Paper published in a journal (Scientific congresses and symposiums)
First steps towards online Personal Dosimetry Using Computational Methods in Interventional Radiology: operator’s position tracking and simulation input generation
[en] Interventional radiologists/cardiologists are repeatedly exposed to low radiation doses which makes them the group of the highest occupational exposure and put them at high risk of stochastic effects. Routine monitoring of staff is usually performed by means of passive dosimeters. However, current personal dosimeters are subject to large uncertainties, especially in non-homogeneous fields, like those found in interventional cardiology (IC). Within the PODIUM (Personal Online DosImetry Using computational Methods) research project, a user-friendly tool was developed based on MCNP code to calculate doses to the staff in IC. The application uses both the data of motion tracking system to generate the position of the operator and the data from the Radiation Dose Structure Report (RDSR) from the imaging device to generate time-dependent parameters of the radiation source. The results of the first clinical validation of the system show a difference of about 50% between simulated Hp(10) with MCNP and measured Hp(10) with electronic personal dosimeter worn above the lead apron. [en] Introduction
<br />With this work we present an innovative system for calculating occupational doses, as it is now being developed within the PODIUM (Personal Online DosImetry Using computational Methods) project. Individual monitoring of workers is essential to follow up regulatory dose limits and to apply the ALARA principle. However, current personal dosimeters are subject to large uncertainties, especially in non-homogeneous fields, like those found interventional radiology/cardiology. Workers in these fields also need to wear several dosimeters (extremity, eye lens, above/below apron), which causes practical problems. As the capabilities of computational methods are increasing exponentially, it will become feasible to use pure computations to calculate doses in place of physical dosimeters.
<br />
<br />Methods
<br />In our concept system, operational and protection quantities are calculated by fast Monte Carlo methods. Our dose calculation accounts for the real radiation field (including fluence, energy and angular distributions) and for the relative position of different body parts of the worker. The real movements of exposed workers are captured using depth cameras. This information is translated to a flexible anthropomorphic phantom, and then in Monte-Carlo simulations. For the moment this is done off-line, after the procedure is finished, and the parameters of the procedure are collected.
<br />
<br />Results
<br />For validating our system, we performed tests in interventional radiology (IR) rooms. In total, we followed 15 procedures in Cath-labs at UZ-VUB and CHU- Liège. An accurate analysis of the staff position was performed, and as a first step, we compared simulated Hp(10) and measured Hp(10) with electronic personal dosimeter (EPD) during an angiography procedure for some of these procedures. The results showed good agreement between the calculated doses and the ones measured by the EPD dosimeter.
<br />
<br />Conclusions
<br />With this work, we show that simulating worker doses based on tracking systems and flexible phantoms is possible. This method has big advantages in interventional radiology workplaces where the fields are non-homogeneous and doses to staff can be relatively high. This method can also help in ALARA applications and for education and training.
Disciplines :
Engineering, computing & technology: Multidisciplinary, general & others Physical, chemical, mathematical & earth Sciences: Multidisciplinary, general & others
Lombardo, Pasquale; The Belgian Nuclear Research Center > Research in Dosimetric Applications
Vanhavere, Filip
Seret, Alain ; Université de Liège - ULiège > Département de physique > Imagerie médicale expérimentale
Phillips, Christophe ; Université de Liège - ULiège > CRC In vivo Im.-Neuroimaging, data acquisition & processing
Covens, Peter; VUB: Vrije Universiteit Brussel > Medical Physics
Language :
English
Title :
First steps towards online Personal Dosimetry Using Computational Methods in Interventional Radiology: operator’s position tracking and simulation input generation
Publication date :
16 January 2020
Event name :
3rd International Conference on Dosimetry and its Applications (ICDA-3)
Event organizer :
Instituto Superior Técnico – University of Lisbon Center for Nuclear Sciences and Technologies (C2TN)
Event place :
Lisbon, Portugal
Event date :
from 27/05/2019 to 31/05/2019
By request :
Yes
Audience :
International
Journal title :
Radiation Physics and Chemistry
ISSN :
0969-806X
Publisher :
Elsevier, United Kingdom
Peer reviewed :
Peer Reviewed verified by ORBi
European Projects :
H2020 - 662287 - CONCERT - European Joint Programme for the Integration of Radiation Protection Research
Name of the research project :
PODIUM: Personal Online DosImetry Using computational Methods
Badal, A., Badano, A., Accelerating Monte Carlo simulations of photon transport in a voxelized geometry using a massively parallel graphics processing unit (2009) Med. Phys., 36, pp. 4878-4880
Badal, A., Zafar, F., Dong, H., Badano, A., A real-time radiation dose monitoring system for patients and staff during interventional fluoroscopy using a GPU-accelerated Monte Carlo simulator and an automatic 3D localization system based on a depth camera (2013) Medical Imaging 2013: Physics of Medical Imaging, 8668, pp. 600-610. , R.M. Nishikawa B.R. Whiting C. Hoeschen International Society for Optics and Photonics SPIE
Caon, M., Voxel-based computational models of real human anatomy: a review (2004) Radiat. Environ. Biophys., 42, pp. 229-235
Ciraj-Bjelac, O., Rehani, M.M., Minamoto, A., Sim, K.H., Liew, H.B., Vano, E., Radiation-induced eye lens changes and risk for cataract in interventional cardiology (2012) Cardiology, 123 (3), pp. 168-171
Clairand, I., Bordy, J.-M., Daures, J., Debroas, J., Denozière, M., Donadille, L., Ginjaume, M., Vanhavere, F., Active personal dosemeters in interventional radiology: tests in laboratory conditions and in hospitals (2010) Radiat. Prot. Dosim., 144, pp. 453-458
Eckerman, K., Poston, J., Bolch, W., Xu, X., Stylized Computational Phantoms Developed at Ornl and Elsewhere (2009), pp. 43-64
Elmaraezy, A., Morra, M.E., Mohammed, A.T., Al-Habaa, A., Elgebaly, A.S., Ghazy, A.A., Khalil, A.M., Hirayama, K., Risk of cataract among interventional cardiologists and catheterization lab staff: a systematic review and meta-analysis (2017) Cathet. Cardiovasc. Interv.: Off. J. Soc. Card. Angiography Interv., 90 (1), pp. 1-9
Finkelstein, M., Is brain cancer an occupational disease of cardiologists? can j cardiol (1998) Can. J. Cardiol., 14, pp. 1385-1388
Ginjaume, M., Carinou, E., Brodecki, M., Clairand, I., Domienik-Andrzejewska, J., Exner, L., Ferrari, P., Principi, S., O. Van Hoey, F. Vanhavere, Effect of the radiation protective apron on the response of active and passive personal dosemeters used in interventional radiology and cardiology, J. Radiol. Prot. 39. doi:10.1088/1361-6498/aaf2c0
Jebeli, M., A study on validating kinectv2 in comparison of vicon system as a motion capture system for using in health engineering in industry (2017) Nonlinear Eng. Model. Appl., 6, pp. 95-99
Lombardo, P.A., Vanhavere, F., Lebacq, A.L., Struelens, L., Bogaerts, R., Development and validation of the realistic anthropomorphic flexible (RAF) phantom (2018) Health Phys., 114 (5), pp. 489-499
Ortiz-Lopez, P., Dauer, L., Loose, R., Martin, C., Miller, D., Vano, E., Doruff, M., Yoder, C., Icrp publication 139: occupational radiological protection in interventional procedures (2018) Ann. ICRP, 47, pp. 1-118
Otte, K., Kayser, B., Mansow-Model, S., Verrel, J., Paul, F., Brandt, A.U., Schmitz-Hübsch, T., Accuracy and reliability of the kinect version 2 for clinical measurement of motor function (2016) PLoS One, 11 (11), pp. 1-17
Pelowitz, D.B., MCNPX TM User's Manual Version 2.7.0 (2011), doi:LA-CP-05-0369
Picano, E., Vano, E., The radiation issue in cardiology: the time for action is now (2011) Cardiovasc. Ultrasound, 9, p. 35
Roguin, A., Goldstein, J., Bar, O., Goldstein, J., Brain and neck tumors among physicians performing interventional procedures, Am. J. Cardiol. 111. doi:10.1016/j.amjcard.2012.12.060
Roguin, A., Goldstein, J., Bar, O., Brain tumours among interventional cardiologists: a cause for alarm? report of four new cases from two cities and a review of the literature (2011) EuroIntervention: J. EuroPCR Collab. Work. Group Interventional Cardiol. Eur. Soc. Cardiol., 7, pp. 1081-1086
Schueler, B., Vrieze, T., Bjarnason, H., Stanson, A., An investigation of operator exposure in interventional radiology1 (2006) RadioGraphics: Rev. Publ. Radiol. Soc. North Am., Inc., 26. , 1533–41
discussion 1541
Shotton, J., Fitzgibbon, A., Cook, M., Sharp, T., Finocchio, M., Moore, R., Kipman, A., Blake, A., Real-time human pose recognition in parts from single depth images (2013) Stud. Comput. Intell., 411, pp. 119-135. , arXiv:1111.6189v1
Siebert, B., Thomas, R., Computational Dosimetry (1997) Radiat. Prot. Dosim., 70 (1-4), pp. 371-378
Valentin, J., Avoidance of radiation injuries from medical interventional procedures, icrp publication 85 (2000) Ann. ICRP, 30 (2). , 7–7
Vano, E., Kleiman, N.J., Durán, A.A., Rehani, M.M., Echeverri, D., Cabrera, M., Radiation cataract risk in interventional cardiology personnel (2010) Radiat. Res., 174 (4), pp. 490-495
Wang, Q., Kurillo, G., Ofli, F., Bajcsy, R., Evaluation of pose tracking accuracy in the first and second generations of microsoft kinect (2015) International Conference on Healthcare Informatics, pp. 380-389
Xu, G., An exponential growth of computational phantom research in radiation protection, imaging, and radiotherapy: a review of the fifty-year history (2014) Phys. Med. Biol., 59, pp. R233-R302