ArticleDiagnostics (Basel, Switzerland)2024
Assessing Patient Radiation Exposure in Endoscopic Retrograde Cholangiopancreatography: A Multicenter Retrospective Analysis of Procedural Complexity and Clinical Factors.
Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Establishing discard criteria for lead aprons using deep learning-based quantification of defect area on X-ray fluoroscopic video.Radiological physics and technology · 2026Article
- Transaxillar Impella Implantation: Learning Curve Analysis and the Role of Mentorship in Accelerating Proficiency.Journal of clinical medicine · 2026Article
- Cholangioscopy-assisted ERCP reduces radiation exposure in treating choledocholithiasis: a retrospective IPTW-adjusted cohort study.Frontiers in medicine · 2026Article
- Assessment of lens absorbed dose by radiological technologists during mobile X-ray radiography: a comparison between computed radiography and flat panel detector systems.Radiological physics and technology · 2025Article
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsEndoscopic retrograde cholangiopancreatography (ERCP) procedures can result in significant patient radiation exposure. This retrospective multicenter study aimed to assess the influence of procedural complexity and other clinical factors on radiation exposure in ERCP.
methodsData on kerma-area product (KAP), air-kerma at the reference point (K
resultsBoth the ASGE and HOUSE complexity grading scales had a significant impact on radiation exposure quantities. Remarkably, there was up to a 50-fold difference in dose quantities observed across the participating centers. For non-PSC ERCP procedures, the median KAP ranged from 0.9 to 64.4 Gy·cm
conclusionsProcedural complexity grading in ERCP significantly affects radiation exposure. Higher procedural complexity is typically associated with increased patient radiation dose. The ASGE complexity grading scale demonstrated greater sensitivity to changes in radiation exposure compared to the HOUSE grading scale. Additionally, significant variations in dose indices, fluoroscopy times, and number of exposures were observed across the participating centers.
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Registered trials
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