-page: 45
  article-title: Energy and angular dependence of the personal dosemeter in use at ITN‐DPRSN
  publication-title: Radiat Meas.
– year: 2012
– year: 2013
– ident: e_1_2_6_2_1
  doi: 10.1148/radiology.201.2.8888264
– ident: e_1_2_6_15_1
  doi: 10.1148/radiol.2462061968
– ident: e_1_2_6_7_1
  doi: 10.1148/radiology.212.3.r99se36673
– ident: e_1_2_6_6_1
  doi: 10.1007/s00270-005-0104-2
– volume-title: ISO 4037‐1:1996 — X and gamma reference radiation for calibrating dose meters and dose rate meters and for determining their response as a function of photon energy — Part 1: Radiation characteristics and production methods
  year: 2012
  ident: e_1_2_6_19_1
– volume-title: NHS Trust fined after radiologist exposed to radiation [Internet]
  year: 2013
  ident: e_1_2_6_23_1
– volume-title: ISO 12794:2000 — Nuclear energy—Radiation protection—Individual thermoluminescence dosemeters for extremities and eyes
  year: 2011
  ident: e_1_2_6_20_1
– ident: e_1_2_6_13_1
  doi: 10.1118/1.3675398
– ident: e_1_2_6_16_1
– ident: e_1_2_6_4_1
  doi: 10.1016/S1051-0443(07)61701-1
– ident: e_1_2_6_14_1
  doi: 10.1093/rpd/ncq418
– ident: e_1_2_6_9_1
  doi: 10.1097/00004032-200308000-00005
– ident: e_1_2_6_3_1
  doi: 10.1016/j.jvir.2010.01.007
– ident: e_1_2_6_12_1
  doi: 10.1118/1.3271584
– ident: e_1_2_6_18_1
  doi: 10.1016/j.radmeas.2007.11.079
– volume-title: Technical recommendations for monitoring individuals occupationally exposed to external radiation
  year: 2009
  ident: e_1_2_6_17_1
– volume-title: ISO 4037‐3:1999 — X and gamma reference radiation for calibrating dosemeters and doserate meters and for determining their response as a function of photon energy — Part 3: Calibration of area and personal dose meters and the measurement of their response as a function of energy and angle of incidence
  year: 2010
  ident: e_1_2_6_21_1
– ident: e_1_2_6_8_1
  doi: 10.1148/radiology.209.3.9844686
– ident: e_1_2_6_22_1
  doi: 10.1120/jacmp.v13i6.3994
– ident: e_1_2_6_5_1
  doi: 10.1016/S1051-0443(07)61828-4
– ident: e_1_2_6_10_1
  doi: 10.1118/1.3476455
– ident: e_1_2_6_11_1
  doi: 10.1118/1.3302140
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Snippet Computed tomography fluoroscopy (CTF) is a useful imaging technique to guide biopsies, particularly lung biopsies, but it also has the potential for very high...
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StartPage 316
SubjectTerms Biopsy
Calibration
CTF‐guided biopsies
Digitization
Dosimetry
Film Dosimetry - instrumentation
Film Dosimetry - methods
Fluoroscopy - methods
Gafchromic XR‐QA2 film
Hand - diagnostic imaging
Hand - radiation effects
hand monitoring
Humans
Medical Imaging
Optimization
Phantoms, Imaging
Radiation Dosage
Specialty products
Tomography, X-Ray Computed - methods
Uncertainty
Visualization
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  providerName: Wiley-Blackwell
Title Gafchromic XR‐QA2 film as a complementary dosimeter for hand‐monitoring in CTF‐guided biopsies
URI https://onlinelibrary.wiley.com/doi/abs/10.1120%2Fjacmp.v17i1.5725
https://www.ncbi.nlm.nih.gov/pubmed/26894341
https://www.proquest.com/docview/2290136991
https://pubmed.ncbi.nlm.nih.gov/PMC5690215
Volume 17
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