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

2008; Wiley; Volume: 35; Issue: 2 Linguagem: Inglês

10.1118/1.2829868

2473-4209

Stephen Balter, Donald L. Miller, E. Vañó, P. Ortiz López, Guglielmo Bernardi, E Cotelo, K. Faulkner, R. Nowotny, R. Padovani, Alfredo Ramı́rez,

Advanced X-ray and CT Imaging

Medical PhysicsVolume 35, Issue 2 p. 673-680 Radiation protection physics A pilot study exploring the possibility of establishing guidance levels in x-ray directed interventional procedures S. Balter, S. Balter Columbia University Medical Center, 627 West 165th Street, New York, New York 10032 Electronic mail: stb2001@nyp.orgSearch for more papers by this authorD. L. Miller, D. L. Miller Department of Radiology, National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, Maryland 20889Search for more papers by this authorE. Vano, E. Vano Complutense University, San Carlos University Hospital and Radiology Department, Madrid, Spain 28040Search for more papers by this authorP. Ortiz Lopez, P. Ortiz Lopez International Atomic Energy Agency, P. O. Box 100, Wagramer Strasse 5, Vienna, Austria A-1400Search for more papers by this authorG. Bernardi, G. Bernardi Azienda Ospedaliero-Universitaria S. Maria della Misericordia, SOC di Emodinamica Piazzale S. Maria della Misericordia, 15, Udine, Italy 33100Search for more papers by this authorE. Cotelo, E. Cotelo Hospital de Clínicas "Dr. Manuel Quintela" Escuela Universitaria de Tecnologica Medica Av. Italia s/n Tercer piso, Montevideo, Uruguay 11600Search for more papers by this authorK. Faulkner, K. Faulkner Quality Assurance Reference Centre Unit, 9 Kingfisher Way, Silverlnk Business Park Wallsend, Tyne and Wear, United Kingdom NE28 9NDSearch for more papers by this authorR. Nowotny, R. Nowotny Medical University, Vienna Center for Biomed. Eng. and Physics-AKH-4L, Waehringer Guertel 18–20, Vienna, Austria A-1090Search for more papers by this authorR. Padovani, R. Padovani Azienda Ospedaliero-Universitaria S. Maria della Misericordia, SOC di Emodinamica Piazzale S. Maria della Misericordia, 15, Udine, Italy 33100Search for more papers by this authorA. Ramirez, A. Ramirez Hospital Clinico, Universidad de Chile, CENTRO CARDIOVASCULAR, Santos Dumontt 999, Santiago de Chile, Chile Región MetropolitanaSearch for more papers by this author S. Balter, S. Balter Columbia University Medical Center, 627 West 165th Street, New York, New York 10032 Electronic mail: stb2001@nyp.orgSearch for more papers by this authorD. L. Miller, D. L. Miller Department of Radiology, National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, Maryland 20889Search for more papers by this authorE. Vano, E. Vano Complutense University, San Carlos University Hospital and Radiology Department, Madrid, Spain 28040Search for more papers by this authorP. Ortiz Lopez, P. Ortiz Lopez International Atomic Energy Agency, P. O. Box 100, Wagramer Strasse 5, Vienna, Austria A-1400Search for more papers by this authorG. Bernardi, G. Bernardi Azienda Ospedaliero-Universitaria S. Maria della Misericordia, SOC di Emodinamica Piazzale S. Maria della Misericordia, 15, Udine, Italy 33100Search for more papers by this authorE. Cotelo, E. Cotelo Hospital de Clínicas "Dr. Manuel Quintela" Escuela Universitaria de Tecnologica Medica Av. Italia s/n Tercer piso, Montevideo, Uruguay 11600Search for more papers by this authorK. Faulkner, K. Faulkner Quality Assurance Reference Centre Unit, 9 Kingfisher Way, Silverlnk Business Park Wallsend, Tyne and Wear, United Kingdom NE28 9NDSearch for more papers by this authorR. Nowotny, R. Nowotny Medical University, Vienna Center for Biomed. Eng. and Physics-AKH-4L, Waehringer Guertel 18–20, Vienna, Austria A-1090Search for more papers by this authorR. Padovani, R. Padovani Azienda Ospedaliero-Universitaria S. Maria della Misericordia, SOC di Emodinamica Piazzale S. Maria della Misericordia, 15, Udine, Italy 33100Search for more papers by this authorA. Ramirez, A. Ramirez Hospital Clinico, Universidad de Chile, CENTRO CARDIOVASCULAR, Santos Dumontt 999, Santiago de Chile, Chile Región MetropolitanaSearch for more papers by this author First published: 28 January 2008 https://doi.org/10.1118/1.2829868Citations: 84 Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract This article summarizes the dosimetric results of an International Atomic Energy Agency coordinated research program to investigate the feasibility of adopting guidance levels for invasive coronary artery procedures. The main study collected clinical data from hospitals located in five countries. A total of 2265 coronary angiograms (CA) and 1844 percutaneous coronary interventions (PCI) were analyzed. Substudies evaluated the dosimetric performance of 14 fluoroscopes, skin dose maps obtained using film, the quality of CA procedures, and the complexity of PCI procedures. Kerma-area product guidance levels of 50 and are suggested for CA and PCI procedures. These levels should be adjusted for the complexity of the procedures performed in a given institution. Citing Literature Volume35, Issue2February 2008Pages 673-680 RelatedInformation