In plain language
Among French vascular surgeons performing iliac procedures, patient dose area product rose from 2012 to 2015 alongside more hybrid rooms and more complex procedures, despite training. Staff dose was not measured, but patient dose indicates scatter exposure for the fluoroscopy team.
At a glance
- Type of study
- Original research, Prospective cohort study
- Who was studied
- Vascular surgeons, Patients
- Size
- n = 959 procedures
- Where
- France
- Summary based on
- the abstract
What it found
Mean dose area product rose significantly between 2012 and 2015 despite radiation safety training.
Key figures: 14.2 ± 18.9 Gy cm2 in 2012 vs 21.5 ± 37.6 Gy cm2 in 2015 (P < 0.01)
Hybrid rooms, body mass index (BMI) over 25, more than one stent and crossover technique were associated with higher dose-area product (DAP).
Fluoroscopy time did not change significantly.
Key figures: 4.8 ± 5.5 min vs 5.2 ± 5.9 min (nonsignificant)
Use of hybrid rooms, mobile flat-panel detectors and dedicated radiology tables increased over the 3 years.
Key figures: hybrid rooms 1.5% vs 14.7%; flat-panel 1.1% vs 5.9%; dedicated tables 37.2% vs 51.2%
Procedure complexity increased over time, including more multi-stent procedures.
Key figures: 32.3% vs 41%, P < 0.01
Limits to keep in mind
Observational comparison of two self-selected cohorts of training attendees with exclusions and different surgeon numbers; only patient dose metrics (DAP) were measured, not staff dose, and confounding by complexity and equipment is likely.
Related research summaries
- Radiation Awareness for EVAR in Hybrid Operating Room: An Instant Operator Risk Chart (2021, Dosimetry measurement study)
- Surgeon Education Decreases Radiation Dose In Complex Endovascular Procedures And Improves Patient Safety (2013, Retrospective cohort study)
- ICRP Publication 117. Radiological Protection In Fluoroscopically Guided Procedures Performed Outside The Imaging Department (2010, Guideline or consensus statement)
- ICRP Draft - Radiological Protection in Fluoroscopically Guided Procedures (Guideline or consensus statement)
- AAPM Medical Physics Practice Guideline 12.a - Fluoroscopy Dose Management (2022, Guideline or consensus statement)
How this summary was made
ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.
Prepared November 3, 2026.