Prevalence of the use of dosimeters for ionizing radiation from fluoroscopy − a systematic literature review and meta-analysis

IF 2.7 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Physica Medica-European Journal of Medical Physics Pub Date : 2025-07-07 DOI:10.1016/j.ejmp.2025.105037

Sara Videira , Matilde Rodrigues , Joana Santos , Joana Guedes , João Martins , Manuela Vieira da Silva

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引用次数: 0

Abstract

This study aims to assess the prevalence of individual dosimeter use among workers exposed to ionizing radiation during fluoroscopy-guided procedures. Additionally, factors contributing to its use were identified.

Studies were identified through searches in five databases on 13 April 2024. Additionally, snowballing techniques were employed. The review followed PRISMA guidelines and the CoCoPop model. A narrative synthesis, bibliometric analysis, and meta-analysis were performed. Study quality was assessed using the Joanna Briggs Institute checklist for prevalence studies.

Fifty studies involving 11,067 individuals were included. Orthopedics/traumatology was the most studied specialty (46 %). Median use rates were: 24 %(IQR = 44 %) for eye lens dosimeters, 15 %(IQR = 13 %) for electronic real-time dosimeters, 27 %(IQR = 42 %) for wrist/finger dosimeters, 25 %(IQR = 23 %) for collar/thyroid dosimeters and 5 % for ankle dosimeter; 15 %(IQR = 78 %) reported no monitoring device. In 15 studies (30 %) with 4,188 individuals (38 %), the overall prevalence of “always” using whole-body dosimeters was 43 %[95 %CI:24–62]. By continent, the highest prevalence was found in Africa (75 %[95 % CI: 46–95]), while the lowest was in the “Americas” (33 %[95 % CI: 16–52]). Significant moderator effects were found: higher prevalence in “Africa” (p = 0.04), “gastroenterology” (p = 0.04), and “involving radiology” (p = 0.01); lower in “orthopedics” (p = 0.01) and “physicians” (p = 0.03). No significant moderator effects were found: “very high Human Development Index” (p = 0.72) and “high Human Development Index” (p = 0.69). Studies showed moderate risk of bias (6/9), with little evidence of publication bias.

Exposure doses may be underestimated due to the low prevalence of dosimeter use. Interventions targeting individual and organizational factors are needed to promote consistent use and improve safety.

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透视电离辐射剂量计使用的流行——系统文献综述和荟萃分析

本研究的目的是评估在透视引导程序中暴露于电离辐射的工人中个人剂量计使用的流行程度。此外，还确定了影响其使用的因素。2024年4月13日，通过对五个数据库的搜索确定了研究。此外，还采用滚雪球技术。审查遵循PRISMA指南和CoCoPop模型。进行了叙述综合、文献计量学分析和元分析。研究质量采用乔安娜布里格斯研究所的患病率研究检查表进行评估。纳入了涉及11067人的50项研究。骨科/创伤学是学习最多的专业（46%）。眼状体剂量计使用率中位数为24% (IQR = 44%)，电子实时剂量计使用率为15% (IQR = 13%)，腕/指剂量计使用率为27% (IQR = 42%)，颈/甲状腺剂量计使用率为25% (IQR = 23%)，踝剂量计使用率为5%；15% （IQR = 78%）报告无监护设备。在15项研究（30%）中，4188人（38%）“总是”使用全身剂量计的总体患病率为43% [95% CI: 24-62]。按大陆划分，非洲的患病率最高（75% [95% CI: 46-95]），而“美洲”的患病率最低（33% [95% CI: 16-52]）。发现了显著的减缓效应：“非洲”（p = 0.04）、“胃肠病学”（p = 0.04）和“涉及放射学”（p = 0.01）的患病率较高；“骨科”（p = 0.01）和“内科医生”（p = 0.03）的比例较低。“非常高的人类发展指数”（p = 0.72）和“高的人类发展指数”（p = 0.69）没有发现显著的调节效应。研究显示有中等偏倚风险（6/9），几乎没有证据表明存在发表偏倚。由于剂量计使用率低，暴露剂量可能被低估。需要针对个人和组织因素的干预措施，以促进持续使用并提高安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physica Medica-European Journal of Medical Physics 生物-生物物理

CiteScore

6.80

自引率

14.70%

发文量

493

审稿时长

78 days

期刊介绍： Physica Medica, European Journal of Medical Physics, publishing with Elsevier from 2007, provides an international forum for research and reviews on the following main topics: Medical Imaging Radiation Therapy Radiation Protection Measuring Systems and Signal Processing Education and training in Medical Physics Professional issues in Medical Physics.