Clinical Study
Optimisation of Radiation Exposure to Gastroenterologists and Patients during Therapeutic ERCP
Table 8
Patients dose reduction techniques during ERCP.
| Imaging parameters | Equipment settings characteristics | ERCP procedure |
| Increase tube voltage | Reduce image intensifier patient distance | Experienced examiners | Reduce fluoroscopic time | Undercouch configuration | Well patient positioning and focusing prior the procedure | Reduce number of radiographic films | Fluoroscopy time with alarm | Radiation barriers | Intermittent fluoroscopy | Last image hold with digital features | Wear wrap-around lead aprons | Storing fluoroscopic images | Adequate filtration | Examiners radiation safety training | Selection of the low-dose fluoroscopic mode | Pulsed fluoroscopy | Examiners and patient dose monitoring | Avoid magnification | Radiation control from inside the room | Dose reference levels | Radiation field collimation | Automatic brightness control (ABC) | Thyroid shields | Pulsed mode fluoroscopy | Mobile/suspended screen | ALARA principles (as low as reasonably achievable) |
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