Impact of EC Directive 97/43 in Interventional Radiology

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Abstract
Interventional radiology (IR) refers to a group of procedures of wide application nowadays in the clinical practice. The reason why IR has grown so fast in the past 20 years is due to the improvement in the materials necessary for the procedures, and to the availability of the modern diagnostic units, either using X rays or US, and MR. However, the vast majority of these procedures are performed in a radiological room under fluoroscopy, simply because the leading indications are vascular ones. Due to the potential for high patient and staff dose exposure and to the observed deterministic injuries, after long fluoroscopic interventional procedures, the Council Directive of the European Community 97/43/Euratom includes this practice in the Article 9 'Special Practices'. The impact of the revised Directive will involve all aspects of practice: equipment, quality control, patient dose evaluation, diagnostic reference level assessment related to procedure complexity, specific image quality criteria for IR images, and training of personnel.

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