NCT05561439

Brief Summary

The objective of this study is to review the results of annual radiation doses received by interventional cardiologists and radiologists in France. The results of this study will allow the improvement of classification of interventional cardiology and radiology activities and procedures to help define radiation dose constraints for occupational exposure, according to the number and types of procedures performed. The study is based on the hypothesis that some specialties in interventional cardiology (cardiology or rythmology procedures) and in interventional radiology (vascular, neuroradiology, osteoarticular) and some types of procedures present greater exposure risks for interventional cardiologists and radiologists. It is expected that the annual radiation dose limits for workers can be exceeded if good practices for both patient and worker radiation protection are not applied. Also, dosimetry equipment used to detect radiation dose although provided to the workers are not systematically worn by the physician during the procedure . The study is likely to show that for an equivalent speciality and number of procedures per type of act, the correct use of collective and personal radiation protection equipment (préciser) will lower occupational radiation exposure of physician . Similarly, for an equivalent activity and number of procedures per type of act , a trained physician would have a lower occupational exposure than an untrained physician. The physician's radiation exposure should therefore increase with a greater number of procedures per type of procedure performed and as the radiation dose delivered to the patient increase. Finally, there would be a different correlation between patient's radiation dose and physician's exposure depending on specialty, procedures, modality, experience and availability and use of collective and personal radiation protection equipment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 2, 2022

Completed
25 days until next milestone

First Submitted

Initial submission to the registry

September 27, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 30, 2022

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

March 10, 2025

Status Verified

March 1, 2025

Enrollment Period

1.3 years

First QC Date

September 27, 2022

Last Update Submit

March 7, 2025

Conditions

Outcome Measures

Primary Outcomes (9)

  • Annual occupational radiation exposure levels for effective dose for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2019

  • Annual occupational radiation exposure levels for effective dose for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2020

  • Annual occupational radiation exposure levels for effective dose for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2021

  • Annual occupational radiation exposure levels for equivalent doses to the skin for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2019

  • Annual occupational radiation exposure levels for equivalent doses to the skin for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2020

  • Annual occupational radiation exposure levels for equivalent doses to the skin for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2021

  • Annual occupational radiation exposure levels for equivalent doses to the lens of the eye for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2019

  • Annual occupational radiation exposure levels for equivalent doses to the lens of the eye for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2020

  • Annual occupational radiation exposure levels for equivalent doses to the lens of the eye for interventional cardiologists and radiologists according to their specialty, activity and type of procedures performed

    mSv

    2021

Secondary Outcomes (58)

  • Availability and frequency of use for each passive dosimeter

    2019

  • Availability and frequency of use for each passive dosimeter

    2020

  • Availability and frequency of use for each passive dosimeter

    2021

  • High and low radiation protection equipment availability and use by interventional physicians according to specialty, activity and type of procedures performed

    2019

  • High and low radiation protection equipment availability and use by interventional physicians according to specialty, activity and type of procedures performed

    2020

  • +53 more secondary outcomes

Study Arms (16)

Cardiology: Coronary/Valvular

Other: Dosimetric monitoring

Cardiology: Rhythmology

Other: Dosimetric monitoring

Cardiology: Mixed

Other: Dosimetric monitoring

Radiology: Simple Vascular

Other: Dosimetric monitoring

Radiology: Complex Vascular

Other: Dosimetric monitoring

Radiology: Mixed Vascular

Other: Dosimetric monitoring

Radiology: Simple Osteoarticular

Other: Dosimetric monitoring

Radiology: Complex Osteoarticular

Other: Dosimetric monitoring

Radiology: Mixed Osteoarticular

Other: Dosimetric monitoring

Radiology: Simple Neuroradiology

Other: Dosimetric monitoring

Radiology: Complex Neuroradiology

Other: Dosimetric monitoring

Radiology: Mixed Neuroradiology

Other: Dosimetric monitoring

Radiology: Mixed

Other: Dosimetric monitoring

Radiology: Simple Oncology

Other: Dosimetric monitoring

Radiology: Complex Oncology

Other: Dosimetric monitoring

Radiology: Mixed Oncology

Other: Dosimetric monitoring

Interventions

Dosimetric monitoring of workers Information retrieved from passive dosimeters results from the years 2019, 2020 and 2021

Cardiology: Coronary/ValvularCardiology: MixedCardiology: RhythmologyRadiology: Complex NeuroradiologyRadiology: Complex OncologyRadiology: Complex OsteoarticularRadiology: Complex VascularRadiology: MixedRadiology: Mixed NeuroradiologyRadiology: Mixed OncologyRadiology: Mixed OsteoarticularRadiology: Mixed VascularRadiology: Simple NeuroradiologyRadiology: Simple OncologyRadiology: Simple OsteoarticularRadiology: Simple Vascular

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants in the study will be interventional cardiologists and interventional radiologists exposed to radiation during their interventional procedures performed as part of their activity.

You may qualify if:

  • Physician performing interventional cardiology or radiology procedures with a fixed C-arm system
  • Physician systematically wearing at least one of the following personal dosimeters: whole body, extremities, lens.

You may not qualify if:

  • Physician who did not perform an interventional procedure during the observation period (2019-2021)
  • For the primary endpoint by year, physician with more than 3 months of missing data (more than one 3-month period or more than 3 1-month periods)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHU de Nîmes

Nîmes, France

Location

Study Officials

  • Cyril Duverger

    CHU de Nimes

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
ECOLOGIC OR COMMUNITY
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 27, 2022

First Posted

September 30, 2022

Study Start

September 2, 2022

Primary Completion

December 31, 2023

Study Completion

December 31, 2023

Last Updated

March 10, 2025

Record last verified: 2025-03

Locations