Interv Akut Kardiol. 2015;14(4):158-163

Possibilities of the patient’s and cardiologist’s X-ray dose reduction in interventional cardiology

Lucie Súkupová
Úsek ředitele, Institut klinické a experimentální medicíny, Praha

The study provides an overview of possibilities of X-ray dose reduction in interventional cardiology both to patients and physicians.

The main source of physicians’ irradiation is the scatter radiation from patients, therefore the main way of the dose reduction is based

on the reduction of X-ray dose to patients. In the first part of the study, the principle of the automatic dose rate control, which controls

the amount of produced X-ray, is described. Further, an influence of the additional filtration, projection angle, magnification and frame

rate (pulse rate) on the resulting dose is explained. The second part deals with the influence of the projection angle and lead shielding

on the physicians’ dose.

Keywords: interventional cardiology, angiography system, X-ray dose reduction

Published: December 1, 2015  Show citation

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Súkupová L. Possibilities of the patient’s and cardiologist’s X-ray dose reduction in interventional cardiology. Interv Akut Kardiol. 2015;14(4):158-163.
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References

  1. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects of ionizing radiation. UNSCEAR 2008. Report to the General Assembly with scientific Annexes. Volume I. United Nations, New York, 2010.
  2. Sun Z, AbAziz A, Khairuddin Md Yusof A. Radiation-induced noncancer risks in interventional cardiology: Optimization of procedures and staff and patient dose reduction. BioMed Research International 2013; article ID 976962. Go to original source...
  3. Roguin A, Goldstein J, Bar O. Brain tumours among interventional cardiologists: A cause for alarm? Report of four new cases from two cities and a review of the literature. EuroIntervention 2012; 7: 1081-1086. Go to original source... Go to PubMed...
  4. Vano E, Gonzalez L, Guibelalde E, Fernandez JM, Ten JI. Radiation exposure to medical staff in interventional and cardiac radiology. Br J Radiol 1998; 71: 954-960. Go to original source... Go to PubMed...
  5. Roguin A. Radiation hazards to interventional cardiologists: a report on increased brain tumours among physicians working in the cathlab. SOLACI 2014; April 23, 2014; Buenos Aires.
  6. Ciraj-Bjelac O, Rehani MM, Sim KH, Liew HB, Vano E, Kleiman NJ. Risk for radiation induced cataract for staff in interventional cardiology: Is there reason for concern? Catheter Cardiovasc Interv 2010; 76: 826-834. Go to original source... Go to PubMed...
  7. Súkupová L. Radiační zátěž pacientů v intervenční kardiologii. Dizertační práce. Fakulta jaderná a fyzikálně inženýrská, České vysoké učení technické v Praze, 2012.
  8. American Association of Physicists in Medicine. Functionality and operation of fluoroscopic automatic brightness control/automatic dose rate control logic in modern cardiovascular and interventional angiography systems. A Report of AAPM Task Group 125. Radiography/fluoroscopy Subcommittee, Imaging Physics Committee, Science Council. June 2012.
  9. Wassef AWA, Hiebert B, Ravandi A, et al. Radiation dose reduction in the cardiac catheterization laboratory utilizing a novel protocol. JACC: Cardiovascular Interventions 2014; 7(5): 550-557. Go to original source... Go to PubMed...
  10. Česká technická norma ČSN EN 60601-2-43. Zdravotnické elektrické přístroje - Část 2-43: Zvláštní požadavky na základní bezpečnost a nezbytnou funkčnost rentgenových zařízení pro intervenční postupy. Úřad pro technickou normalizaci, metrologii a státní zkušebnictví, 2011.
  11. Kuon E, Dahm JB, Empen K, Robinson DM, Reuter G, Wucherer M. Identification of less-irradiating tube angulations in invasive cardiology. JACC: 2004; 44(7): 1420-1428. Go to original source... Go to PubMed...
  12. Radiological Society of North America/American Association of Physicists in Medicine. Radiology physics educational modules. Fluoroscopy systems.
  13. Bushberg JT, Seibert JA, Leidholdt Jr EM, Boone JM. The essential physics of medical imaging. Third edition. Wolters Kluwer/Lippincott Williams & Wilkins 2012: 231.
  14. International Atomic Energy Agency. Radiation Protection in Paediatric Cardiology. Lecture 10. Training material on Radiation Protection in Cardiology. IAEA, Vienna. Z webu rpop. iaea.org získáno dne 20. 2. 2015.
  15. Pasciak AS, Jones AK. Time to take the gloves off: the use of radiation reduction gloves can greatly increase patient dose. Journal of Applied Clinical Medical Physics 2014; 15(6): 351-359. Go to original source... Go to PubMed...
  16. Miller DL, Vano E, Bartal G, et al. Occupational radiation protection in interventional radiology: A joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. Cardiovasc Intervent Radiol 2010; 33: 230-239. Go to original source... Go to PubMed...
  17. Musallam A, Volis I, Dadaev S, et al. A randomized study comparing the use of a pelvic lead shield during trans-radial interventions: Threefold decrease in radiation to the operator but double exposure to the patient. Catheterization and Cardiovascular Interventions 2014; in press. Go to original source... Go to PubMed...




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