Table 1.
CT-HDRBT | CT-RFA | |||
---|---|---|---|---|
Minutes | StaffCode | Minutes | Staff Code | |
Preparation | ||||
Patient registration | 3 ± 0.7 | TECH | 3 ± 0.63 | TECH |
Preparation of sterile intervention table | 8 ± 1.2 | N | ||
Preparation of sterile intervention table, instruments, and RFA device | 12 ± 1.41 | N | ||
Patient positioning, unenhanced localizer scan | 8a ± 1.6 | TECH | 12a ± 0.89 | TECH |
N | N | |||
Placement of sterile drapes & disinfection | 10a ± 1.2 | N | 10a ± 1.41 | N |
TECH | TECH | |||
Review of images, final check-up | 5 ± 1.1 | INT-RAD | 5 ± 0.63 | INT-RAD |
CT-Intervention | ||||
Induction of conscious sedation | 3a ± 0.5 | PHYS | 3a ± 0 | PHYS |
N | N | |||
TECH | ||||
Instrument guidance and positioning of brachytherapy catheters | 14a ± 2.4 | INT-RAD | ||
N | ||||
TECH | ||||
Instrument guidance and positioning of RFA probe | 14a ± 0.89 | INT-RAD | ||
N | ||||
TECH | ||||
RFA treatment | 22 a ± 4.56 | INT-RAD | ||
N | ||||
TECH | ||||
Contrast-enhanced CT scan + assessment | 5a ± 0.7 | INT-RAD | 5a ± 0.63 | INT-RAD |
N | N | |||
TECH | TECH | |||
Patient monitoring during intervention and postprocedural scan | 19 ± 2.7 | PHYS | 44 ± 4.73 | PHYS |
Transfer to brachytherapy suite | 10 ± 1.2 | PHYS | ||
N | ||||
Radiotherapy planning | 15 ± 1.5 | INT-RAD | ||
RO | ||||
MPE | ||||
Radiotherapy | 25 ± 6.2 | MPE | ||
Patient monitoring during radiotherapy | 25 ± 6.2 | PHYS | ||
N | ||||
Postprocedural Management | ||||
Retraction of brachytherapy catheters, tract sealing, and removal of sterile drapes | 10 ± 1.5 | PHYS | ||
N | ||||
Removal of sterile drapes and transfer to recovery room | 7 ± 1.26 | PHYS | ||
TECH | ||||
N | ||||
Transfer to recovery room | 10 ± 1.5 | PHYS | ||
N | ||||
Monitoring in recovery room | 90 ± 11.1 | N | 90 ± 6.32 | N |
Documentation and clearance | 8 ± 1.4 | TECH | 8 ± 1.4 | TECH |
Writing report | 5 ± 0.8 | INT-RAD | 5 ± 0.8 | INT-RAD |
PHYS physician experienced in conscious sedation and for monitoring of the patient, N nurse, TECH technical assistant, INT-RAD interventional radiologist, MPE medical physics expert, RO radiation oncologist
aCT blocked for this time period plus additional 10 min for room cleaning etc. Time needed for intervention and ablation were extracted from institutional PACS data for all patients. All other data were measured in a sample of 5 patients