TY  - JOUR
AU  - O’Connor, Una M.
AU  - Carinou, Eleftheria
AU  - Clairand, Isabelle
AU  - Ciraj-Bjelac, Olivera
AU  - de Monte, Francesca
AU  - Domienik-Andrzejewska, Joanna
AU  - Ferrari, Paolo
AU  - Ginjaume, Merce
AU  - Hršak, Hrvoje
AU  - Hupe, Oliver
AU  - Knežević, Željka
AU  - Sans Merce, Marta
AU  - Sarmento, Sandra
AU  - Siiskonen, Teemu
AU  - Vanhavere, Filip
PY  - 2021
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/9863
AB  - Occupational radiation doses from interventional procedures have the potential to be relatively high. The requirement to optimise these doses encourages the use of electronic or active personal dosimeters (APDs) which are now increasingly used in hospitals. They are typically used in tandem with a routine passive dosimetry monitoring programme, with APDs used for real-time readings, for training purposes and when new imaging technology is introduced. However, there are limitations when using APDs. A survey in hospitals to identify issues related to the use of APDs was recently completed, along with an extensive series of APD tests by the EURADOS Working Group 12 on Dosimetry for Medical Imaging. The aim of this review paper is to summarise the state of the art regarding the use of APDs. We also used the results of our survey and our tests to develop a set of recommendations for the use of APDs in the clinical interventional radiology/cardiology settings, and draw attention to some of the current challenges.
T2  - Physica Medica
T1  - Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals
VL  - 87
SP  - 131
EP  - 135
DO  - 10.1016/j.ejmp.2021.05.015
ER  - 

@article{
author = "O’Connor, Una M. and Carinou, Eleftheria and Clairand, Isabelle and Ciraj-Bjelac, Olivera and de Monte, Francesca and Domienik-Andrzejewska, Joanna and Ferrari, Paolo and Ginjaume, Merce and Hršak, Hrvoje and Hupe, Oliver and Knežević, Željka and Sans Merce, Marta and Sarmento, Sandra and Siiskonen, Teemu and Vanhavere, Filip",
year = "2021",
abstract = "Occupational radiation doses from interventional procedures have the potential to be relatively high. The requirement to optimise these doses encourages the use of electronic or active personal dosimeters (APDs) which are now increasingly used in hospitals. They are typically used in tandem with a routine passive dosimetry monitoring programme, with APDs used for real-time readings, for training purposes and when new imaging technology is introduced. However, there are limitations when using APDs. A survey in hospitals to identify issues related to the use of APDs was recently completed, along with an extensive series of APD tests by the EURADOS Working Group 12 on Dosimetry for Medical Imaging. The aim of this review paper is to summarise the state of the art regarding the use of APDs. We also used the results of our survey and our tests to develop a set of recommendations for the use of APDs in the clinical interventional radiology/cardiology settings, and draw attention to some of the current challenges.",
journal = "Physica Medica",
title = "Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals",
volume = "87",
pages = "131-135",
doi = "10.1016/j.ejmp.2021.05.015"
}

O’Connor, U. M., Carinou, E., Clairand, I., Ciraj-Bjelac, O., de Monte, F., Domienik-Andrzejewska, J., Ferrari, P., Ginjaume, M., Hršak, H., Hupe, O., Knežević, Ž., Sans Merce, M., Sarmento, S., Siiskonen, T.,& Vanhavere, F.. (2021). Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals. in Physica Medica, 87, 131-135.
https://doi.org/10.1016/j.ejmp.2021.05.015

O’Connor UM, Carinou E, Clairand I, Ciraj-Bjelac O, de Monte F, Domienik-Andrzejewska J, Ferrari P, Ginjaume M, Hršak H, Hupe O, Knežević Ž, Sans Merce M, Sarmento S, Siiskonen T, Vanhavere F. Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals. in Physica Medica. 2021;87:131-135.
doi:10.1016/j.ejmp.2021.05.015 .

O’Connor, Una M., Carinou, Eleftheria, Clairand, Isabelle, Ciraj-Bjelac, Olivera, de Monte, Francesca, Domienik-Andrzejewska, Joanna, Ferrari, Paolo, Ginjaume, Merce, Hršak, Hrvoje, Hupe, Oliver, Knežević, Željka, Sans Merce, Marta, Sarmento, Sandra, Siiskonen, Teemu, Vanhavere, Filip, "Recommendations for the use of active personal dosemeters (APDs) in interventional workplaces in hospitals" in Physica Medica, 87 (2021):131-135,
https://doi.org/10.1016/j.ejmp.2021.05.015 . .

TY  - JOUR
AU  - Feghali, Joelle Ann
AU  - Delépierre, Julie
AU  - Ciraj-Bjelac, Olivera
AU  - Dabin, Jérémie
AU  - Deleu, Marine
AU  - De Monte, Francesca
AU  - Dobrić, Milan
AU  - Gallagher, Aoife
AU  - Hadid-Beurrier, Lama
AU  - Henry, Patrick
AU  - Hršak, Hrvoje
AU  - Kiernan, Tom
AU  - Kumar, Rajesh
AU  - Knežević, Željka
AU  - Maccia, Carlo
AU  - Majer, Marija
AU  - Malchair, Françoise
AU  - Noble, Stéphane
AU  - Obrad, Davor
AU  - Sans Merce, Marta
AU  - Sideris, Georgios
AU  - Simantirakis, George
AU  - Spaulding, Christian
AU  - Tarantini, Giuseppe
AU  - Van Ngoc Ty, Claire
PY  - 2021
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/10112
AB  - Patients can be exposed to high skin doses during complex interventional cardiology (IC) procedures.PurposeTo identify which clinical and technical parameters affect patient exposure and peak skin dose (PSD) and to establish dose reference levels (DRL) per clinical complexity level in IC procedures.Material and MethodsValidation and Estimation of Radiation skin Dose in Interventional Cardiology (VERIDIC) project analyzed prospectively collected patient data from eight European countries and 12 hospitals where percutaneous coronary intervention (PCI), chronic total occlusion PCI (CTO), and transcatheter aortic valve implantation (TAVI) procedures were performed. A total of 62 clinical complexity parameters and 31 technical parameters were collected, univariate regressions were performed to identify those parameters affecting patient exposure and define DRL accordingly.ResultsPatient exposure as well as clinical and technical parameters were collected for a total of 534 PCI, 219 CTO, and 209 TAVI. For PCI procedures, body mass index (BMI), number of stents ≥2, and total stent length >28?mm were the most prominent clinical parameters, which increased the PSD value. For CTO, these were total stent length >57?mm, BMI, and previous anterograde or retrograde technique that failed in the same session. For TAVI, these were male sex, BMI, and number of diseased vessels. DRL values for Kerma-area product (PKA), air kerma at patient entrance reference point (Ka,r), fluoroscopy time (FT), and PSD were stratified, respectively, for 14 clinical parameters in PCI, 10 in CTO, and four in TAVI.ConclusionPrior knowledge of the key factors influencing the PSD will help optimize patient radiation protection in IC.
T2  - Acta Radiologica
T1  - Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project
DO  - 10.1177/02841851211061438
ER  - 

@article{
author = "Feghali, Joelle Ann and Delépierre, Julie and Ciraj-Bjelac, Olivera and Dabin, Jérémie and Deleu, Marine and De Monte, Francesca and Dobrić, Milan and Gallagher, Aoife and Hadid-Beurrier, Lama and Henry, Patrick and Hršak, Hrvoje and Kiernan, Tom and Kumar, Rajesh and Knežević, Željka and Maccia, Carlo and Majer, Marija and Malchair, Françoise and Noble, Stéphane and Obrad, Davor and Sans Merce, Marta and Sideris, Georgios and Simantirakis, George and Spaulding, Christian and Tarantini, Giuseppe and Van Ngoc Ty, Claire",
year = "2021",
abstract = "Patients can be exposed to high skin doses during complex interventional cardiology (IC) procedures.PurposeTo identify which clinical and technical parameters affect patient exposure and peak skin dose (PSD) and to establish dose reference levels (DRL) per clinical complexity level in IC procedures.Material and MethodsValidation and Estimation of Radiation skin Dose in Interventional Cardiology (VERIDIC) project analyzed prospectively collected patient data from eight European countries and 12 hospitals where percutaneous coronary intervention (PCI), chronic total occlusion PCI (CTO), and transcatheter aortic valve implantation (TAVI) procedures were performed. A total of 62 clinical complexity parameters and 31 technical parameters were collected, univariate regressions were performed to identify those parameters affecting patient exposure and define DRL accordingly.ResultsPatient exposure as well as clinical and technical parameters were collected for a total of 534 PCI, 219 CTO, and 209 TAVI. For PCI procedures, body mass index (BMI), number of stents ≥2, and total stent length >28?mm were the most prominent clinical parameters, which increased the PSD value. For CTO, these were total stent length >57?mm, BMI, and previous anterograde or retrograde technique that failed in the same session. For TAVI, these were male sex, BMI, and number of diseased vessels. DRL values for Kerma-area product (PKA), air kerma at patient entrance reference point (Ka,r), fluoroscopy time (FT), and PSD were stratified, respectively, for 14 clinical parameters in PCI, 10 in CTO, and four in TAVI.ConclusionPrior knowledge of the key factors influencing the PSD will help optimize patient radiation protection in IC.",
journal = "Acta Radiologica",
title = "Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project",
doi = "10.1177/02841851211061438"
}

Feghali, J. A., Delépierre, J., Ciraj-Bjelac, O., Dabin, J., Deleu, M., De Monte, F., Dobrić, M., Gallagher, A., Hadid-Beurrier, L., Henry, P., Hršak, H., Kiernan, T., Kumar, R., Knežević, Ž., Maccia, C., Majer, M., Malchair, F., Noble, S., Obrad, D., Sans Merce, M., Sideris, G., Simantirakis, G., Spaulding, C., Tarantini, G.,& Van Ngoc Ty, C.. (2021). Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project. in Acta Radiologica.
https://doi.org/10.1177/02841851211061438

Feghali JA, Delépierre J, Ciraj-Bjelac O, Dabin J, Deleu M, De Monte F, Dobrić M, Gallagher A, Hadid-Beurrier L, Henry P, Hršak H, Kiernan T, Kumar R, Knežević Ž, Maccia C, Majer M, Malchair F, Noble S, Obrad D, Sans Merce M, Sideris G, Simantirakis G, Spaulding C, Tarantini G, Van Ngoc Ty C. Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project. in Acta Radiologica. 2021;.
doi:10.1177/02841851211061438 .

Feghali, Joelle Ann, Delépierre, Julie, Ciraj-Bjelac, Olivera, Dabin, Jérémie, Deleu, Marine, De Monte, Francesca, Dobrić, Milan, Gallagher, Aoife, Hadid-Beurrier, Lama, Henry, Patrick, Hršak, Hrvoje, Kiernan, Tom, Kumar, Rajesh, Knežević, Željka, Maccia, Carlo, Majer, Marija, Malchair, Françoise, Noble, Stéphane, Obrad, Davor, Sans Merce, Marta, Sideris, Georgios, Simantirakis, George, Spaulding, Christian, Tarantini, Giuseppe, Van Ngoc Ty, Claire, "Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project" in Acta Radiologica (2021),
https://doi.org/10.1177/02841851211061438 . .

TY  - JOUR
AU  - Candela-Juan, Cristian
AU  - Ciraj-Bjelac, Olivera
AU  - Sans Merce, Marta
AU  - Dabin, Jérémie
AU  - Faj, Dario
AU  - Gallagher, Aoife
AU  - de las Heras Gala, Hugo
AU  - Knežević, Željka
AU  - Malchair, Françoise
AU  - De Monte, Francesca
AU  - Simantirakis, George
AU  - Theodorakou, Chrysoula
PY  - 2021
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/9822
AB  - The use of patient contact-shielding has become a topic of intensive scientific debate. While it has been common practice during the last decades, some studies have questioned the efficiency of using such shielding while others have highlighted the inconsistencies in its application. The objective of this work is to review current recommendations and legislative documents on the use of out-of-field shielding in X-ray imaging, including those from national authorities and from international and national organisations and professional bodies. The review, performed within the framework of the activities of EURADOS Working Group 12, covers available recommendations on use of contact shielding in adult, pregnant and paediatric patients in general radiography, fluoroscopy, computed tomography, mammography and dental radiology. It includes a comprehensive search of 83 documents from 32 countries and 6 international organisations over the last 39 years. In general, using shielding is recommended only under two conditions: if it does not compromise the diagnostic task and the performance of the procedure and/or if it reassures the patient and comforters that they are appropriately protected against potentially harmful effects of radiation. There are very few specific regulatory requirements to use shielding in a particular imaging modality, although they may consider use of shielding either as part of good radiological practice or as requirements for availability of protective or ancillary tools, without further specification of their use. There is a wide variety of positions among documents that recommend out-of-field shielding, those that do not recommend it and those that are not specific. Therefore, evidence-based consensus is still needed to ensure best and consistent practice.
T2  - Physica Medica
T1  - Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents
VL  - 86
SP  - 44
EP  - 56
DO  - 10.1016/j.ejmp.2021.05.017
ER  - 

@article{
author = "Candela-Juan, Cristian and Ciraj-Bjelac, Olivera and Sans Merce, Marta and Dabin, Jérémie and Faj, Dario and Gallagher, Aoife and de las Heras Gala, Hugo and Knežević, Željka and Malchair, Françoise and De Monte, Francesca and Simantirakis, George and Theodorakou, Chrysoula",
year = "2021",
abstract = "The use of patient contact-shielding has become a topic of intensive scientific debate. While it has been common practice during the last decades, some studies have questioned the efficiency of using such shielding while others have highlighted the inconsistencies in its application. The objective of this work is to review current recommendations and legislative documents on the use of out-of-field shielding in X-ray imaging, including those from national authorities and from international and national organisations and professional bodies. The review, performed within the framework of the activities of EURADOS Working Group 12, covers available recommendations on use of contact shielding in adult, pregnant and paediatric patients in general radiography, fluoroscopy, computed tomography, mammography and dental radiology. It includes a comprehensive search of 83 documents from 32 countries and 6 international organisations over the last 39 years. In general, using shielding is recommended only under two conditions: if it does not compromise the diagnostic task and the performance of the procedure and/or if it reassures the patient and comforters that they are appropriately protected against potentially harmful effects of radiation. There are very few specific regulatory requirements to use shielding in a particular imaging modality, although they may consider use of shielding either as part of good radiological practice or as requirements for availability of protective or ancillary tools, without further specification of their use. There is a wide variety of positions among documents that recommend out-of-field shielding, those that do not recommend it and those that are not specific. Therefore, evidence-based consensus is still needed to ensure best and consistent practice.",
journal = "Physica Medica",
title = "Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents",
volume = "86",
pages = "44-56",
doi = "10.1016/j.ejmp.2021.05.017"
}

Candela-Juan, C., Ciraj-Bjelac, O., Sans Merce, M., Dabin, J., Faj, D., Gallagher, A., de las Heras Gala, H., Knežević, Ž., Malchair, F., De Monte, F., Simantirakis, G.,& Theodorakou, C.. (2021). Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents. in Physica Medica, 86, 44-56.
https://doi.org/10.1016/j.ejmp.2021.05.017

Candela-Juan C, Ciraj-Bjelac O, Sans Merce M, Dabin J, Faj D, Gallagher A, de las Heras Gala H, Knežević Ž, Malchair F, De Monte F, Simantirakis G, Theodorakou C. Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents. in Physica Medica. 2021;86:44-56.
doi:10.1016/j.ejmp.2021.05.017 .

Candela-Juan, Cristian, Ciraj-Bjelac, Olivera, Sans Merce, Marta, Dabin, Jérémie, Faj, Dario, Gallagher, Aoife, de las Heras Gala, Hugo, Knežević, Željka, Malchair, Françoise, De Monte, Francesca, Simantirakis, George, Theodorakou, Chrysoula, "Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents" in Physica Medica, 86 (2021):44-56,
https://doi.org/10.1016/j.ejmp.2021.05.017 . .

TY  - CONF
AU  - Ciraj-Bjelac, Olivera
AU  - Kržanović, Nikola
AU  - Živanović, Miloš Z.
AU  - Blideanu, Valentin
AU  - De Monte, Francesca
AU  - Deleu, Marine
AU  - Feghali Joelle, Ann
AU  - Gallagher, Aoife
AU  - Knežević, Željka
AU  - Maccia, Carlo
AU  - Malchair, Francoise
AU  - Plagnard, Johann
AU  - Sans Merce, Marta
AU  - Simantirakis, Georgios
AU  - Dabin, Jeremie
PY  - 2019
UR  - https://plus.sr.cobiss.net/opac7/bib/279687436
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/8712
AB  - Interventne procedure u radiologiji i kardiologiji povezani su sa visokim dozama za kožu pacijenta i potencijalnim radijacionim povredama kože. Različita metodologije i rešenja razvijene us za procenu maksimalne doze za kožu, čija se svojsvta, uključujuši i tačnost značajno razlikuju. U radu su prokazani ciljevi, metode i preminiran a rešenja projekta VERIDIC usmerenoj na validaciju zaličitih ofline i online softvera za procenu doze za kožu pacijenta u intervenatnoj kardiologiji.
AB  - In interventional cardiology (IC), patients may be exposed to high doses to the skin resulting in tissue reactions (skin burns) following single or multiple procedures. To address this issue, online and offline software has been developed to estimate the maximum skin dose (MSD) to the patient from IC procedures. However, the capabilities and accuracy of such skin dose calculation (SDC) software to estimate MSD and 2D dose distributions markedly differ among vendors. Hence, this project focuses onthe harmonisation of RDSR (radiation dose structured report) and on the validation of SDC software products in IC, which will optimise radiation protection of patients. The outcome of the project will include the standards for digital dose reporting, development of protocols for acceptance testing and Quality Control (QC)of SDC software and setting of diagnostic reference levels per clinical complexity, assessing thefrequency of high-dose procedures as well as dose reduction strategies based on the multi-centric data collection. This paper focuses on the work performed to investigate performance of solid state dosimeters used in clinical environment.
PB  - Београд : Институт за нуклеарне науке "Винча" : Друштво за заштиту од зрачења Србије и Црне Горе
C3  - 30. симпозијум ДЗЗСЦГ : зборник радова
T1  - VERIDIC: validacija i procena doze na površini kože za pacijente u interventnoj kardiologiji
T1  - VERIDIC: validation and estimation of radiation skin dose in interventional cardiology
SP  - 386
EP  - 393
UR  - https://hdl.handle.net/21.15107/rcub_vinar_8712
ER  - 

@conference{
author = "Ciraj-Bjelac, Olivera and Kržanović, Nikola and Živanović, Miloš Z. and Blideanu, Valentin and De Monte, Francesca and Deleu, Marine and Feghali Joelle, Ann and Gallagher, Aoife and Knežević, Željka and Maccia, Carlo and Malchair, Francoise and Plagnard, Johann and Sans Merce, Marta and Simantirakis, Georgios and Dabin, Jeremie",
year = "2019",
abstract = "Interventne procedure u radiologiji i kardiologiji povezani su sa visokim dozama za kožu pacijenta i potencijalnim radijacionim povredama kože. Različita metodologije i rešenja razvijene us za procenu maksimalne doze za kožu, čija se svojsvta, uključujuši i tačnost značajno razlikuju. U radu su prokazani ciljevi, metode i preminiran a rešenja projekta VERIDIC usmerenoj na validaciju zaličitih ofline i online softvera za procenu doze za kožu pacijenta u intervenatnoj kardiologiji., In interventional cardiology (IC), patients may be exposed to high doses to the skin resulting in tissue reactions (skin burns) following single or multiple procedures. To address this issue, online and offline software has been developed to estimate the maximum skin dose (MSD) to the patient from IC procedures. However, the capabilities and accuracy of such skin dose calculation (SDC) software to estimate MSD and 2D dose distributions markedly differ among vendors. Hence, this project focuses onthe harmonisation of RDSR (radiation dose structured report) and on the validation of SDC software products in IC, which will optimise radiation protection of patients. The outcome of the project will include the standards for digital dose reporting, development of protocols for acceptance testing and Quality Control (QC)of SDC software and setting of diagnostic reference levels per clinical complexity, assessing thefrequency of high-dose procedures as well as dose reduction strategies based on the multi-centric data collection. This paper focuses on the work performed to investigate performance of solid state dosimeters used in clinical environment.",
publisher = "Београд : Институт за нуклеарне науке "Винча" : Друштво за заштиту од зрачења Србије и Црне Горе",
journal = "30. симпозијум ДЗЗСЦГ : зборник радова",
title = "VERIDIC: validacija i procena doze na površini kože za pacijente u interventnoj kardiologiji, VERIDIC: validation and estimation of radiation skin dose in interventional cardiology",
pages = "386-393",
url = "https://hdl.handle.net/21.15107/rcub_vinar_8712"
}

Ciraj-Bjelac, O., Kržanović, N., Živanović, M. Z., Blideanu, V., De Monte, F., Deleu, M., Feghali Joelle, A., Gallagher, A., Knežević, Ž., Maccia, C., Malchair, F., Plagnard, J., Sans Merce, M., Simantirakis, G.,& Dabin, J.. (2019). VERIDIC: validacija i procena doze na površini kože za pacijente u interventnoj kardiologiji. in 30. симпозијум ДЗЗСЦГ : зборник радова
Београд : Институт за нуклеарне науке "Винча" : Друштво за заштиту од зрачења Србије и Црне Горе., 386-393.
https://hdl.handle.net/21.15107/rcub_vinar_8712

Ciraj-Bjelac O, Kržanović N, Živanović MZ, Blideanu V, De Monte F, Deleu M, Feghali Joelle A, Gallagher A, Knežević Ž, Maccia C, Malchair F, Plagnard J, Sans Merce M, Simantirakis G, Dabin J. VERIDIC: validacija i procena doze na površini kože za pacijente u interventnoj kardiologiji. in 30. симпозијум ДЗЗСЦГ : зборник радова. 2019;:386-393.
https://hdl.handle.net/21.15107/rcub_vinar_8712 .

Ciraj-Bjelac, Olivera, Kržanović, Nikola, Živanović, Miloš Z., Blideanu, Valentin, De Monte, Francesca, Deleu, Marine, Feghali Joelle, Ann, Gallagher, Aoife, Knežević, Željka, Maccia, Carlo, Malchair, Francoise, Plagnard, Johann, Sans Merce, Marta, Simantirakis, Georgios, Dabin, Jeremie, "VERIDIC: validacija i procena doze na površini kože za pacijente u interventnoj kardiologiji" in 30. симпозијум ДЗЗСЦГ : зборник радова (2019):386-393,
https://hdl.handle.net/21.15107/rcub_vinar_8712 .