Image guided interventional procedures

Introduction

The Image Guided Interventional Procedure (IGIP) survey will determine diagnostic reference levels (DRL) for five (5) common interventional and diagnostic angiography fluoroscopic procedures:

  1. 'Normal’ coronary angiogram
  2. Cerebral angiogram (1-3 vessels)
  3. Cerebral angiogram (4+ vessels)
  4. Abdominal angiogram
  5. Endoscopic retrograde cholangiopancreatography (ERCP)

The procedure definitions are explained on the survey protocol data sheets. Participants choose which protocols they wish to submit and for statistical accuracy 30 patients per procedure are requested.

To undertake the survey, participants are requested to initially register with ARPANSA. Registered participants will then be sent the Excel survey spreadsheets for completion and email return. Additional copies of the worksheets, for surveying more than one room, may be generated by saving the workbook as a new document.

Each compliant submission will result in a dose report being sent to the participating facility. The report structure will be similar to the MDCT DRL survey report. All submitted data and reports will be strictly confidential between ARPANSA and the facility.

No identifying patient information is required or sought. This means that Human Research Ethics approval is NOT required.

Survey metrics definitions

Sex M or F
Age To nearest number of years in years
Weight To nearest kilogram in kg
Fluoroscopy Time Total screening beam on time, does not include run time in seconds
Frame Rate Acquisition frame rate during angiographic runs in frames per second [fr/s]
DA Time Total acquisition run time in seconds
Frames Total number of angiographic frames acquired, does not include digital screening frames
DAP Total DAP value acquired for both screening and angiographic runs in Gy.cm² [1 Gy.cm² = 100 µGy.m²]
References Dose System provided reference dose (For an isocentric interventional fluoroscope, the reference point is located 15 cm from the isocenter toward the X-ray tube), in Gy
Access Site Catheter insertion via Radial, Femoral or Other approach (R, F or O)

After approval by the stakeholder liaison panel is obtained, National IGIP DRLs will be published in late 2016.

Registration form

Submit your details using the NDRL image-guided interventional procedures online submission form:

Online registration form

Contact information

ndrldatarpansa.gov.au (subject: Nuclear%20Medicine)

Ph: 1800 033 972
(9.00 am – 4.00 pm Australian Eastern Time)

 


Further information on International Best Practice for Radiation Protection of Patients can be found on the International Atomic Energy Agency Radiation Protection of Patients website, which can be accessed via the following link: