A pilot study exploring the possibility of establishing guidance levels in x-ray directed interventional procedures

Medical Physics

Volumn 35, Issue 2, 2008, Pages 673-680

  Balter, S ^a   Miller, D L ^b   Vano, E ^c   Ortiz Lopez, P ^d   Bernardi, G ^e   Cotelo, E ^f   Faulkner, K ^g   Nowotny, R ^h   Padovani, R ^e   Ramirez, A ⁱ  

^a Department of Medicine   (United States)

^b WALTER REED ARMY MEDICAL CENTER   (United States)

^c UNIVERSIDAD COMPLUTENSE DE MADRID   (Spain)

^d INTERNATIONAL ATOMIC ENERGY AGENCY   (Austria)

^e SANTA MARIA DELLA MISERICORDIA UNIVERSITY HOSPITAL   (Italy)

^f HOSPITAL DE CLÍNICAS   (Uruguay)

^g Quality Assurance Reference Centre   (United Kingdom)

^h MEDICAL UNIVERSITY OF VIENNA   (Austria)

ⁱ HOSPITAL CLÍNICO UNIVERSIDAD DE CHILE   (Chile)

Author keywords

Cardiac; Fluoroscopy; Guidance level; Interventional; Patient dose

Indexed keywords

DOSIMETRY;

CARDIAC; CORONARY ARTERIES; FLUOROSCOPY; INTERNATIONAL ATOMIC ENERGY AGENCY; INTERVENTIONAL; INTERVENTIONAL PROCEDURES; PATIENT DOSE; PERCUTANEOUS CORONARY INTERVENTION;

HEART;

ANGIOCARDIOGRAPHY; ARTICLE; DIAGNOSTIC PROCEDURE; DOSIMETRY; ENDOSCOPE; FEASIBILITY STUDY; FLUOROSCOPY; INTERVENTIONAL RADIOLOGY; PERCUTANEOUS CORONARY INTERVENTION; PILOT STUDY; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; QUANTITATIVE ANALYSIS; RADIATION DOSE; X RAY ANALYSIS;

EID: 38849116953     PISSN: 00942405     EISSN: None     Source Type: Journal    
DOI: 10.1118/1.2829868     Document Type: Article

References (23)

1. B. F. Wall, " Implementation of DRLs in the UK., " Radiat. Prot. Dosim. 114, 183-187 (2005). 0144-8420
2. W. Leitz and A. Almen, " Unsolved or unsolvable problems with diagnostic reference levels., " Radiat. Prot. Dosim. 114, 180-182 (2005). 0144-8420
3. J. E. Gray, B. R. Archer, P. F. Butler, B. B. Hobbs, F. A. Mettler, Jr., R. J. Pizzutiello, Jr., B. A. Schueler, K. J. Strauss, O. H. Suleiman, and M. J. Yaffe, " Reference values for diagnostic radiology: Application and impact., " Radiology 0033-8419 10.1148/radiol.2352020016 235, 354-358 (2005).
4. ICRP, " Diagnostic reference levels in medical imaging: Review and additional advice., " Ann. ICRP 31, 33-52 (2001). 0146-6453
5. E. Yakoumakis, I. A. Tsalafoutas, P. Sandilos, H. Koulentianos, A. Kasfiki, L. Vlahos, and C. Proukakis, " Patient doses from barium meal and barium enema examinations and potential for reduction through proper set-up of equipment., " Br. J. Radiol. 72, 173-178 (1999). 0007-1285
6. E. M. Carroll and P. C. Brennan, " Radiation doses for barium enema and barium meal examinations in Ireland: Potential diagnostic reference levels., " Br. J. Radiol. 76, 393-397 (2003). 0007-1285
7. C. J. Martin, " A review of factors affecting patient doses for barium enemas and meals., " Br. J. Radiol. 77, 864-868 (2004). 0007-1285
8. E. Vano and L. Gonzalez, " Approaches to establishing reference levels in interventional radiology., " Radiat. Prot. Dosim. 94, 109-112 (2001). 0144-8420
9. E. Kuon, K. Empen, D. Rohde, and J. B. Dahm, " Radiation exposure to patients undergoing percutaneous coronary interventions: Are current reference values too high?, " Herz 29, 208-217 (2004). 0340-9937
10. M. Brambilla, G. Marano, M. Dominietto, A. R. Cotroneo, and A. Carriero, " Patient radiation doses and references levels in interventional radiology., " Radiol. Med. (Torino) 107, 408-418 (2004). 0033-8362
11. V. Neofotistou, E. Vano, R. Padovani, J. Kotre, A. Dowling, M. Toivonen, S. Kottou, V. Tsapaki, S. Willis, G. Bernardi, and K. Faulkner, " Preliminary reference levels in interventional cardiology., " Eur. Radiol. 13, 2259-2263 (2003). 0938-7994
12. ICRU, Report No. 74, Patient dosimetry for x rays used in medical imaging, 2005.
13. IEC, IEC Report No. 60601, Medical electrical equipment-Part 2-43: Particular requirements for the safety of x-ray equipment for interventional procedures, Geneva, 2000.
14. E. R. Giles and P. H. Murphy, " Measuring skin dose with radiochromic dosimetry film in the cardiac catheterization laboratory., " Health Phys. 0017-9078 10.1097/00004032-200206000-00017 82, 875-880 (2002).
15. A. Peterzol, E. Quai, R. Padovani, G. Bernardi, C. J. Kotre, and A. Dowling, " Reference levels in PTCA as a function of procedure complexity., " Radiat. Prot. Dosim. 117, 54-58 (2005). 0144-8420
16. R. Padovani, G. Bernardi, M. R. Malisan, E. Vano, G. Morocutti, and P. M. Fioretti, " Patient dose related to the complexity of interventional cardiology procedures., " Radiat. Prot. Dosim. 94, 189-192 (2001). 0144-8420
17. G. Bernardi, R. Padovani, G. Morocutti, E. Vano, M. R. Malisan, M. Rinuncini, L. Spedicato, and P. M. Fioretti, " Clinical and technical determinants of the complexity of percutaneous transluminal coronary angioplasty procedures: Analysis in relation to radiation exposure parameters., " Catheter. Cardiovasc. Interv. 51, 1-9 (discussion 10) (2000). 1522-1946
18. IAEA, A Pilot Study Exploring the Possibility of Establishing Guidance Levels in X-Ray Directed Interventional Procedures: Report of a Coordinated Research Programme (in press).
19. T. J. Ryan, " Guidelines for percutaneous transluminal coronary angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty)., " Circulation 78, 486-502 (1988). 0009-7322
20. S. Balter, N. A. Detorie, and M. Mahesh, " Federal regulations (effective June 2006) require dose monitors on all new fluoroscopes: How will this help clinicians keep track of patient dose?, " J. Am. Coll. Radiol. 4, 130-132 (2007). 1546-1440
21. IEC, PAS 61910-1, Radiation Dose Documentation Part 1: Equipment for radiography and radioscopy, Geneva, 2007.
22. S. Balter, " Capturing patient doses from fluoroscopically based diagnostic and interventional systems., " Health Phys. (in press). 0017-9078
23. http://www.leedstestobjects.com/.