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Published on: December 16, 2022
Patient dose in cardiac radiology
Andreas I Stratis1, Prodromos L Anthopoulos, Isidoros P Gavaliatsis
1Medical Physics Laboratory, Evangelismos General Hospital, Athens, Greece.
Patient radiation dose during cardiac procedures was estimated using dose-area product (DAP). While DAP values were within reference levels, fluoroscopy times were longer, indicating potential areas for optimization in X-ray imaging protocols.
Area of Science:
- Medical Imaging
- Cardiology
- Radiation Dosimetry
Background:
- Interventional cardiology procedures using X-ray imaging can lead to high patient skin doses, potentially causing necrosis.
- Repetitive procedures and long fluoroscopy times contribute significantly to radiation exposure.
Purpose of the Study:
- To estimate patient radiation dose during coronary angiography and angioplasty.
- To utilize the dose-area product (DAP) measuring system for dose assessment.
Main Methods:
- Collected dose-area product (DAP), fluoroscopy time, and imaging parameters for 108 coronary angiography and 101 coronary angioplasty procedures.
- Used data from a dedicated X-ray machine in a hospital's haemodynamic department.
Main Results:
- Median DAP values were 19.96 Gy.cm² for angiography and 40.17 Gy.cm² for angioplasty.
- Strong correlations were found between DAP, fluoroscopy time, and the number of frames.
- Mean fluoroscopy time per patient was longer than in some other studies.
Conclusions:
- Patient entrance skin dose was lower than reported in other studies.
- Current practices meet diagnostic reference levels for DAP and frame counts, but not for fluoroscopy time.
- Correlation between physician experience and DAP was not observed, likely due to not accounting for lesion complexity.
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