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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.
Abstract:
Medical doctors, who practice interventional cardiology, receive a noticeable radiation dose. In this study, we measured the radiation dose to 9 cardiologists during 144 procedures (72 coronary angiographies and 70 percutaneus translumined coronary angioplasties) in two Greek hospitals. Absorbed doses were measured with TLD placed underneath and over the lead apron at the thyroid protective collar. Based on these measurements, the effective dose was calculated using the Niklason method. In addition, dose area product (DAP) was registered. The effective doses, E, were normalised to the total DAP measured in each procedure, producing the E/DAP index. The mean effective dose values were found to be in the range of 1.2-2.7 microSv while the mean E/DAP values are in the range of 0.010-0.035 microSv/Gycm2. The dependence of dose to the X-ray equipment, the exposure parameters and the technique of the cardiologist were examined. Taking under consideration the laboratories' annual workload, the maximum annual dose was estimated to be 1.9 and 2.8 mSv in the two hospitals.
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