Techniques in Vascular & Interventional Radiology
Volume 13, Issue 3 , Pages 148-153 , September 2010

Radiation Exposure and Uterine Artery Embolization: Current Risks and Risk Reduction

  • Gary Tse, BS
  • ,
  • James B. Spies, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress reprint requests to James B. Spies, MD, MPH, Department of Radiology, Georgetown University Hospital, 3800 Reservoir Rd., NW, CG 201, Washington, DC 20007-2113

References 

  1. Ravina JH, Herbreteau D, Ciraru-Vigneron N, et al. Arterial embolisation to treat uterine myomata. Lancet. 1995;346:671–672
  2. Spies JB, Scialli AR, Jha RC, et al. Initial results from uterine fibroid embolization for symptomatic leiomyomata. J Vasc Interv Radiol. 1999;10:1149–1157
  3. Hutchins FL, Worthington-Kirsch R, Berkowitz RP. Selective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri. J Am Assoc Gynecol Laparosc. 1999;6:279–284
  4. Johnson DR, Kyriou J, Morton EJ, et al. Radiation protection in interventional radiology. Clin Radiol. 2000;56:99–106
  5. Committee to Assess Health Risks. From Exposure to Low Levels of Ionizing Radiation, National Research Council: Health risks from exposure to low levels of ionizing radiation: BEIR, vol II–Phase 2. In: Washington, DC: National Academies Press; 2006;p. 1–42
  6. Miller DL, Balter S, Noonan PT, et al. Minimizing radiation induced skin injury in interventional radiology procedures. Radiology. 2002;225:329–336
  7. Mettler FA, Huda W, Yoshizumi TT, et al. Effective doses in radiology and diagnostic nuclear medicine: A catalog. Radiology. 2008;248:254–263
  8. Nikolic B, Spies JB, Lundsten MJ, et al. Patient radiation dose associated with uterine artery embolization. Radiology. 2000;214:121–125
  9. Andrews RT, Brown PH. Uterine arterial embolization: Factors influencing patient radiation exposure. Radiology. 2000;217:713–722
  10. Vetter S, Schultz FW, Strecker EP, et al. Patient radiation exposure in uterine artery embolization of leiomyomata: Calculation of organ doses and effective dose. Eur Radiol. 2004;14:842–848
  11. Nishizawa K, Masuda Y, Morinaga K, et al. Surface dose measurement in patients and physicians and effective dose estimation in patients during uterine artery embolisation. Radiat Prot Dosim. 2008;128:343–350
  12. White AM, Banovac F, Spies JB. Patient radiation exposure during uterine fibroid embolization and the dose attributable to aortography. J Vasc Interv Radiol. 2007;18:573–576
  13. Nikolic B, Abbara S, Levy E, et al. Influence of radiographic technique and equipment on absorbed ovarian dose associated with uterine artery embolization. J Vasc Interv Radiol. 2000;11:1173–1178
  14. Wagner LK, Archer BR, Cohen AM. Management of patient skin dose in fluoroscopically guided interventional procedures. J Vasc Interv Radiol. 2000;11:25–33
  15. Vetter S, Schultz FW, Strecker EP, et al. Optimisation strategies and justification: An example in uterine artery embolisation for fibroids. Radiat Prot Dosim. 2005;117:50–53
  16. Bratby MJ, Ramachandran N, Sheppard N, et al. Prospective study of elective bilateral versus unilateral femoral arterial puncture for uterine artery embolization. Cardiovasc Interv Radiol. 2007;30:1139–1143

PII: S1089-2516(10)00011-9

doi: 10.1053/j.tvir.2010.03.002

Techniques in Vascular & Interventional Radiology
Volume 13, Issue 3 , Pages 148-153 , September 2010