ICRP Occupational Radiological Protection in Interventional Procedures (DRAFT) - March 20, 2017
ACR Comments
| Page # | 1st Line # | Type of Comment (General/ Technical) | Comments | Proposed change |
| NA | NA | General | Overall, the report is written well and provides useful tips on radiation protection during IR procedures. | NA |
| 17 | 552 | Editorial | Typo | “controlable” should be “controllable” |
| 22 | 723 | Technical | Reference needed for lens opacity prevalence | |
| 28 | Figure 2.1 | Technical | The figure is not referred to in the text. | On page 25, around line 884, insert, “See Figure 2.1” |
| 28 | Figure 2.1 | Technical | The median and average Es in the figures to not match the median and mean Es provided on page 25 (from the Yoder and Salasky reference. | Check original reference to verify the correct values and modify the text and/or graph so that the correct values are used. Also, use either “mean” or “average” (but not both). |
| 28 | Figure 2.1 | Technical | In the first graph (Estimates of E Obtained from Two Dosimeters), “Average E” is not provided as was done in the second graph (Estimates of E Obtained from Ione Dosimeter). | Provide “Average E” in first graph |
| 51 | 1961 | Technical | Define DRF when first used | |
| 57 | 2201 | Technical | Suggest providing recommendations for the required minimum lead equivalent thickness. | Suggest recommendations be based on collar badge dose (ie dose > X mSv requires 0.5 mm, dose between Y and Z requires at least 0.35 mm, …) |
| 58 | 2239 | Technical | Johns et al is not included in the References | |
| 59 | Fig. 5.3 | Technical | The figure is not referred to correctly in the text. (Fig. 5.3 is about thyroid cancer and is referred to in the section on hand dose on page 64.) | On page 59, somewhere between lines 2258 and 2268, insert, “See Figure 5.3”. (Also make sure the paragraph also refers to ICRP, 2007 as the figure does.) |
| 60 | 2308 | Technical | Use of disposable drapes - Even though disposable drapes will protect staff, they may also increase patient dose. Effectiveness of disposable drapes are questionable and often supported by the companies who makes these products with the stated intention of protecting staff without any discussion on impact on patients. We assume this information is included in the document for completeness. We appreciate that use of such drapes is not included in the executive summary recommendations. | We recommend deleting this section. If this is not agreeable to the drafters, we suggest including descriptions of the limitations/effectiveness of such products. If this section is included, then readers may want to know about the limited effectiveness of “lead brain caps”. (See recent article by Fetterly.) |
| 62 | 2380 | Technical | A discussion regarding the increase dose to the contralateral eye as compared to the eye adjacent to the exposure direction is suggested. | References that discuss this include:
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| 62 | 2380 | Technical | A discussion regarding brain dose and radioabsorbent surgical caps is suggested | References that discuss this include:
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| 64 | 2512 | Editorial | Figure referrals and naming are out of synch starting with the 2nd Fig. 5.3 on page 65. (There is another Fig. 5.3 on page 59.) | Renumber figures in section 5 starting on page 65; change referrals as appropriate starting in line 2512 on page 64. |
| 76 | 2952 | Editorial | Typo | Delete “,” in “work,;” |