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Radiation Protection for Interventional Fluoroscopy: Results of a Survey Among Dutch Hospitals

Bijwaard, Harmen*†; Valk, Doreth*; de Waard-Schalkx, Ischa*

doi: 10.1097/HP.0000000000000837
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A survey was conducted among 20 Dutch hospitals about radiation protection for interventional fluoroscopy. This was a follow-up of a previous study in 2007 that led to several recommendations for radiation protection for interventional fluoroscopy. The results indicate that most recommendations have been followed. However, radiation-induced complications from interventional procedures are still often not recorded in the appropriate register. Furthermore, even though professionals with appropriate training in radiation protection are usually involved in interventional procedures, this often is not the case when these procedures are carried out outside the radiology department. Although this involvement is not required by Dutch law, it is recommended to have radiation protection professionals present more often at interventional procedures. Further improvements in radiation protection for interventional fluoroscopy may come from a comparison of dose-reducing practices among hospitals, the introduction of diagnostic reference levels for interventional procedures, and a more thorough form of screening and follow-up of patients.

*Centre for Environmental Safety and Security, National Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan 9, 3721 MA, Bilthoven, The Netherlands; † Medical Technology Research Group, Inholland University of Applied Sciences, Bijdorplaan 15, 2015 CE, Haarlem, The Netherlands.

The authors declare no conflicts of interest.

For correspondence contact: Harmen Bijwaard, Centre for Environmental Safety and Security, National Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan 9, 3721 MA, Bilthoven, The Netherlands, or email at harmen.bijwaard@rivm.nl.

(Manuscript accepted 13 December 2017).

© 2018 by the Health Physics Society