评估第一种机器人辐射防护技术，以减少诊断过程和经皮冠状动脉介入治疗期间的散射暴露

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

American heart journal plus : cardiology research and practice Pub Date : 2025-02-21 DOI:10.1016/j.ahjo.2025.100512

Wojciech E. Krzyzanowski, Pawel Radecki, Marta K. Szczerbińska, Kamil Dawidczyk, Mikołaj Kosek, Krzysztof Romanik, Wojciech Suchcicki, Dariusz Karwowski, Paweł R. Natkowski

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引用次数: 0

摘要

本研究评估了Radiaction系统在介入心脏病学（IC）实验室中为医务人员在透视引导下的手术提供全面保护的有效性。该系统限制了成像光束，并在其源头阻挡了散射辐射，提高了Cath实验室工作人员的安全性。方法一项前瞻性、非随机、对照研究比较了有放射和无放射的实时治疗过程。在82例诊断病例和24例无放射系统的介入病例以及65例有放射系统的诊断病例和39例有放射系统的介入病例中，传感器被放置在房间周围和主治医生身上，以测量辐射暴露。结果结果表明，辐射系统显著减少了辐射暴露。在所有病例中，所有传感器位置的辐射总减少率为74.7%，主要医生的辐射总减少率为82.9%。使用Radiaction系统，诊断程序显示减少了73%；使用Radiaction系统，介入程序显示所有传感器减少了79%。通过计算来估计系统部署期间的减少量，结果显示所有传感器减少了85.7%，主要医生减少了95.1%，这反映了系统在100% x射线时间内使用时的全部潜力。用户对该系统表达了很高的满意度，认为它具有用户友好的特性，并且与临床工作流程无缝集成。结论与不进行放射治疗的病例相比，放射治疗系统显著减少了所有病例的辐射暴露。这些发现支持了辐射系统为IC套件中的所有医务人员提供全身散射辐射防护的潜力，强调了其在提高医疗环境职业安全方面的价值。

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Evaluation of a first of a kind robotic radiation protection technology to reduce scatter exposure during diagnostic procedures and percutaneous coronary interventions

Background

This study evaluated the effectiveness of the Radiaction system in providing comprehensive protection to medical personnel during fluoroscopy-guided procedures in an Interventional Cardiology (IC) laboratory. The system confines the imaging beam and blocks scatter radiation at its source, enhancing safety for the Cath lab staff.

Methods

A prospective, non-randomized, controlled study compared real-time procedures with and without Radiaction. Sensors were placed around the room and on the main physician to measure radiation exposure during 82 diagnostic and 24 interventional cases without the Radiaction system and 65 diagnostic and 39 interventional cases with Radiaction.

Results

Results demonstrated a significant reduction in radiation exposure with the Radiaction system. Across all cases, the overall reduction in radiation was 74.7 % for all sensor locations and 82.9 % for the main physician. Diagnostic procedures exhibited a reduction of 73 % with the Radiaction system and Interventional procedures demonstrated a 79 % reduction across all sensors with the Radiaction system. Calculations were conducted to estimate the reduction during the time that the system was deployed, revealing an 85.7 % reduction across all sensors and 95.1 % for the main physician, reflecting the full potential of the system when used during 100 % of the X-ray time. Users expressed high satisfaction with the system, citing its user-friendly nature, and seamless integration into clinical workflow.

Conclusions

The Radiaction system significantly reduced radiation exposure in all cases compared to cases conducted without Radiaction. These findings support the potential of the Radiaction system to offer full-body protection from scattered radiation to all medical personnel in the IC suite, emphasizing its value in enhancing occupational safety in medical environments.

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来源期刊

American heart journal plus : cardiology research and practice Cardiology and Cardiovascular Medicine

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

59 days