Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors
Objective To assess the influence of patient characteristics, anatomical conditions, and technical factors on radiation exposure during prostatic arteries embolization (PAE) performed for benign prostatic hyperplasia. Materials and methods Patient characteristics (age, body mass index (BMI)), anatom...
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| Veröffentlicht in: | European radiology 2021-09, Vol.31 (9), p.6471-6479 |
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| creator | Barral, Matthias Gardavaud, François Lassalle, Louis Ammar, Mohamed Ben Najdawi, Milan Razakamanantsoa, Léo Renard-Penna, Raphaele Cussenot, Olivier Cornelis, François H. |
| description | Objective
To assess the influence of patient characteristics, anatomical conditions, and technical factors on radiation exposure during prostatic arteries embolization (PAE) performed for benign prostatic hyperplasia.
Materials and methods
Patient characteristics (age, body mass index (BMI)), anatomical conditions (number of prostatic arteries, anastomosis), and technical factors (use of cone beam computed tomography (CBCT), large display monitor (LDM), and magnification) were recorded as well as total air kerma (AK), dose area product (DAP), fluoroscopy time (FT), and number of acquisitions (NAcq). Associations between potential dose-influencing factors and AK using univariate analysis and a multiple linear regression model were assessed.
Results
Forty-one consecutive men (68 ± 8 years, min–max: 40–76) were included. LDM and CBCT decreased the use of small field of view with 13.9 and 3.8% respectively, both
p
< 0.001. The use of a LDM significantly reduced AK (1006.6 ± 471.7 vs. 1412 ± 754.6 mGy,
p
= 0.02), DAP (119.4 ± 64.4 vs. 167.9 ± 99.2,
p
= 0.04), FT (40.4 ± 11.5 vs. 53.6 ± 25.5 min,
p
= 0.01), and NAcq (16.3 ± 6.3 vs. 18.2 ± 7,
p
= 0.04). In multivariate analysis, AK reduction was associated with lower patient BMI (
β
= 0.359,
p
= 0.002), shorter FT (
β
= 0.664,
p
< 0.001) and CBCT use (
β
= − 0.223,
p
= 0.03), and decreased NAcq (
β
= 0.229,
p
= 0.04).
Conclusion
LDM and CBCT are important technical dose-related factors to help reduce radiation exposure during PAE, and should be considered in standard practice.
Key Points
• The use of large display monitor (LDM) and cone beam computed tomography (CBCT) both decreased the need for magnification during prostatic arteries embolization (PAE).
• The use of LDM reduces radiation exposure during PAE.
• Total air kerma is associated with patient’s body mass index, fluoroscopy time, CBCT, and the number of acquisitions. |
| doi_str_mv | 10.1007/s00330-021-07844-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2500373891</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2500373891</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-f5e672267f1176cb9136348d8f566e4b1c987ce796d543d23b3621f77c5177ce3</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS1ERW8vvAALZIkNC1LsjGPH7FDFn3QlNrCOHGdMXSV2sBOp8CA8b517C0gsurGlme-csecQ8pyzS86YepMZA2AVq3nFVCtEpR6RHRdQV5y14jHZMQ1tpbQW5-Qi5xvGmOZCPSHnAFKD1rAjvw9-8osP32kygzeLj4Hi7RzzmpAOa9o6c4p5KS1LTVowecwUpz6O_teRf0t9cOOKwSKNjs6liGGh9tokYzc-F2l-TU0wS5y8NSO1MQx-0x7LA13QXodjxxVJTPkpOXNmzPjs_t6Tbx_ef736VB2-fPx89e5QWVDNUrkGpaprqRznStpec5Ag2qF1jZQoem51qywqLYdGwFBDD7LmTinb8HIg7Mmrk2_5448V89JNPlscRxMwrrmrm7JjBW0x3pOX_6E3cU2hvK5QEpgErmWh6hNly9JyQtfNyU8m_ew467bUulNqXUmtO6bWqSJ6cW-99hMOfyV_YioAnIA8b4lg-jf7Ads7CNmlTg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2563063196</pqid></control><display><type>article</type><title>Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors</title><source>SpringerLink Journals - AutoHoldings</source><creator>Barral, Matthias ; Gardavaud, François ; Lassalle, Louis ; Ammar, Mohamed Ben ; Najdawi, Milan ; Razakamanantsoa, Léo ; Renard-Penna, Raphaele ; Cussenot, Olivier ; Cornelis, François H.</creator><creatorcontrib>Barral, Matthias ; Gardavaud, François ; Lassalle, Louis ; Ammar, Mohamed Ben ; Najdawi, Milan ; Razakamanantsoa, Léo ; Renard-Penna, Raphaele ; Cussenot, Olivier ; Cornelis, François H.</creatorcontrib><description>Objective
To assess the influence of patient characteristics, anatomical conditions, and technical factors on radiation exposure during prostatic arteries embolization (PAE) performed for benign prostatic hyperplasia.
Materials and methods
Patient characteristics (age, body mass index (BMI)), anatomical conditions (number of prostatic arteries, anastomosis), and technical factors (use of cone beam computed tomography (CBCT), large display monitor (LDM), and magnification) were recorded as well as total air kerma (AK), dose area product (DAP), fluoroscopy time (FT), and number of acquisitions (NAcq). Associations between potential dose-influencing factors and AK using univariate analysis and a multiple linear regression model were assessed.
Results
Forty-one consecutive men (68 ± 8 years, min–max: 40–76) were included. LDM and CBCT decreased the use of small field of view with 13.9 and 3.8% respectively, both
p
< 0.001. The use of a LDM significantly reduced AK (1006.6 ± 471.7 vs. 1412 ± 754.6 mGy,
p
= 0.02), DAP (119.4 ± 64.4 vs. 167.9 ± 99.2,
p
= 0.04), FT (40.4 ± 11.5 vs. 53.6 ± 25.5 min,
p
= 0.01), and NAcq (16.3 ± 6.3 vs. 18.2 ± 7,
p
= 0.04). In multivariate analysis, AK reduction was associated with lower patient BMI (
β
= 0.359,
p
= 0.002), shorter FT (
β
= 0.664,
p
< 0.001) and CBCT use (
β
= − 0.223,
p
= 0.03), and decreased NAcq (
β
= 0.229,
p
= 0.04).
Conclusion
LDM and CBCT are important technical dose-related factors to help reduce radiation exposure during PAE, and should be considered in standard practice.
Key Points
• The use of large display monitor (LDM) and cone beam computed tomography (CBCT) both decreased the need for magnification during prostatic arteries embolization (PAE).
• The use of LDM reduces radiation exposure during PAE.
• Total air kerma is associated with patient’s body mass index, fluoroscopy time, CBCT, and the number of acquisitions.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-021-07844-7</identifier><identifier>PMID: 33693993</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anastomosis ; Arteries ; Body mass ; Body mass index ; Body size ; Computed tomography ; Diagnostic Radiology ; Embolization ; Exposure ; Field of view ; Fluoroscopy ; Hyperplasia ; Imaging ; Internal Medicine ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Neuroradiology ; Radiation ; Radiation effects ; Radiology ; Regression models ; Ultrasound ; Vascular-Interventional</subject><ispartof>European radiology, 2021-09, Vol.31 (9), p.6471-6479</ispartof><rights>European Society of Radiology 2021</rights><rights>European Society of Radiology 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f5e672267f1176cb9136348d8f566e4b1c987ce796d543d23b3621f77c5177ce3</citedby><cites>FETCH-LOGICAL-c375t-f5e672267f1176cb9136348d8f566e4b1c987ce796d543d23b3621f77c5177ce3</cites><orcidid>0000-0002-1058-0884</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-021-07844-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-021-07844-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33693993$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barral, Matthias</creatorcontrib><creatorcontrib>Gardavaud, François</creatorcontrib><creatorcontrib>Lassalle, Louis</creatorcontrib><creatorcontrib>Ammar, Mohamed Ben</creatorcontrib><creatorcontrib>Najdawi, Milan</creatorcontrib><creatorcontrib>Razakamanantsoa, Léo</creatorcontrib><creatorcontrib>Renard-Penna, Raphaele</creatorcontrib><creatorcontrib>Cussenot, Olivier</creatorcontrib><creatorcontrib>Cornelis, François H.</creatorcontrib><title>Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
To assess the influence of patient characteristics, anatomical conditions, and technical factors on radiation exposure during prostatic arteries embolization (PAE) performed for benign prostatic hyperplasia.
Materials and methods
Patient characteristics (age, body mass index (BMI)), anatomical conditions (number of prostatic arteries, anastomosis), and technical factors (use of cone beam computed tomography (CBCT), large display monitor (LDM), and magnification) were recorded as well as total air kerma (AK), dose area product (DAP), fluoroscopy time (FT), and number of acquisitions (NAcq). Associations between potential dose-influencing factors and AK using univariate analysis and a multiple linear regression model were assessed.
Results
Forty-one consecutive men (68 ± 8 years, min–max: 40–76) were included. LDM and CBCT decreased the use of small field of view with 13.9 and 3.8% respectively, both
p
< 0.001. The use of a LDM significantly reduced AK (1006.6 ± 471.7 vs. 1412 ± 754.6 mGy,
p
= 0.02), DAP (119.4 ± 64.4 vs. 167.9 ± 99.2,
p
= 0.04), FT (40.4 ± 11.5 vs. 53.6 ± 25.5 min,
p
= 0.01), and NAcq (16.3 ± 6.3 vs. 18.2 ± 7,
p
= 0.04). In multivariate analysis, AK reduction was associated with lower patient BMI (
β
= 0.359,
p
= 0.002), shorter FT (
β
= 0.664,
p
< 0.001) and CBCT use (
β
= − 0.223,
p
= 0.03), and decreased NAcq (
β
= 0.229,
p
= 0.04).
Conclusion
LDM and CBCT are important technical dose-related factors to help reduce radiation exposure during PAE, and should be considered in standard practice.
Key Points
• The use of large display monitor (LDM) and cone beam computed tomography (CBCT) both decreased the need for magnification during prostatic arteries embolization (PAE).
• The use of LDM reduces radiation exposure during PAE.
• Total air kerma is associated with patient’s body mass index, fluoroscopy time, CBCT, and the number of acquisitions.</description><subject>Anastomosis</subject><subject>Arteries</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Computed tomography</subject><subject>Diagnostic Radiology</subject><subject>Embolization</subject><subject>Exposure</subject><subject>Field of view</subject><subject>Fluoroscopy</subject><subject>Hyperplasia</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Neuroradiology</subject><subject>Radiation</subject><subject>Radiation effects</subject><subject>Radiology</subject><subject>Regression models</subject><subject>Ultrasound</subject><subject>Vascular-Interventional</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1TAQhS1ERW8vvAALZIkNC1LsjGPH7FDFn3QlNrCOHGdMXSV2sBOp8CA8b517C0gsurGlme-csecQ8pyzS86YepMZA2AVq3nFVCtEpR6RHRdQV5y14jHZMQ1tpbQW5-Qi5xvGmOZCPSHnAFKD1rAjvw9-8osP32kygzeLj4Hi7RzzmpAOa9o6c4p5KS1LTVowecwUpz6O_teRf0t9cOOKwSKNjs6liGGh9tokYzc-F2l-TU0wS5y8NSO1MQx-0x7LA13QXodjxxVJTPkpOXNmzPjs_t6Tbx_ef736VB2-fPx89e5QWVDNUrkGpaprqRznStpec5Ag2qF1jZQoem51qywqLYdGwFBDD7LmTinb8HIg7Mmrk2_5448V89JNPlscRxMwrrmrm7JjBW0x3pOX_6E3cU2hvK5QEpgErmWh6hNly9JyQtfNyU8m_ew467bUulNqXUmtO6bWqSJ6cW-99hMOfyV_YioAnIA8b4lg-jf7Ads7CNmlTg</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Barral, Matthias</creator><creator>Gardavaud, François</creator><creator>Lassalle, Louis</creator><creator>Ammar, Mohamed Ben</creator><creator>Najdawi, Milan</creator><creator>Razakamanantsoa, Léo</creator><creator>Renard-Penna, Raphaele</creator><creator>Cussenot, Olivier</creator><creator>Cornelis, François H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1058-0884</orcidid></search><sort><creationdate>20210901</creationdate><title>Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors</title><author>Barral, Matthias ; Gardavaud, François ; Lassalle, Louis ; Ammar, Mohamed Ben ; Najdawi, Milan ; Razakamanantsoa, Léo ; Renard-Penna, Raphaele ; Cussenot, Olivier ; Cornelis, François H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f5e672267f1176cb9136348d8f566e4b1c987ce796d543d23b3621f77c5177ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anastomosis</topic><topic>Arteries</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Computed tomography</topic><topic>Diagnostic Radiology</topic><topic>Embolization</topic><topic>Exposure</topic><topic>Field of view</topic><topic>Fluoroscopy</topic><topic>Hyperplasia</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Neuroradiology</topic><topic>Radiation</topic><topic>Radiation effects</topic><topic>Radiology</topic><topic>Regression models</topic><topic>Ultrasound</topic><topic>Vascular-Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barral, Matthias</creatorcontrib><creatorcontrib>Gardavaud, François</creatorcontrib><creatorcontrib>Lassalle, Louis</creatorcontrib><creatorcontrib>Ammar, Mohamed Ben</creatorcontrib><creatorcontrib>Najdawi, Milan</creatorcontrib><creatorcontrib>Razakamanantsoa, Léo</creatorcontrib><creatorcontrib>Renard-Penna, Raphaele</creatorcontrib><creatorcontrib>Cussenot, Olivier</creatorcontrib><creatorcontrib>Cornelis, François H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central 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Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barral, Matthias</au><au>Gardavaud, François</au><au>Lassalle, Louis</au><au>Ammar, Mohamed Ben</au><au>Najdawi, Milan</au><au>Razakamanantsoa, Léo</au><au>Renard-Penna, Raphaele</au><au>Cussenot, Olivier</au><au>Cornelis, François H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>31</volume><issue>9</issue><spage>6471</spage><epage>6479</epage><pages>6471-6479</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
To assess the influence of patient characteristics, anatomical conditions, and technical factors on radiation exposure during prostatic arteries embolization (PAE) performed for benign prostatic hyperplasia.
Materials and methods
Patient characteristics (age, body mass index (BMI)), anatomical conditions (number of prostatic arteries, anastomosis), and technical factors (use of cone beam computed tomography (CBCT), large display monitor (LDM), and magnification) were recorded as well as total air kerma (AK), dose area product (DAP), fluoroscopy time (FT), and number of acquisitions (NAcq). Associations between potential dose-influencing factors and AK using univariate analysis and a multiple linear regression model were assessed.
Results
Forty-one consecutive men (68 ± 8 years, min–max: 40–76) were included. LDM and CBCT decreased the use of small field of view with 13.9 and 3.8% respectively, both
p
< 0.001. The use of a LDM significantly reduced AK (1006.6 ± 471.7 vs. 1412 ± 754.6 mGy,
p
= 0.02), DAP (119.4 ± 64.4 vs. 167.9 ± 99.2,
p
= 0.04), FT (40.4 ± 11.5 vs. 53.6 ± 25.5 min,
p
= 0.01), and NAcq (16.3 ± 6.3 vs. 18.2 ± 7,
p
= 0.04). In multivariate analysis, AK reduction was associated with lower patient BMI (
β
= 0.359,
p
= 0.002), shorter FT (
β
= 0.664,
p
< 0.001) and CBCT use (
β
= − 0.223,
p
= 0.03), and decreased NAcq (
β
= 0.229,
p
= 0.04).
Conclusion
LDM and CBCT are important technical dose-related factors to help reduce radiation exposure during PAE, and should be considered in standard practice.
Key Points
• The use of large display monitor (LDM) and cone beam computed tomography (CBCT) both decreased the need for magnification during prostatic arteries embolization (PAE).
• The use of LDM reduces radiation exposure during PAE.
• Total air kerma is associated with patient’s body mass index, fluoroscopy time, CBCT, and the number of acquisitions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33693993</pmid><doi>10.1007/s00330-021-07844-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1058-0884</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2021-09, Vol.31 (9), p.6471-6479 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2500373891 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Anastomosis Arteries Body mass Body mass index Body size Computed tomography Diagnostic Radiology Embolization Exposure Field of view Fluoroscopy Hyperplasia Imaging Internal Medicine Interventional Radiology Medicine Medicine & Public Health Multivariate analysis Neuroradiology Radiation Radiation effects Radiology Regression models Ultrasound Vascular-Interventional |
| title | Limiting radiation exposure during prostatic arteries embolization: influence of patient characteristics, anatomical conditions, and technical factors |
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