Radiation exposure to cardiologists performing interventional cardiology procedures

Miltiadis Delichas1, Kyriakos Psarrakos, Elisabeth Molyvda-Athanassopoulou

  • 1Medical Physics Department, Medical School, Aristotelian University of Thessaloniki, Thessaloniki 54124, Greece.

Insights

Interventional cardiologists receive radiation exposure during procedures. This study measured effective doses, finding them to be low, with estimated annual doses below regulatory limits for radiation safety.

Area of Science:

  • Medical Physics
  • Interventional Cardiology
  • Radiation Protection

Background:

  • Medical doctors in interventional cardiology face significant radiation exposure.
  • Monitoring and quantifying this exposure is crucial for occupational health and safety.

Purpose of the Study:

  • To measure the radiation dose received by interventional cardiologists.
  • To calculate effective doses and establish an effective dose to dose area product (E/DAP) index.
  • To estimate annual radiation doses based on laboratory workload.

Main Methods:

  • Radiation doses were measured in 9 cardiologists across 144 procedures (coronary angiographies and percutaneous transluminal coronary angioplasties) using thermoluminescent dosimeters (TLDs).
  • Effective dose was calculated using the Niklason method, with dose area product (DAP) registered for normalization.
  • The E/DAP index was computed to standardize dose measurements.

Main Results:

  • Mean effective doses ranged from 1.2-2.7 microSv.
  • Mean E/DAP values were between 0.010-0.035 microSv/Gycm2.
  • Estimated maximum annual doses were 1.9 mSv and 2.8 mSv in the two participating hospitals.

Conclusions:

  • Radiation doses for interventional cardiologists in this study were within acceptable limits.
  • The findings provide valuable data for radiation protection strategies in interventional cardiology.
  • Annual effective doses are estimated to be well below occupational exposure limits.

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