Abstract
Information about the peak skin dose and Dose Area product (DAP) from percutaneous transluminal coronary angioplasty (PTCA) and coronary angiography (CA) was collected from three catheter application rooms. The range of maximum photon energy was 50 - 125 kVp and the fluoroscopy time was 0.6 - 52 seconds. Values of up to 143 Gy·cm2 for DAP and 0.752 mGy for cumulative dose (CD) were found in CA procedures. Otherwise the DAP and CD for PTCA were found to be 143 Gy·cm2 and 2.287 mGy respectively in 3rd Quartile. The relation between the fluoroscopy time and the DAP is also considered. Objectives: The objective of this study is to obtain information about patient peak skin doses (PSD), dose area product (DAP), Fluoroscopy Time (FT) and Cumulative Dose (CD) from PTCA and CA which is the most predominant with respect to high skin doses in addition to other procedures. The aim of this study is also to assess the radiation dose received by patients undergoing interventional radiology procedures, by identifying the procedures that deliver the highest doses. This study is also helpful to establish the reference dose level for adult patients undergoing interventional procedure, and to provide recommendations on how to reduce dose on selected procedures that have been identified to deliver patient dose values near the ICRP (International Commission on Radiological Protection) threshold values.
Highlights
Radiation induced skin effects are deterministic in nature, with a generally accepted threshold dose of 2 Gy [1]How to cite this paper: Aly, A.E., Duhaini, I.M., Manaa, S.M., Tarique, S.M., Kuniyil, S.E. and Al Naemi, H.M. (2015) PatientPeak Skin Dose and Dose Area Product from Interventional Cardiology Procedures
Peak skin dose has been implemented as a function of the highest radiation dose at any point in patient to stand for the likelihood and severity of radiation-induced skin injury to the patient [1] [3]
A strong correlation was found between the (DAP) and (PSD)
Summary
Radiation induced skin effects are deterministic in nature, with a generally accepted threshold dose of 2 Gy [1]. Peak Skin Dose and Dose Area Product from Interventional Cardiology Procedures. Peak skin dose has been implemented as a function of the highest radiation dose at any point in patient to stand for the likelihood and severity of radiation-induced skin injury to the patient [1] [3]. The European Union requires that all new interventional and paediatric fluoroscopic equipment incorporate DAP measurement capability. This technology is often available (frequently as an added-cost option) on interventional equipment sold in the United States. DAP is measured in units of Gy∙cm and expresses the total X-ray flux in the beam [4]
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