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논문분류	춘계학술대회 초록집
제목	Effectiveness of custom-made under-table shield in a c arm fluoroscopy unit
저자	Jin Ha Jang
출판정보	2023; 2023(1):
키워드
초록	Objectives: Interventional procedures for vascular access using mobile C arm fluoroscopy are increasing, however, under-table shields are difficult in applying to the arm board of the C arm angiography table that most centers have performed fluoroscopy-guided procedures without them. To overcome the limitations in the radioprotection strategy, we modified commercial tools and applied custom-made under-table shields. The purpose of this study is to quantitatively analyze the protective effect of the shields using real-time dosimeters. Methods: To completely cover the angiography table equipped with an arm board, commercial shields were tailored and modified (Figure 1A). Covering a table with custom-made under-table shields to protect directions to operators and assistants (Figure 1B). There is no radiopaque material between the table and arm board, so the shields don’t interfere with the fluoroscopy-guided procedures for the upper extremities (Figure 1C). To quantitatively measure the dose equivalent of radiation, real-time dosimeters (RaySafe i2) were located one meter and two meters away from the table (Figure 1D). Results: Digital subtraction angiography was performed five times with eight pulses per second mode using a mobile C arm fluoroscopy (GE OEC 9900 system), and the mean radiation doses were compared before and after applying the customized under-table shields. After the application of the under-table shield, the dose equivalent (Sv) was reduced by 34% at a 1-meter distance and 82% at a 2-meter distance, respectively (Figure 2). Conclusions: To implement the principle of “As Low As Reasonably Achievable (ALARA)”, the optimization of fluoroscopy settings and the application of radioprotective shields are critical. Among them, under-table shields have a huge role in a radioprotective strategy and should be emphasized even in the mobile C arm settings. We customized commercial shields to overcome the limitation of the radioprotective strategy in the mobile C arm fluoroscopy setting, and it was effective in reducing the radiation dose.
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