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http://dx.doi.org/10.7742/jksr.2019.13.2.175

Effects of Self-Made Bismuth Shield Installation on Entrance surface Dose Reduction during Endovascular Treatment of Cerebral Aneurysms  

Kim, Jae-Seok (Department of Biomedical Engineering, Ajou University of Korea)
Kim, Young-Kil (Department of Biomedical Engineering, Ajou University of Korea)
Choi, Jae-Ho (Department of Radiologic Technology, Ansan University of Korea)
Publication Information
Journal of the Korean Society of Radiology / v.13, no.2, 2019 , pp. 175-183 More about this Journal
Abstract
Cerebral nervous system intervention has been reported frequently due to radiation exposure such as blistering of the skin, hair loss, and erythema due to prolonged procedures. By applying ergonomically manufactured Bismuth (atomic number 83; Bi) shield to endovascular treatment of cerebral aneurysms, we aimed to minimize radiation exposure of scalp and lens from medical radiation exposure. The measurement site was the posterior part of the head, bilateral temporal part, bilateral quadriceps part, nose part, and the measuring part was attached to the optically stimulated Luminescence dosimeter (OSLD) Before and after the use, the entrance surface dose was compared and analyzed. The average entrance surface dose of group A (unshield) was 92.44 mGy, and group B was measured at 67.55 mGy. The average decrease in Group B was 26.92% compared to Group A. The entrance surface dose mean of the occipital region was measured at 146.08 mGy B group at 103.23 mGy and decreased by an average of 29.32% in group B compared to group A. The average entrance surface dose of the bilateral temporal part was measured in group A at 101.90 mGy group B at 72.69 mGy and decreased by an average of 28.67% in group B compared to group A. The average entrance surface dose for bilateral quadriceps part was measured at 27.51 mGy group B at 21.39 mGy and averaged 22.26% less in group B than group A. It is believed that the use of bismuth shields will be an alternative to reducing radiation disturbance due to temporary hair loss and other stochastic effects that may occur after the endovascular treatment of cerebral aneurysms procedure.
Keywords
Cerebrovascular intervention; Bismuth shield; Radiation exposure; Radiation protection;
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