PMID- 32816049
OWN - NLM
STAT- MEDLINE
DCOM- 20210215
LR  - 20220419
IS  - 1432-2102 (Electronic)
IS  - 0033-832X (Print)
IS  - 0033-832X (Linking)
VI  - 61
IP  - 1
DP  - 2021 Jan
TI  - [Comparison of radiation exposure in common hepatic interventions : 
      A retrospective analysis of DeGIR registry data].
PG  - 80-86
LID - 10.1007/s00117-020-00737-8 [doi]
AB  - BACKGROUND: Transcatheter arterial chemoembolization (TACE) and biliary 
      interventions are common procedures. OBJECTIVES: In this retrospective study, the 
      radiation exposure of patients undergoing hepatic intervention will be analyzed 
      and compared depending on the type and objective of the intervention. MATERIALS 
      AND METHODS: This is an analysis of 7003 data sets of performed TACEs and biliary 
      interventions from the DeGIR registry for the years 2016, 2017, and 2018. The 
      dose area product (DAP), fluoroscopy time (FT), type of intervention, and 
      anatomically defined target were recorded. RESULTS: Data with documented 
      radiation doses were available for 4985 TACEs and for 2018 biliary interventions. 
      For biliary interventions the median DAP was 2594 (interquartile range 
      [IQR] = 1174-5858) cGycm(2). For TACE, the median DAP was 11,632 
      [IQR = 5530-22,800] cGycm(2) and significantly higher compared to biliary 
      interventions (p < 0.0001). Biliary interventions with the highest DAP take place 
      at the common hepatic duct; procedures with the longest FT were registered at the 
      hepatic duct bifurcation. CONCLUSIONS: The individual radiation exposure during 
      liver interventions is less dependent of the complexity of the procedure or the 
      fluoroscopy time, but rather on the type of intervention and the anatomic target. 
      The presented data can help to approximately estimate the radiation exposure in 
      advance when planning an intervention.
FAU - Nadjiri, Jonathan
AU  - Nadjiri J
AD  - Sektion fur Interventionelle Radiologie, Klinikum rechts der Isar der Technischen 
      Universitat Munchen, Ismaninger Strasse 22, Munchen, Deutschland. 
      jonathan.nadjiri@tum.de.
FAU - Geith, Tobias
AU  - Geith T
AD  - Sektion fur Interventionelle Radiologie, Klinikum rechts der Isar der Technischen 
      Universitat Munchen, Ismaninger Strasse 22, Munchen, Deutschland.
FAU - Waggershauser, Tobias
AU  - Waggershauser T
AD  - Sektion fur Interventionelle Radiologie, Klinikum rechts der Isar der Technischen 
      Universitat Munchen, Ismaninger Strasse 22, Munchen, Deutschland.
FAU - Heuser, Lothar
AU  - Heuser L
AD  - , Im Pastoratsbusch 49, Bochum, Deutschland.
FAU - Morhard, Dominik
AU  - Morhard D
AD  - Radiologie und Neuroradiologie, Leopoldina Krankenhaus Schweinfurt, Schweinfurt, 
      Deutschland.
FAU - Bucker, Arno
AU  - Bucker A
AD  - Klinik fur Diagnostische und Interventionelle Radiologie, Universitatsklinikum 
      der Universitat des Saarlandes, Homburg /Saar, Deutschland.
FAU - Paprottka, Philipp M
AU  - Paprottka PM
AD  - Sektion fur Interventionelle Radiologie, Klinikum rechts der Isar der Technischen 
      Universitat Munchen, Ismaninger Strasse 22, Munchen, Deutschland.
LA  - ger
PT  - Journal Article
TT  - Strahlenexposition bei haufigen interventionellen Eingriffen der Leber im 
      Vergleich : Retrospektive Analyse von DeGIR-Registerdaten.
PL  - Germany
TA  - Radiologe
JT  - Der Radiologe
JID - 0401257
SB  - IM
MH  - *Carcinoma, Hepatocellular
MH  - *Chemoembolization, Therapeutic
MH  - Fluoroscopy
MH  - Humans
MH  - *Liver Neoplasms
MH  - Radiation Dosage
MH  - *Radiation Exposure
MH  - Registries
MH  - Retrospective Studies
PMC - PMC7810650
OTO - NOTNLM
OT  - Biliary interventions
OT  - DeGIR registry
OT  - Liver interventions
OT  - Radiation monitoring
OT  - Transcatheter arterial chemoembolization
EDAT- 2020/08/21 06:00
MHDA- 2021/02/16 06:00
PMCR- 2020/08/20
CRDT- 2020/08/21 06:00
PHST- 2020/08/21 06:00 [pubmed]
PHST- 2021/02/16 06:00 [medline]
PHST- 2020/08/21 06:00 [entrez]
PHST- 2020/08/20 00:00 [pmc-release]
AID - 10.1007/s00117-020-00737-8 [pii]
AID - 737 [pii]
AID - 10.1007/s00117-020-00737-8 [doi]
PST - ppublish
SO  - Radiologe. 2021 Jan;61(1):80-86. doi: 10.1007/s00117-020-00737-8.