TY - JOUR
T1 - The American College of Radiology Fluoroscopy Dose Index Registry Pilot
T2 - Technical Considerations and Dosimetric Performance of the Interventional Fluoroscopes
AU - Wunderle, Kevin A.
AU - Jones, A. Kyle
AU - Dharmadhikari, Shalmali
AU - Duan, Xinhui
AU - Kim, Don Soo
AU - Mahmood, Usman
AU - Mann, Steve D.
AU - Moirano, Jeffery M.
AU - Neill, Rebecca A.
AU - Schoenfeld, Alan H.
N1 - Funding Information:
This pilot study is supported by the American College of Radiology's National Radiology Data Registry. The views expressed in this manuscript represent those of the authors and do not necessarily represent the official views of the National Radiology Data Registry or the American College of Radiology. The authors wish to thank ACR staff for assistance and acknowledge guidance and input by the Dose Index Registry steering committee for supporting the pilot efforts. The authors also wish to acknowledge Megan Griffiths (Cleveland Clinic) for editorial support; Gary M. Arbique, PhD (University of Texas Southwestern Medical Center), for technical data collection; Zachary Glass (Alliance Medical Physics; assisted Emory University) for technical data collection; and Wei Tang (Memorial Sloan-Kettering Cancer Center) for technical data collection.
Funding Information:
This pilot study is supported by the American College of Radiology ’s National Radiology Data Registry. The views expressed in this manuscript represent those of the authors and do not necessarily represent the official views of the National Radiology Data Registry or the American College of Radiology. The authors wish to thank ACR staff for assistance and acknowledge guidance and input by the Dose Index Registry steering committee for supporting the pilot efforts. The authors also wish to acknowledge Megan Griffiths (Cleveland Clinic) for editorial support; Gary M. Arbique, PhD (University of Texas Southwestern Medical Center), for technical data collection; Zachary Glass (Alliance Medical Physics; assisted Emory University) for technical data collection; and Wei Tang (Memorial Sloan-Kettering Cancer Center) for technical data collection.
Publisher Copyright:
© 2020 SIR
PY - 2020/10
Y1 - 2020/10
N2 - Purpose: To characterize the accuracy and consistency of fluoroscope dose index reporting and report rates of occupational radiation safety hardware availability and use, trainee participation in procedures, and optional hardware availability at pilot sites for the American College of Radiology (ACR) Fluoroscopy Dose Index Registry (DIR). Materials and Methods: Nine institutions participated in the registry pilot, providing fluoroscopic technical and clinical practice data from 38 angiographic C-arm–type fluoroscopes. These data included measurements of the procedure table and mattress transmission factors and accuracy measurements of the reference-point air kerma (Ka,r) and air kerma–area product (PKA). The accuracy of the radiation dose indices were analyzed for variation over time by 1-way analysis of variance (ANOVA). Sites also self-reported information on availability and use of radiation safety hardware, hardware configuration of fluoroscopes, and trainee participation in procedures. Results: All Ka,r and PKA measurements were within the ±35% regulatory limit on accuracy. The mean absolute difference between correction factors for a given system in fluoroscopic and acquisition mode was 0.03 (95% confidence interval, 0.03–0.03). For the 28 fluoroscopic imaging planes that provided data for 3 time points, ANOVA yielded an F value of 0.134 with an F-critical value of 3.109 (P =.875). Conclusions: This publication provides the technical and clinical framework pertaining to the ACR Fluoroscopy DIR pilot and offers necessary context for future analysis of the clinical procedure radiation-dose data collected.
AB - Purpose: To characterize the accuracy and consistency of fluoroscope dose index reporting and report rates of occupational radiation safety hardware availability and use, trainee participation in procedures, and optional hardware availability at pilot sites for the American College of Radiology (ACR) Fluoroscopy Dose Index Registry (DIR). Materials and Methods: Nine institutions participated in the registry pilot, providing fluoroscopic technical and clinical practice data from 38 angiographic C-arm–type fluoroscopes. These data included measurements of the procedure table and mattress transmission factors and accuracy measurements of the reference-point air kerma (Ka,r) and air kerma–area product (PKA). The accuracy of the radiation dose indices were analyzed for variation over time by 1-way analysis of variance (ANOVA). Sites also self-reported information on availability and use of radiation safety hardware, hardware configuration of fluoroscopes, and trainee participation in procedures. Results: All Ka,r and PKA measurements were within the ±35% regulatory limit on accuracy. The mean absolute difference between correction factors for a given system in fluoroscopic and acquisition mode was 0.03 (95% confidence interval, 0.03–0.03). For the 28 fluoroscopic imaging planes that provided data for 3 time points, ANOVA yielded an F value of 0.134 with an F-critical value of 3.109 (P =.875). Conclusions: This publication provides the technical and clinical framework pertaining to the ACR Fluoroscopy DIR pilot and offers necessary context for future analysis of the clinical procedure radiation-dose data collected.
UR - http://www.scopus.com/inward/record.url?scp=85089869962&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089869962&partnerID=8YFLogxK
U2 - 10.1016/j.jvir.2020.04.023
DO - 10.1016/j.jvir.2020.04.023
M3 - Article
C2 - 32861568
AN - SCOPUS:85089869962
SN - 1051-0443
VL - 31
SP - 1545-1550.e1
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 10
ER -