DOI QR코드

DOI QR Code

뇌동맥류 코일 색전술 시술 시 동맥류 크기 및 위치에 따른 방사선량 평가

Evaluation of Radiation Dose according to Aneurysm Size and Location during Cerebral Aneurysm Coil Embolization

  • 안현 (동의대학교 방사선학과)
  • An, Hyun (Department of Radiological Science, Dong-eui University)
  • 투고 : 2022.08.23
  • 심사 : 2022.09.25
  • 발행 : 2022.10.31

초록

Cerebral aneurysm coil embolization has the advantages of accurate, low patient burden, and fast recovery time, but efforts are needed to reduce dose due to the burden of exposure radiation dose during interventional procedures. In this study, the area dose product(DAP/Gy·cm2) and fluoro time(min) according to the size of the aneurysm and the location of aneurysm were investigated according to insurance recognition regulations aneurysm classification cerebral aneurysm coil embolization. According to the research method, classification according to the size and location of the aneurysm is first, the size of the aneurysm is divided into less than 4mm, more than 4mm to less than 8mm, and more than 8mm, and second, the dose to the area based on the location site (DAP/Gy·cm2) and fluoro time(min) based on the location site were observed. As a result, the location of the cerebral aneurysm procedure was found to be the Paraclinoid site. During cerebral aneurysm coil embolization, the area dose was 107 Gy·cm2 and fluoro time was 47.41 minutes, showing lower results than domestic studies, and when comparing the area dose product with foreign studies, the area dose product results were similar to that of Turkey and Saudi Arabia. It is expected that it can be used as an objective analysis indicator to establish diagnostic reference levels (DRLs) and patient radiation defense guidelines according to the size of cerebral aneurysm and location of cerebral aneurysm procedures during interventional procedures.

키워드

참고문헌

  1. Kang BS, Park HS. Evaluation of Diagnostic Reference Level in Interventional Procedures. Journal of Radiological Science and Technology. 2021;44(5):451-7. https://doi.org/10.17946/JRST.2021.44.5.451
  2. Berentein A, Lasjaunias P. Brugge: Surgical Neuroan giography. 2nd ed. New York: Springer; 2003:365-453.
  3. Brisman JL, Song JK, Newell DW. Cerebral aneurysms. The New England Journal of Medicine. 2006;355(9):928-39. DOI: https://doi.org/10.1056/NEJMra052760
  4. Cho WS, Lee SH, Kang HS, Kim JE. Management of incidentally found unruptured intracranial aneurysms. Journal of the Korean Medical Association. 2020;63(5):267-74. https://doi.org/10.5124/jkma.2020.63.5.267
  5. Kim BT, Hwang SH, Im SB, Shin WH. Pathogenesis of Cerebral Aneurysm. Korea Journal of Cerebrovascular Surgery. 2008;10(1):301-6.
  6. Vinuela F, Duckwiler G, Mawad M. Guglielmi detach able coil embolization of acute intracranial aneurysm: Perioperative anatomical and clinical outcome in 403 patients. Journal of Neurosurgery. 1997; 86(3):475-82. DOI: https://doi.org/10.3171/jns.1997.86.3.0475
  7. Sharp C, Faulkner K, Nakamura H. Avoidance of radiation injuries from medical interventional procedures. ICRP Pub 85:7-22; 2000.
  8. Kim JS, Kim JH, Kim TI. Usefulness of Lens and Thyroid Screening Device for Hepatic Artery Embolization. Journal of Korean Society of CardioVascular Interventional Technology. 2016;19(1): 157-63.
  9. Kang BS, Jeon EM, Park HS, Hong KP. Relationship between DAP and patient exposure dose during TACE procedure. Journal of the Korean Society of Cardiovascular Intervention Technology. 2003;6(1): 191-8.
  10. Korea Centers for Disease Control and Prevention, Establishment of diagnostic reference procedures for interventional radiotherapy, Induce reduction of patient exposure dose; 2020.
  11. Ministry of Health and Welfare Notice Revision Guide. 2014-No. 66.
  12. IEC, IEC 60601-1-3: Medical Electrical Equipment-Part 1: General Requirements for Safety-3. Collateral Standard: General Requirements for Radiation Protection in Diagnostic X-ray Equipment; 2008.
  13. IEC, IEC 60601-2-54: Medical Electrical Equipment-Part 2-54: Particular Requirements for the Basic Safety and Essential Performance of X-ray Equipment for Radiography and Radioscopy; 2009.
  14. Hwang JH, Jeong KM, Choi JA, Kim HS, Lee KB. A Study on Dose Reduction Method according to Slice Thickness Change using Automatic Exposure Controller and Manual Exposure in Intervention. Journal of Radiological Science and Technology. 2018;41(2):115-22. https://doi.org/10.17946/JRST.2018.41.2.115
  15. Lee SH, Han DH, Kim JS. Clinical Analysis of Intracranial Aneurysms. Journal of Korean Neurosurgical Society. 1988;18(3):389-99.
  16. Vano E, JJrvinen H, Kosunen A, Bly R, Malone J, Dowling A. Patient dose in interventional radiology: A European survey. Radiation Protect Dosimetry. 2008;129(1-3):39-45. DOI: https://doi.org/10.1093/rpd/ncn024
  17. Baiter S, Rosenstein M, Miller DL, Schueler B, David S. Patient radiation dose audits for fluoroscopically guided interventional procedures. Medical Physics. 2011;38(3):1611-8. DOI: https://doi.org/10.1118/1.3557868
  18. Chung JW, Jae HJ, Kang BS, et al. Evaluation of Patient Doses in Interventional Radiology. KFDA Research Report; 2007.
  19. Mawad ME, Mawad JK, Cartwright J, Gokaslan Z. Long-term histopathologic changes in canine aneurysms embolized with Guglielmi detachable coils. American Journal of Neuroradiology. 1995; 16(1):7-13.