Research summary, original research, 2022

Reduction of radiation dose using real-time visual feedback dosimetry during angiographic interventions

Koch V, Conrades LM, Gruenewald LD, Eichler K, Martin SS, Booz C, et al.. Journal of applied clinical medical physics. 2022

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In plain language

At one German interventional radiology department, showing interventional radiologists and assisting residents their dose in real time during procedures was associated with about 30-36% lower measured personal dose. This is a dosimeter result, not a health outcome.

At a glance

Type of study
Original research, Randomized trial
Who was studied
Interventional radiologists, Trainees
Size
n = 214 angiographic interventions
Where
Germany
Summary based on
the full text

What it found

  • Real-time visual dose feedback was associated with lower overall operator dose per procedure.

    Key figures: median 3.67 to 2.36 μSv (-36%; p = 0.032)

  • Reduction was larger in therapeutic angiographies than in chemoembolizations.

    Key figures: -58% (p = 0.005) vs -28% (p = 0.004)

  • Assisting physicians also had lower doses when the real-time display was used.

    Key figures: median 12.33 to 8.67 μSv (-30%; p = 0.039)

  • In a 30-procedure substudy, training plus dosimeter without the display gave higher dose than groups using the display; adding training to the display gave no significant extra benefit.

    Key figures: 48.59 μSv without display; p = 0.001 and p = 0.043

  • Experienced senior physicians also had lower doses with the display.

    Key figures: mean 47.96 to 17.95 μSv (-63%; p = 0.0002)

Limits to keep in mind

Single-centre study with three operators, modest sample, and 11% of procedures excluded for technical reasons; dose measured only at chest over the apron, with no comparison to conventional dosimeters and no health outcomes, and the training substudy had only 10 procedures per group.

How this summary was made

ORSIF prepared this summary with AI assistance from the full text 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.