In plain language
At one Thai neurointerventional center, introducing real-time personal dosimeters was followed by a 79% drop in interventional neuroradiologists' recorded dose and better reported protective habits among the fluoroscopy team; this before-after design cannot prove cause.
At a glance
- Type of study
- Original research, Prospective cohort study
- Who was studied
- Interventional radiologists, Nurses, Radiologic technologists, Patients
- Size
- n = 26 medical personnel
- Where
- Thailand
- Topics
- Dosimetry and monitoringSafety culture and compliancePatient dosePersonal protective equipment
- Summary based on
- the abstract
What it found
Interventional neuroradiologists' Hp(10) dose fell by about 79% after real-time dosimeters were introduced.
Key figures: 1.628 mSv (2023) to 0.335 mSv (2024); 79.4% reduction; P = .01
Skin and eye-lens dose equivalents decreased more modestly.
Key figures: Hp(0.07) -15.7%; Hp(3) -16.1%; P = .01
Staff awareness of radiation dose levels doubled with real-time monitoring, and protective equipment use and positioning improved.
Key figures: 42.9% to 85.7%
Patient doses in cerebral angiograms were below Thai national standards.
Key figures: median dose-area product (DAP) 32.25 Gy·cm2; air kerma 129.19 mGy; mean fluoroscopy time 2.7 minutes
Limits to keep in mind
Single-center before-after comparison with a small staff sample (26) and partly retrospective data, so changes in caseload or other practices over time could explain part of the reduction; behavior outcomes appear self-reported.
Related research summaries
- AAPM Report 58 - Managing the Use of Fluoroscopy in Medical Institutions (1998, Guideline or consensus statement)
- AST Standards for Ionizing Radiation Exposure (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)
- Radiation exposure to operating room personnel and patients during endovascular procedures (2013, Dosimetry measurement study)
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.