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Radiation dose in paediatric cardiac catheterisation: A systematic literature review

R Gould1, S L McFadden1, C M Hughes1

  • 1Institute of Nursing and Health Research, Ulster University, Jordanstown Campus, Shore Road, Newtownabbey, BT37 OQB, United Kingdom.

Radiography (London, England : 1995)
|October 3, 2017
PubMed

Insights

Children undergoing cardiac catheterisation receive significant radiation doses. While doses have decreased, they remain variable, necessitating standardized reporting for accurate comparisons and improved patient safety.

Area of Science:

  • Medical Imaging
  • Pediatric Cardiology
  • Radiation Safety

Background:

  • Children are considered more sensitive to ionizing radiation than adults.
  • Cardiac catheterisation procedures in children can result in significant radiation exposure.
  • Recent years have seen a decrease in radiation doses, but substantial variability persists.

Purpose of the Study:

  • To review and evaluate reported radiation dose estimates for pediatric cardiac catheterisation.
  • To assess the quality of existing literature on this topic.

Main Methods:

  • A systematic literature review was conducted.
  • Healthcare databases were searched using keywords related to pediatric cardiac catheterisation and radiation dose.
  • Publication quality was assessed using Critical Appraisal Skills Programme (CASP) criteria.
  • Reported radiation exposures were evaluated.

Main Results:

  • The literature indicates that radiation doses from pediatric cardiac catheterisation, while decreasing, remain varied and potentially substantial.
  • Larger cohort observations are a more recent development in this field.

Conclusions:

  • Standardization of weight categories and procedure types is recommended to enable better comparison of current and future radiation dose estimates.
  • Adopting recommendations, such as those from the PiDRL project, could improve dose estimation consistency.
Abstract

Keywords:
Cardiac catheterisationCongenital heart diseaseIonising radiationPaediatric

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