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Establishing the European diagnostic reference levels for interventional cardiology
STUK Radiat and Nucl Safety Author, Finland.
Univ Belgrade, Serbia.
Belgian Nucl Res Ctr SCK CEN, Belgium.
Univ Hosp Rijelca, Croatia.
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2018 (English)In: Physica medica (Testo stampato), ISSN 1120-1797, E-ISSN 1724-191X, Vol. 54, p. 42-48Article in journal (Refereed) Published
Abstract [en]

Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm(2)), percutaneous coronary intervention (PCI, 85 Gy cm(2)), transcatheter aortic valve implantation (TAVI, 130 Gy cm(2)), electrophysiological procedures (12 Gy cm(2)) and pacemaker implantations Pacemaker implantations were further divided into single-chamber (2.5 Gy cm(2)) and dual chamber (3.5 Gy cm(2)) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm(2)). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2018. Vol. 54, p. 42-48
Keywords [en]
Diagnostic reference levels; Interventional cardiology
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:liu:diva-152392DOI: 10.1016/j.ejmp.2018.09.012ISI: 000447271300006PubMedID: 30337009OAI: oai:DiVA.org:liu-152392DiVA, id: diva2:1259627
Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2019-05-01

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The full text will be freely available from 2019-09-27 16:01
Available from 2019-09-27 16:01

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Sandborg, Michael

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Division of Radiological SciencesFaculty of Medicine and Health SciencesCenter for Medical Image Science and Visualization (CMIV)Medical radiation physics
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