Background
Real-time dosimeters may create a relatively safer environment not only for the patient but also for the physician and the assistant as well. We propose the use of a real-time radiation measurement dosimeter having auditory feedback to reduce radiation exposure.
Methods
Radiation dose rates were measured for 30 fluoroscopy-guided puncturing procedures of femoral arteries in swine. Fifteen puncturing procedures were performed with real-time radiation measurement dosimeter having auditory feedback and other 15 were performed without auditory feedback dosimeter by an interventional cardiologist with 10 years of experience.
Results
The left body side of the operating physician (38%, p < 0.001) and assistant (25%, p < 0.001) was more exposed as compared to the right body side. Radiation dose rate to the left hand, left arm and left leg were reduced from 0.96 ± 0.10 to 0.79 ± 0.12 mSv/h (17% reduction, p < 0.001), from 0.11 ± 0.02 to 0.07 ± 0.01 mSv/h (36% reduction, p < 0.001) and from 0.22 ± 0.06 to 0.15 ± 0.02 mSv/h (31% reduction, p < 0.001) with the use of auditory feedback dosimeter, respectively. The mean fluoroscopic time was reduced from 4.8 ± 0.43 min to 4.2 ± 0.53 min (p < 0.001). The success rate of performing arterial puncturing was 100%.
Conclusions
The use of auditory feedback dosimeter resulted in reduction in effective dose. The sound beep alerted the physician from the danger of exposure, and this approach induced awareness and protective mindset to the operating physician and assistant.
Application description analysis is applied for various purposes in software engineering domains. Besides the inherent challenges from the ambiguity of natural language, sparse permission semantics raise the difficulties of predicting functionalities and permission usages from app descriptions. More specifically, the functionalities common to the app's category are intentionally abbreviated by developers due to the limited number of characters, and the permissions are often over-claimed. These are the main reasons that cause false positives in predicting permissions from app descriptions. Such unmentioned permissions can only be detected as suspicious in previous studies where effective assistance for developers in refining app descriptions and preventing potential security risks is not provided. In this paper, we propose the FideDroid, a framework to identify category-based common permissions to offset those essential functionalities while assessing the fidelity of app descriptions. Our framework augments the labeled dataset of app descriptions to improve the prediction of permissions. FideDroid compares inferred permissions with used ones to reveal the suspicious and unnecessary permissions based on the prediction. It helps developers to refine app descriptions and maintain permission usages. In our experiments on large real-world apps, we analyzed and revealed that the category-based common permissions may cover more unmentioned functionalities without considering all possible permissions during app description analysis. In addition, we discovered three factors causing the inconsistency between descriptions and permission usages to be: 1) human interventions in writing description; 2) bad practices on permission usages; and 3) prolific developers. These findings will facilitate developers to refine app descriptions and optimize permission usages in the apps.
Background
Vascular interventions imply radiation exposure to the operating physician (OP). To reduce radiation exposure, we propose a novel passive robotic device for fluoroscopy-guided arterial puncturing.
Methods
X-ray dose rates were measured for a total of 30 fluoroscopy-guided puncture femoral arteries in 15 pigs. Fifteen punctures were performed with the device while the other 15 were performed without the device by an interventional cardiologist with 10 years of experience. Parametric
t
test was used.
Results
The success rate with the device was 100%. Overall, the OP received more radiation (0.41 mSv/h) as compared to the assistant (0.06 mSv/h) (
p
< 0.001) and, amongst OP’s body parts, hands received more radiation than other body parts (
p
< 0.001). The radiation dose rate to the OP’s hands during arterial puncturing performed manually without the device was 0.95 ± 0.25 mSv/h whereas it was 0.14 ± 0.006 mSv/h using the device, resulting in an 85% reduction (
p
< 0.001). For the head, the dose was reduced from 0.16 mSv/h to 0.08 mSv/h (50% reduction,
p
< 0.001), and for the dominant arm, from 0.12 mSv/h to 0.07 mSv/h (42% reduction,
p
< 0.001). The fluoroscopy time was reduced from 4.5 ± 0.15 min to 4.3 ± 0.11 min device (
p
= 0.002).
Conclusions
In a swine model, fluoroscopy time and radiation exposure for the OP puncturing femoral artery were significantly reduced by using the passive robotic device.
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