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Effectiveness of radiation control program for Dornier HM3 lithotriptor.

D P Griffith·M J Gleeson·G Politis·S Glaze
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Abstract

Radiation exposure during extracorporeal shock-wave lithotripsy (ESWL) was calculated using a "worst-case method" in 135 randomly selected patients. The patients were divided into four groups according to body weight: small (less than 140 pounds), medium (141-180 pounds), large (181-220 pounds), and very large (greater than 220 pounds). Average skin exposure was found to be 15.2 R (from 1.2 to 95.6 R). After implementation of a "radiation awareness program" radiation exposure was calculated in 128 cases (matched for body weight and stone burden) and average exposure was 9.5 R (from 0.9 to 33.4 R) with a reduction of 20, 37, 33, and 62 percent for each group, respectively. Radiation exposure reduction was primarily due to a reduction in the number of radiographic "snapshots" taken as a result of preferential use of special-mode fluoroscopic "stills."

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D P Griffith, M J Gleeson, G Politis, S Glaze. 1989. Effectiveness of radiation control program for Dornier HM3 lithotriptor.. https://doi.org/10.1016/0090-4295(89)90060-5

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